An extremely low COLA (including the 1.3% that we are forecasting for 2021) could trigger a special provision of law that can cause Part B premiums to spike. That's especially true when combined with the higher than forecast Medicare outlays due to COVID-19, and the need to replenish program reserves. .Sixty – seven percent of seniors participating in the survey said they already spend up to one-third of their Social Security benefits on Medicare costs. Another 21 percent said they spent up to one-half. "Because healthcare costs are rising more rapidly than Social Security benefits, spending on Medicare takes an increasing share of senior income as seniors age," says Cates. .Health care for seniors is also one of the top issues on our agenda at TSCL and we have been talking to Congressional offices about our concerns. That's why we were happy to see progress this week regarding the issue of surprise medical billing. Surprise billing has been a real problem for some seniors who have Medicare Advantage. It's an issue that TSCL has been discussing with Congress and that we've written about for the last few weeks. .Four Key Bills Gain Support .First, one new cosponsor – Representative Mike Quigley (IL-5) – signed on to the bipartisan Social Security Fairness Act (H.R. 1205), bringing the total up to 19If adopted, H.R. 1205 would repeal the Government Pension Offset (GPO) and the Windfall Elimination Provision (WEP) – two provisions that unfairly reduce the Social Security benefits of millions of teachers, police officers, and other state and local government employees each year. It would ensure that public servants receive the Social Security benefits they have earned and deserve. .Texas has been hit the hardest by rural hospital closures, with 23 closures since 2013 and as many as 45% of rural and community hospitals operating in the red. By eliminating all private insurance with the single stroke of a pen, Medicare-for-all would force many of our state's already struggling hospitals to be reimbursed at lower rates, further complicating the financial solvency of rural health care providers. ."We've seen sometimes 10 to 12 dependents, most times nieces and nephews, on these tax forms," the whistleblower told WTHR Eyewitness News. The Treasury Inspector General report corroborates this, saying that questionable claims are made that include children living outside the United States. The individuals who received the tax credits filed an income tax return. Even though it's illegal for unauthorized immigrants to work in this country, the federal government requires payment of taxes on earnings. Even income obtained illegally is subject to income taxes. Because illegals don't qualify for a Social Security Number, the IRS provides an Individual Taxpayer Identification Number (ITIN) to enable them to file a return. .Before the Affordable Care Act, seniors could deduct out-of-pocket medical costs that exceeded 7.5 percent of their Adjusted Gross Income (AGI). Starting in 2017, however, the law increases this threshold to 10% of a person's AGI – effectively lowering how much can be deducted at the end of the year and increasing how much seniors will pay in taxes. .This week, TSCL delivered letters to several leaders in Congress – including Senate Majority Leader Mitch McConnell (KY), House Speaker Paul Ryan (WI-1), and House Freedom Caucus Chairman Mark Meadows (NC-11) – urging immediate action on the looming debt ceiling crisis.