That leaves Grassley with a ticking clock to build enough support for his proposal to get it through the Senate and to convince House leaders to take it up as well. House leadership has its own signature drug pricing measure that is closer to Trump's own order than Grassley's bill. .TSCL is deeply concerned about the prospect of cuts to benefits and COLAs. Seniors can ill afford any reduction in benefits once they have already retired and are depending on them for their daily expenses. We urge you to learn how Congressional candidates stand on changes to Social Security and Medicare. To learn whether your U.S. Representative or Senators support legislation of interest to you, visit the TSCL website at or call toll free 1-800-333-8725. .The recommendation of MedPAC would combine the deductibles for Part A and Part B services. Currently the deductibles are charged separately and for good cause. About 80 percent of Medicare beneficiaries never pay a Part A deductible because they don't require hospitalization in most years. The Part A deductible for hospital inpatient services is ,156, a cost that is covered in full today by all Medigap supplements. Some Medigap supplements also cover all of the Part B deductible, which is 0 in 201Costs differ for seniors enrolled in Medicare Advantage depending on the plan. Co-payments would also change and vary by the type of service and provider. .The calculation of the COLA is based on the percentage of difference in the average third quarter change in the Consumer Price Index for Urban Clerical Workers and Wage Earners (CPI-W) from one year to the next. In late August of 2005, Hurricane Katrina knocked out petroleum production, causing gasoline and other consumer prices to surge in September. The CPI-W shot up an astonishing 1.5 percent between August and September of that year. But since Katrina, the CPI-W has increased .042 percent on average from August to September. "Even if costs were to rise as much as they did after Katrina, the COLA for 2018 would still be about 2 percent," Johnson says. .2014 Annual Survey of Senior Costs, Mary Johnson, The Senior Citizens League, March 2014. .TSCL will continue to keep the pressure up on Congress to get this problem solved as soon as possible. .This week, House and Senate lawmakers remained in their home states and districts for a week-long spring break. They are expected to return to Capitol Hill on Monday, March 25th. Until then, many Members of Congress will be hosting town hall meetings and attending events in their home states and districts. .That's because COLAs are currently based upon the way young, urban workers, rather than seniors spend their money. The Bureau of Labor Statistics (BLS) uses an inflation index called the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). It regularly underestimates the spending inflation that seniors experience since it fails to capture the rising costs of medical care, upon which older Americans spend a disproportionate share of their income. .TSCL's members and supporters are sending in thousands of petition signatures to fight the cuts that threaten senior benefits. Senior voter outcry, especially in an election year, is a highly effective means to make lawmakers wary of making major changes.