If signed into law, H.R. 1716 would prohibit unauthorized workers from receiving Social Security benefits based on work done while in the country illegally, using stolen, fake, or fraudulent Social Security numbers. TSCL was pleased to see support grow for H.R. 1716 this week, and we will continue to advocate for it on Capitol Hill in the coming months, since we feel strongly that protecting the integrity of the Social Security program is of utmost importance. .Currently, when hold harmless is triggered on a nationwide scale there is no provision of law to finance the unpaid portion of Medicare Part B premium increases. Instead, the entire burden of Part B costs is spread over a much smaller number of individuals, which is the 30 percent of Medicare Part B enrollees who are not protected by the hold harmless provision. This has led to significant spikes in Medicare Part B premiums during the hold harmless years, and in 2018 when a COLA finally became payable, to steep jumps in premiums for those whose Medicare Part B premiums were held lower in 2016 and 2017. .(For more details see our "FAHow ‘Undocumented' Workers Are Becoming Entitled To Social Security.") Of particular importance is an exception that applies to immigrants receiving benefits living in a country with which the U.S. has a totalization agreement. It appears that under the U.S./Mexico Totalization Agreement, all that any illegal Mexican worker must do to qualify for benefits is return to Mexico. Once a claim has been filed, the U.S. Social Security system counts all earnings, even for jobs worked without legal authorization, to determine entitlement to benefits. TSCL is particularly wary of how the 2012 presidential election may affect the status of the agreement. And, even if voters send a new president to the White House, the agreement will continue to remain pending even if no action is taken by President Obama, for the next President's consideration. .Action on Capitol Hill was slow this week as lawmakers remained in their home states and districts for the holiday recess. They are expected to return to Capitol Hill to begin the second session of the 114th Congress on Tuesday, January 5th. Check back then for legislative news, or visit our new page on Twitter for more frequent updates. .Budget Committee Debates Future of DI Program .On Wednesday, lawmakers on the House Budget Committee held a hearing titled: "Keeping Our Promise to America's Seniors: Retirement Security in the 21st Century." Committee members heard from several expert Social Security witnesses, including Congressman John Larson (CT-1) – Chairman of the House Ways and Means Social Security Subcommittee. .Unlike Medigap plans, Medicare Advantage plans charge a co-payment every time you visit a doctor, use a lab, or have a brief hospital stay. In fact, Medicare Advantage plans can charge a very hefty 5 — 5 per day co-payments for hospital stays that generally would cost nothing at all under Medigap supplements for the same period. Seniors, especially those who are older, and who might require hospitalizations or have chronic health conditions, may wind up spending as much or even more out-of-pocket in a low, or no premium Medicare Advantage Plan as they would with under a Medigap plan. Medicare Advantage plans appear to be more advantageous for seniors who: .In short, there are two main obstacles to the "Pelosi" bill to lower drug prices: overcoming objections from House Democratic progressives and getting through the Republican opposition in the Senate. .Supporters also stressed the fact that the IPAB has strict limitations. The Board cannot restrict Medicare benefits, raise taxes, increase beneficiaries' cost-sharing, modify eligibility criteria, cut payments to hospitals before 2020, or ration care. Instead, the IPAB will report on healthcare costs, access, quality, and utilization each year, and will make innovative cost-saving recommendations as it sees fit.