In addition to overlooking Medicare premiums, the CPI-W also doesn't accurately measure the portion of income that retirees and disabled Social Security recipients spend on Medicare. Spending for medical care in the CPI for younger adults represents about 6.5 percent of household budgets, but surveys by TSCL suggest that retirees routinely send more than twice that amount. .On Monday, lawmakers in the House revealed the American Health Care Act (AHCA), which would replace the Affordable Care Act (ACA) if signed into law. Just two days later – before the Congressional Budget Office had a chance to evaluate the proposal – Republicans on the House Ways and Means Committee and the House Energy and Commerce Committee voted to advance the proposal. .Yet according Sara Zeff Geber, PhD, author of Essential Retirement Planning for Solo Agers, very few childless adults reside in assisted living or continuous care communities today. That's because it's the adult children, who are the primary caregivers, who help make the decision when mom and/or dad needs more care than can be safely provided at home. It's the adult children who assist with the tasks of helping parents shop for the right senior housing, help with the downsizing and moving, and assist with the complicated transaction of selling a parent's home and financing senior housing. .By Mike Watson, TSCL Legislative Assistant, .Sources: Hearing on Combating Waste, Fraud, and Abuse, Office of the Inspector General, Social Security Administration, January 24, 201"Levin, Conrad Introduce CUT Tax Loopholes Act," Senator Carl Levin, February 7, 2012. .The future of the AHCA remains uncertain in the House, and in the Senate, lawmakers have been even more cautious about its prospects. On Wednesday, Senate Majority Whip John Cornyn (TX) said: "Once [House lawmakers] pass the bill, my assumption is, the Senate's going to take a look at it but not necessarily be rubber-stamping what they're proposing. I would anticipate that we'll do what we used to do all the time which is, the House will pass a bill, we'll pass a bill, and then we'll reconcile those in a conference committee." .No change to 401(k)s or IRAs: Prior to enactment, concerns were high that tax reform would restrict the amount of pretax contributions working people could make to workplace retirement accounts. Congress did not do this, and the tax rules affecting these accounts, for the most part, remain the same. .Obamacare is not the first government program in which major implementation glitches had disastrous consequences for large numbers of beneficiaries. In 1977 changes that Congress made to the Social Security benefit formula created a major inequity in benefits that cost retirees tens of thousands of dollars in Social Security benefits over their lifetimes. The seniors affected are among the oldest and most vulnerable today. Born during 1917 through 1926, and known as "Notch Babies," they received substantially lower benefits than other seniors close to them in age with almost identical work and earnings records. The name refers to the plunging "V" notch when benefits of Notch Babies are charted on a graph. .Although President Trump promised during his campaign not to touch Social Security, "it's unclear how he would view slowing the growth in Social Security benefits by this type of technical change," Johnson observes. "Make no mistake, no matter what sort of ‘improvement' lawmakers may try to call it, getting less money from Social Security is a cut," she states.