Medicare Part B enrollees who don't receive Social Security benefits. This includes people who have delayed the start of Social Security benefits, and all people who are billed for Medicare. According to a report from the Kaiser Family Foundation, in 2013, about half of all people on Medicare who don't yet receive Social Security had incomes below ,000. .More than ever before, it is critical that seniors make their voices heard on Capitol Hill. In the past two years, countless proposals to cut Medicare and Social Security benefits have been backed by deficit hawks in Congress. Recent plans have called for lower cost-of-living adjustments, increased Medicare means testing, a higher retirement age, and even the phasing out of Medicare altogether. The stakes are high for seniors, and with a critical election just months away, every voice counts. The stacks of petitions that our members signed were delivered along with a personalized letter addressed to each Member of Congress. The letters expressed appreciation to those who have already signed on as supporters of the key issues. To those who have not, however, they conveyed a powerful and urgent message and served as a call to action. .Healthcare would be more efficient and convenient for patients. Value-based payment systems provide incentives for health providers to make it easy for patients to get all the services related to managing their condition in one "medical home." Payments to providers are "bundled," covering the patients' full care cycle, or for chronic conditions covering longer periods of time like a year or more. .The Senior Citizens League enthusiastically supports H.R. 2276, H.R. 4957, S. 2387, and S. 2671, and we were pleased to see support grow for them this week. For more information about these and other TSCL-backed bills, visit the Bill Tracking section of our website. .How much are you spending on prescription drugs? Please tell us by taking our 2019 Senior Survey. .The Neal bill was passed by the Ways and Means Committee on Wednesday of this week. It would ban surprise billing using an arbitration process favored by hospitals and specialty physician groups but opposed by insurers, employers and labor unions. Neal's legislation would send all the disputes that can't be settled between the parties to arbitration but require mediators to consider median contracted rates used by health plans, with the mediators prohibited from considering "usual and customary charges," also known as "billed charges." .Ensure that rebates drug makers now pay to benefit managers and insurers get passed directly to patients when they buy a medication. The White House last year withdrew an earlier version of the proposal, after the Congressional Budget Office estimated it would cost taxpayers 7 billion over 10 years. .The campaign consisted of collecting and organizing TSCL-supporter signatures by each Congressional district. A personalized letter addressed to nearly each House Member was drafted to clearly convey the needs of our supporters and issue a call to action asking each office to look more closely at these issues. For those who have supported our causes in the past, these letters served as a "thank you" for their support. For many, however, the petitions signaled a clear and powerful message on behalf of their constituents that the time had come to make a concerted effort to stand up for seniors' rights. .Over 3 million Notch Babies have joined TSCL's grassroots fight for Notch Reform, by adding their names to the TSCL Notch Reform Registry. The registry acts as a list of senior Americans who are on record as supporting Notch reform and want Members of Congress to pass "The Notch Fairness Act" (H.R.1001) introduced by Representative Mike McIntyre (NC-7) and (S. 118) introduced by Senator David Vitter (LA).