Sources: "Divided Deficit Panel OKs Proposal," John Maggs, Politico, December 3, 20"The Moment of Truth" The National Commission on Fiscal Responsibility and Reform, December 2010. .Much of the debate over federal deficit reduction plans has been focused on overhauling Medicare and making changes to Social Security. But a major funding change is also under consideration for Medicaid, the federal and state program that covers medical care for lower-income individuals including seniors who also receive Medicare. As federal and state governments struggle to address Medicaid funding shortfalls, TSCL is concerned that Notch Babies, and the families who provide care for them, would be among those who would be hit the hardest by funding cuts. .Could you tell me the status of the Social Security agreement with Mexico? There hasn't seemed to be much news about it recently. If we get a new president does that mean the agreement would be dead? .Alexandria, VA (April 5, 2011) Congress is considering three major deficit reduction proposals that would make seniors pay even more for their Medicare than they do now. The debate over federal spending on Medicare is occurring at the same time a majority of seniors are reporting higher out-of-pocket Medicare costs, according to a new survey by The Senior Citizens League (TSCL), one of the nation's largest nonpartisan seniors groups. Retirees received no annual cost-of-living adjustment (COLA) in both 2010 and 2011, leaving them with less Social Security income to cover much higher monthly bills. About 47 percent of respondents report receiving lower Social Security payments this year, and more than 60 percent said their overall monthly expenses had increased or more. .Shopping for housing after an emergency. Your retirement housing is one of the most important investments you will ever make. It's important to start your search of retirement living options while you or the family member you are helping can optimally participate. Be realistic about care needs. Often families discover that a facility does not offer the level of services that may later be required and need to move again. .According to the FDA, "Complementary and Alternative Medicine" encompass a wide array of health care practices, products, and therapies that are distinct from conventional medicine. Examples include botanical and animal-derived extracts, vitamins, minerals, amino acids and proteins, just to name a few. In addition there would be new regulations of medical devices used by alternate medicine practitioners like chiropractors, massage and acupuncture therapists. .Obviously we will continue to push for passage of those bills and keep you updated about their progress as things develop. .Grassley has previously said he needs at least 25 Republican co-sponsors to get his bill to the floor and sees backing from the White House as important in getting more votes. About a dozen Republicans other than Grassley have so far publicly expressed support for the legislation. .CMS said in a press release that this change is to provide patients and their doctors more options and to lower costs by promoting more competition among hospitals and independent surgical centers. But while these surgeries will be removed from the inpatient-only list, the government did not approve any of them to be performed anywhere else. Patients will still have to get care at hospitals but, because these services have been reclassified, they will be billed under Medicare Part B as outpatient services, instead of Medicare Part A for hospital services. Medicare beneficiaries pay a bigger share of the costs under Part B, than under Part A for an inpatient stay, and those costs would also drive up Medicare Part B premiums in the future.