One of the uncertain Democrats is Sen. Bob Menendez of New Jersey. His state is home to many big-name pharmaceutical companies and he voted against a measure to allow Medicare to negotiate drug prices in the Senate Finance Committee in 2019. .CMS Announces Preliminary MA Payment Changes .The Senior Citizens League believes that expanding "means testing" to Part D and freezing the income levels through 2019 is a backdoor benefit cut that will eventually affect even middle-income seniors. The chief reason is that as the economy grows over the next decade, the frozen income thresholds will not increase in-kind, subjecting many more seniors to the "means test." The Senior Citizens League estimates that given different inflation scenarios, individual seniors who made between ,000 and ,000 in 2010 could be subjected to the "means test" in 2019, because of the frozen income thresholds. In addition, if the income thresholds for the "means test" had been allowed to increase, (the case before the PPACA was signed into law), we estimate that they would have increased to an amount between 0,500 to 1,800 in 2019. .Traveling Is Still a Danger .Given the above story about how Medicare users pay so much more for drugs than Medicaid users, could this be the year we finally win? .In addition, one new cosponsor – Rep. John Duncan, Jr. (TN-2) – signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305). The total is now up to sixty-three. If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within the two programs – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. .Social Security runs two disability programs – each with separate sources of funding. SSDI provides income to under age 65 adults that is calculated from their own work covered by FICA taxes. Their benefits are paid from the SSDI Fund. The Supplemental Security Income program (SSI) also pays disability benefits, but it's for low-income people without enough of work history to qualify for SSDI. Benefits are funded through both federal (and some state) revenues, and it's means tested like welfare. .This week TSCL Board member and Legislative Liaison, Doug Osborne, was in Washington. D.C. Mr. Osborne began his visit by laying a wreath at the Tomb of the Unknown Soldier for Veteran's Day with TSCL's parent organization, TREThe Enlisted Association. Together with TSCL Executive Director Shannon Benton and TSCL Legislative Consultant Larry Madison he spent the next two days on the "Hill" speaking with Congressional staff members about legislation TSCL is lobbying to pass in Congress. The focus of our efforts was on Social Security issues, specifically the "Notch" issue and the "Windfall Elimination Provision," (WEP) both of which affect many TSCL supporters. .Which dentists and dental specialists in your area are in the plan's network? Does the dental plan require you to use a network of dentists, or do you have the freedom to choose any provider who accepts your insurance? Are you willing to switch dentists in order for your care to be covered? It's especially important to learn what periodontists and other specialists in your area are in the dental plan's network. If you need to get a tooth pulled and an implant, but no periodontist accepts your dental coverage, you may wind up needing to spend ,000 or more out-of-pocket for an implant.