But here's the real kicker. A statute of limitation loophole is hamstringing Medicare from recovering overpayments. Federal law allows a Medicare claims contractor to reopen a payment determination for "good cause" at any time within 4 years of the date the original payment determination was made. But another provision of law bars the recovery of overpayments from providers that are "without fault." And the law states that a provider is deemed to be without fault 3 years after the year in which the original payment was made unless there is "evidence to the contrary." .This is a new issue that has popped up on our radar and TSCL will be studying it in greater depth as we learn what might be done to insure lower prices and greater security for the prescription drugs that are so important for so many of us, especially the nations senior citizen population. ."Social Security Stops Trying To Collect On Old Debts By Seizing Tax Refunds," Marc Fisher, The Washington Post, April 14, 2014. .TSCL believes a better approach to Medicare Advantage "risk adjustments" is needed, and should be written into law, rather than left to the discretion of politically appointed Medicare administrators. Congress could do this by writing a method for calculating the adjustment into the law. This approach would make payment for MA plans more like payment for other Medicare providers. .If signed into law, the Medicare Advantage Participant Bill of Rights Act would prevent Medicare Advantage plans from dropping physicians from their networks during the middle of the year, and it would require them to finalize their networks sixty days prior to the start of the open enrollment period. .Impose new Medicare deductibles and impose new coverage restrictions on Medigap plans: Impose a new 0 deductible for both Medicare Part A and Part B that Medigap plans would be restricted from covering. Would also limit the co-insurance or co-pays that Medigap plans could cover to 50 percent of the next ,000 in Medicare cost-sharing. Currently plans pay most, or all, of the Medicare cost sharing. .This week, lawmakers returned to Capitol Hill following a week-long holiday recess. They have just one week to reach a deal to fund most of the federal government past Friday, December 7th. Should they fail to reach an agreement before then, part of the federal government will shut down like it did earlier this year. .TSCL agrees that lawmakers must take action soon to stabilize the individual health insurance market and to bring down skyrocketing prescription drug prices. In the coming months, our legislative team will continue to monitor and support legislation like the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776), which would reduce costs and improve care for older Americans. For updates on this bill and others like it, visit the Bill Tracking section of our website or follow TSCL on Twitter. .Under a 2004 law, non-citizens who apply for benefits with a SSN assigned in 2004 and thereafter must have legal work authorization at some point in order to file a claim for benefit. But the law does not apply to aliens who received a SSN prior to January 1, 200Those non-citizens may be able to claim Social Security benefits without ever having legally worked. In fact, our government already pays Social Security disability and retirement benefits to non-citizen aliens and their dependents based on illegal earnings. The cost to Social Security of those payments was recently estimated to be 6 billion through 2040, according to Advisor editor and Social Security policy analyst Mary Johnson.