The letter that TSCL delivered to congressional leaders this week urged lawmakers to begin immediate discussions about lifting the debt limit and preventing a default on the federal debt. Art Cooper – Chairman of TSCL's Board of Trustees – wrote: "Our supporters nation-wide hope you will act swiftly and responsibly to avert delays in Social Security benefits and payments to Medicare providers, and they will not tolerate additional cuts to their earned Social Security benefits." .On Tuesday – despite projections that showed large gains for Democrats on Capitol Hill – lawmakers on the right swept elections across the country. For the first time in eight years, Republicans will control the House, the Senate, and the White House when the 115th Congress begins in January. Senator Roy Blunt (MO), who narrowly held on to his Senate seat on Tuesday, told reporters: "A Republican president and a Republican Senate and a Republican House can do things to change this country." .In his ruling the California judge admonished the federal government for skipping a key step in the rulemaking process and called the government's reasons for doing so "contrived." .On Tuesday, House lawmakers advanced two Senate-passed bills that will reduce prescription drug prices at pharmacies if signed into law. The Patient Right to Know Drug Prices Act (S. 2554) will prohibit "gag clauses" that prevent pharmacists from telling consumers when it would be cheaper to purchase their prescriptions out-of-pocket rather than through their health insurance. Similarly, the Know the Lowest Price Act (S. 2553) will protect Medicare beneficiaries from "gag clauses." .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. .Specialty-tier drugs are defined by Medicare, as those that cost more than 0 per month in 2019, and include drugs used to treat cancer, hepatitis C, multiple sclerosis (MS), and rheumatoid arthritis. Even when Part D enrollees reach the Medicare Part D catastrophic coverage phase, when co-insurance drops to 5%, beneficiaries who take these drugs can continue to face thousands of dollars in annual out-of-pocket costs, according to the Kaiser study. The study found that annual out-of-pocket costs for specialty drugs in 2019 are expected to average ,994 across the 28 specialty-tier drugs that are covered by drug plans. .But if mature workers are not working and earning, they can't make critical life investments in themselves, their families, and their futures. .One new cosponsor also signed on to Rep. Eliot Engel's (NY-16) Guaranteed 3% COLA Act (H.R. 1585) this week. His bill would ensure that the annual COLA is no less than 3 percent. Rep. Matt Cartwright (PA-17) signed on, and he is the bill's first cosponsor. .When AZT, the first effective drug for combating the virus that causes AIDS, was introduced in 1992, it was priced at up to ,000 a year or about 0 a month. It was the most expensive prescription drug in history, at that time. The price was widely denounced as "inhuman." Today that price gets you some drugs for toenail fungus.