Federal prosecutors recently announced the biggest-ever one-day takedown of a phony Medicare billing scheme. One hundred seven people were charged, including doctors and nurses in seven U.S. cities, with taking part in a scheme to steal 2 million from Medicare. About the same time, the Inspector General of the Department of Health and Human Services reported that federal investigators have uncovered questionable billings at 2,600 drugstores nationwide. A pharmacy in Kansas billed Medicare for more than 1,000 prescriptions each for just two patients. Medicare paid .6 billion to the drugstores whose billings are now being questioned. While those announcements generated great election year headlines, the fact is that seniors and taxpayers can only hope to see a tiny fraction of Medicare's money recovered. .For example, those living in North Carolina's 3rd congressional district received emails introducing them to Congressman Walter Jones, sponsor of the Social Security Guarantee Act, and consistent supporter of important bills like the Notch Fairness Act and the Social Security Fairness Act. Those living in Oregon's 4th district received emails introducing Congressman Peter DeFazio, sponsor of three critical bills: the CPI-E Act, the Social Security Protection and Truth in Budgeting Act, and the No Loopholes in Social Security Taxes Act. These and other campaign efforts proved to be successful, as many critical lawmakers won their re-election bids and will continue to advocate for seniors in the next session of Congress. .A new report from the Congressional Budget Office (CBO) says that undocumented immigrants who receive work authorization are eligible to receive Social Security and Medicare benefits on the basis of their work history. Under current law there's no citizenship requirement to receive benefits, but individuals must be lawfully present in the U.S. That will mean higher spending on Social Security and Medicare in the future, the CBO said. While the CBO said new payroll taxes would boost Social Security and Medicare's financial condition in the short term, in the long term federal spending would increase significantly as those people became eligible for benefits. .In addition, one new cosponsor – Rep. William Keating (MA-9) – signed on to the Strengthening Social Security Act (H.R. 3118). The cosponsor total is now up to sixty-three. If signed into law, H.R. 3118 would reform the Social Security program in three ways: it would adjust the benefit formula, resulting in more generous monthly benefits; it would base COLAs upon the CPI-E, resulting in more accurate annual increases; and it would lift the cap on income subject to the payroll tax. The bill would extend the solvency of the Social Security Trust Fund responsibly, without cutting benefits for seniors. .Try going back to work or getting a second job. — Reducing costs is often the harder choice, because costs tend to grow with age. You may want to consider getting a job that could provide extra income and perhaps help with health benefits. Even if you must stay at home as a caregiver, you may want to consider providing adult day care to another individual if your home is set up for that, or to find a job that allows you to work online from home. .Because of these risks, action will be required well before 2037 and the costs associated with delaying action grow each year. While TSCL understands that changes are needed to the Social Security system and some small changes are likely, harsh benefit cuts should not be tolerated. .Our next issue of interest this week is Surprise Billing. Surprise billing does not affect seniors on Medicare as much as it affects seniors under age 65 who still have health insurance through their employer or who are paying for their own health insurance. Surprise billing usually refers to expensive, unexpected medical bills that patients receive from hospitals and doctors' offices even when they have health insurance that they expect will cover the majority of treatments cost. Congress has been getting an earful from voters who are very upset about this situation and there seemed to be a fair amount of optimism that legislation dealing with surprise billing may be able to pass. If it does, there could be an effort to attach legislation dealing with drug prices to that bill. ."Let's have some discussion about what the government would actually be measuring," Johnson says. "It would not be direct measurement of the growth in the costs of specific goods and services as is the case under the conventional CPI," she says. "Yet that's what most people think of when we talk about inflation," she says. According to the Congressional Budget Office, the chained CPI measures the amount of additional resources that an individual would need to maintain the same standard of living this year as last year. "That's not the same thing, especially for people dependent on fixed incomes," Johnson notes. .This tax hike will disproportionally hit America's oldest and most vulnerable populations. Seniors make up more than half of those claiming the medical expense deduction.