Key Social Security Bills Gain Support .At the time of writing this week's update, neither chamber had voted on the omnibus spending bill, but its passage is expected before funding runs out on Tuesday, December 22nd. A vote in the House is scheduled for Friday morning, and lawmakers in the Senate will likely take it up shortly thereafter, potentially as early as Friday afternoon. President Obama signaled his support for the spending package on Wednesday, which means he plans to sign it into law if it is sent to his desk. .Over one million Medicare recipients in my home state of Indiana would face reductions in choice and difficulty receiving care if provider incentives are cut. Instead of reducing access to healthcare, it is time to shift focus to the big picture of improving the economy through job creation so more people are able to contribute to their own healthcare. It is not time to chip away at benefits to the men and women who built this great country. Individuals who contributed to Medicare for decades rely on that investment for their well-being. .Five Bills Gain Support .Baicker, the public policy school dean, thinks public scrutiny will prevent outrageous pricing. The industry has made various pledges, trying to balance corporate citizenship against making eager investors happy: Astra Zeneca has promised 1 billion doses for low- and middle-income countries. Johnson & Johnson says it would make the COVID-19 vaccine available on a "not for profit basis" at for "emergency pandemic use." .The period covered by the Notch is a major area of dispute. When benefits are represented on a chart, the disparity forms a deep "V" notch. Benefits plunged from a peak for retirees born in 1916 and hit the lowest part of the "V" for those who were born in the years 1920-2Benefits began to rise for those born in 1922 until they became level with other retirees, starting with those born in 192See illustration below. .Johnson selected 20 companies for her sample and downloaded each company's public 2018 proxy information, which contains Executive Compensation Tables required by the Security Exchange Commission. The analysis uses only the actual salary and performance pay, both of which are subject to Medicare and Social Security payroll taxes up to the limit. No stock awards were included. .In the past, supplemental benefits offered by MA plans were only required to be primarily health related and typically included dental, hearing or vision benefits. Starting in 2019, new supplemental benefits must be medically appropriate and recommended by a licensed provider as part of a care plan, and not offered simply to induce enrollment. Examples of the new supplemental benefits include adult day care services, in-home support services, home and bathroom safety devices, transportation, and home-based palliative care. However, to qualify for these benefits, you must be diagnosed with a condition for which these benefits are necessary, and the benefits must be listed by your physician as part of your plan of care. .The most widely-discussed proposals to revamp Social Security include raising the eligibility age, making the benefit formula less generous, and reducing the Social Security cost-of-living adjustments (COLAs). Reducing COLAs would impact the lifetime Social Security benefits of all current beneficiaries, as well as affecting future retirees. Under discussion is a proposal that would reduce COLAs by switching to a more slowly-growing, "chained" consumer price index to calculate the annual benefit boost. In fact the new tax law, recently did something similar. Indexing of income tax brackets, the standard deduction, and other parameters of the tax code for inflation was tied to a chained COLA. That means that people will pay higher taxes over time, as the standard deduction becomes less generous, while rising income would tend to push older taxpayers into higher brackets.