This tax hike will disproportionally hit America's oldest and most vulnerable populations. Seniors make up more than half of those claiming the medical expense deduction. .When you get your new card, you may begin using it at once. But if you forget to bring it with you to your next doctor's visit your doctor's office should be able to use your old card until December 31, 2019. .However, right now there is no guarantee Republicans would do that, and instead, it is probable they would blame the Medicare cuts on the Democrats. .This week, TSCL's legislative team, which is led by former Congressman David Funderburk and Mrs. Betty Funderburk, met with several Members of Congress and their top staff to discuss issues of critical importance to seniors. The following bills, among others, were discussed this week: the Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1030), the CPI for Seniors Act (H.R. 2154), the Social Security Fairness Act (H.R. 1795), the Notch Fairness Act (H.R. 155), the No Social Security for Illegal Immigrants Act (H.R. 2745), and the Medicare Physician Payment Innovation Act (H.R. 574). .The Senior Citizens League regularly tracks and estimates the projected annual COLA increase with the release of monthly consumer price index data from the Bureau of Labor Statistics. "Inflation data through August are confirming that the COLA will be in the vicinity of 0.2%, forecast by the Social Security Trustees, and that would trigger the "hold harmless" provision," Gibbons says. .Should Congress hand over accountability for decisions about Medicare cuts to an unelected board? That's what lawmakers did in 2010 when they passed the Affordable Care Act. The law included a controversial provision to create a Medicare cost-cutting board, known as the Independent Payment Advisory Board (IPAB). .According to the new survey by The Senior Citizens League, the majority of Medicare beneficiaries (72 percent) report spending for prescription drugs that was less than the Part D initial coverage limit in 2020. But 28 percent of survey participants report a level of monthly drug spending (at least per month and more for co-pays and co-insurance) that puts them at risk of exceeding the Medicare Part D initial coverage limit and hitting the "coverage gap" or "doughnut hole" — the point at which drug costs can be higher than under initial coverage. In addition, one quarter of survey participants, 25 percent, said they postponed filling one or more prescriptions in 2020 due to high cost or shortages. Under current law there is no annual cap on out of pocket spending in Part D, except for the lowest income beneficiaries who qualify for Medicare Extra Help which covers most of their out of pocket costs. .Medicare Advantage plans have somewhat different costs. If the stay is considered observation care, however, that is covered under Medicare Part B, which means you will have a copayment for each individual outpatient hospital service. In addition, Part B doesn't cover most prescription drugs that are received in an outpatient setting. Perhaps even more importantly, the lack of inpatient status also disqualifies you from receiving Medicare-covered care in a skilled nursing facility or nursing home. .According to The Hill, the legislation would, "… completely change the way the U.S. pays for drugs, saving the federal government more than 6 billion over 10 years, according to an analysis by the nonpartisan Congressional Budget Office (CBO).