At the time of writing this week's update, the House had not yet voted on the measure, but its passage is expected in that chamber by Friday. The committees of jurisdiction will then begin working on legislation to repeal the health care law. Through the budget reconciliation process, the Affordable Care Act is expected to be repealed by as early as February, and lawmakers hope to have a replacement plan signed into law soon after. .With only six weeks to go before the December 13th deadline, it remains to be seen which path the budget conference will take. Leaders of the conference announced on Wednesday that the next public meeting will be held on November 13th, but most of the work will likely occur behind closed doors in the coming weeks. Regardless, TSCL will continue to monitor the evolving budget negotiations, and we will post updates here in the Legislative News section of our website. .Protecting Medicare for current beneficiaries and saving it for future generations is one of my most important responsibilities as a Member of Congress. It is no secret that demographic and economic factors will not allow us to continue the program unaltered. There are 10,000 baby boomers retiring every day, and when these programs were first enacted there were more than 40 workers for every 1 retiree. Today, that number is below 3 workers per retiree and headed towards 2 to Health care costs continue to rise much faster than inflation. In order to ensure the solvency of a program that senior citizens have come to rely on, changes must be made. The days of doing nothing, burying our heads in the sand, and pretending the status quo is sustainable are over. .Based on the growth rate of the Consumer Price Index for Workers (CPI-W) over past 12 months, I'm projecting a COLA in the vicinity of 3.6% for 201But Congress may take action that would slow the growth of the COLA. Deficit reduction plans are likely to call for switching to the "chained" CPI, a move that TSCL feels would further undermine the purchasing power of benefits. The difference between the CPI-W and chained COLA has averaged about 0.3 percentage point since 2000, but that's not the case this year. In fact, if the switch were to affect the COLA payable in 2012, seniors would get a COLA of about 2.8% — a cut of more than 20%. .Medicare Part B enrollees who don't receive Social Security benefits. This includes people who have delayed the start of Social Security and all people who are billed for Medicare. According to the Kaiser Family Foundation, in 2013 about half of all people on Medicare who don't receive Social Security yet had incomes below ,000. .Alexandria, V An overwhelming majority of seniors oppose two Medicare changes that are among the most widely - discussed reforms in Congress, according to a new survey by The Senior Citizens League (TSCL). Eighty-one percent of seniors strongly oppose a proposal that would impose a significantly higher annual deductible while restricting supplemental Medigap plans from covering the cost. Only 1 percent of those responding favored the idea. Seventy - four percent also strongly oppose replacing Medicare with a premium support system of private health plans, and giving beneficiaries a premium subsidy or voucher to shop for a new health plan. Just 5 percent said they favored this idea. "Both plans shift costs to seniors, something the vast majority can ill afford," says TSCL Chairman Ed Cates. .Sources: "Issues and Challenges In Measuring And Improving The Quality Of Health Care," The Congressional Budget Office, December 201"What Is Value-Based Healthcare?" NEJM Catalyst, January 1, 201"After Single Payer Failed, Vermont Embarks On A Big Health Care Experiment," Carolyn Johnson, The Washington Post, September 17, 2017. .At a seven-hour Senate Judiciary Committee hearing this week, Homeland Security Secretary Janet Napolitano praised the Gang of Eight for their comprehensive plan, while members of the committee picked it apart and discussed potential amendments. Secretary Napolitano called the plan "realistic" and "achievable" and she said the department would be ready to implement border security provisions within the outlined timeframe. However, committee members seemed wary, and Ranking Member Charles Grassley (IA) said: "This bill would put no pressure on this secretary or any future secretary to secure the borders." .My husband recently lost his job in a company re-organization. I was getting my healthcare benefits through his employer. He is 64 and I'm 6I'm still working, but coverage through my employer is much higher than we paid previously. Can you explain our options at this point? Neither one of us has started Social Security.