Medicare Advantage plans combine both parts of Medicare, and the health plans are required to cover everything that is covered under original Medicare. However, your provider may be reporting your doctor's orders to your Medicare Advantage plan in order to get prior authorization for your CT scan. Most Medicare Advantage plans routinely require prior authorization to manage your care and to prevent excess use of care that has not been documented as medically necessary. This practice protects you from surprise bills, and confirms that the provider is authorized to bill your Medicare Advantage plans for your care. .The benefit reduction would be caused by a feature of the Social Security benefit formula that is sensitive to economic recessions and high unemployment. The first step in calculating benefits is to adjust the individual's earnings using the average wage index (AWI) in order to convert the value of past earnings into today's dollars. The AWI is also used to adjust the earnings levels that determine the portion of their average monthly earnings that people are allowed to keep as their benefit. .If you have questions about your coverage, Medicare beneficiaries can get free one-on-one counseling from State Health Insurance Program (SHIP) counselors by contacting your local Area Agency on Aging or senior center. The programs go by different names depending on your location, but SHIP contact info can be found at https://www.shiptacenter.org. .Finally, one new cosponsor – Congresswoman Pramila Jayapal (WA-7) – signed on to Congresswoman Jan Schakowsky's (IL-9) Improving Access to Affordable Prescription Drugs Act (H.R. 1776). The cosponsor total is now up to seventeen in the House. If adopted, it would take several steps to reduce prescription drug costs. It would require the federal government to negotiate lower prices for Medicare beneficiaries, allow individuals to import prescriptions from Canada, accelerate the closing of the Part D "doughnut hole," and cap monthly out-of-pocket drug expenses at 0, among other things. .For more information about legislation that would strengthen the Social Security and Medicare programs, visit the Bill Tracking section of our website. For frequent updates from TSCL on Capitol Hill and to view photos from this week, follow us on Twitter. .At the time of writing this update on Friday morning, the vote had not yet occurred. It is expected to take place on Friday afternoon, before the non-partisan Congressional Budget Office has a chance to evaluate the final version. It remains unclear whether or not the AHCA will gain the support needed to win passage. If adopted, the AHCA will move to the Senate, where its future remains even more uncertain. If it fails, Republican leaders on Capitol Hill have said they will move on to other legislative priorities, like tax reform. .The Pharmaceutical Care Management Association, which represents pharmacy benefit managers that run the Medicare prescription drug plans targeted by the rebate rule, said at the time that it was exploring litigation. .Trump Issues Executive Order on Prescription Drugs .The CPI-E Act of 2017 (H.R.1251) gained two new cosponsors in Representative Peter Welch (VT-01) and Representative Jamie Raskin (MD-08), bringing the new cosponsor total up to 4If signed into law, H.R. 1251 will base cost-of-living adjustments (COLAs) for Social Security benefits on the Consumer Price Index for the Elderly (CPI-E).