Downsizing doctor networks is one way that Medicare Advantage insurers are dealing with the sizable cuts. Some insurers have also begun to increase premiums and out-of-pocket costs that enrollees pay. Austin Pittman, President of UnitedHealth, told the Wall Street Journal: "It's no secret that we are under substantial funding pressure from the federal government … That's what's driving our actions." .The budget resolution now heads to the House floor, where its future remains uncertain. Republican leaders in the House have been attempting to win the support of the 40-member conservative Freedom Caucus for weeks, but they have not yet been successful. They will need to rely upon a least a dozen of their votes for its passage. Budget Committee Chairman Tom Price (GA-6) told reporters this week that he is "working with members who are not on the Budget Committee" to build support for it, and that it will be taken up "when we have the votes." .The Senior Citizens League believes that expanding "means testing" to Part D and freezing the income levels through 2019 is a backdoor benefit cut that will eventually affect even middle-income seniors. The chief reason is that as the economy grows over the next decade, the frozen income thresholds will not increase in-kind, subjecting many more seniors to the "means test." The Senior Citizens League estimates that given different inflation scenarios, individual seniors who made between ,000 and ,000 in 2010 could be subjected to the "means test" in 2019, because of the frozen income thresholds. In addition, if the income thresholds for the "means test" had been allowed to increase, (the case before the PPACA was signed into law), we estimate that they would have increased to an amount between 0,500 to 1,800 in 2019. .With the Senate being so sharply divided, achieving that result is very questionable. .In the months ahead, TSCL will continue to advocate for these and other legislative efforts that would improve the solvency of Social Security and Medicare without cutting benefits for seniors. .The Senior Citizens League proposes that Congress enact an emergency COLA or one - time benefit boost payable for 202TSCL supports legislation that would ensure that COLAs are no less than 3 percent. But the organization also recognizes that the Congressional Budget Office (CBO), in its January 2020 baseline, estimated that a 2.5 percent COLA would be payable for 202Thus, providing a 2.5 percent emergency COLA would provide what has already been projected for Social Security benefits by the CBO. ."While there's nothing unlawful per se about rushing to enact policy in the final days of a presidential administration (indeed, it's a time-honored tradition), executive branch officials may not circumvent clear legal requirements in the eleventh hour to achieve goals they couldn't accomplish in the normal course," he said. .You can also sign a petition to your Members of Congress, find contact information for your Senators and Representatives, and stay updated with the latest news on Capitol Hill. .If you or someone you know is struggling to make their Social Security benefits stretch from one month to another, there are two Medicare programs that can help with medical costs for those eligible — Medicare Savings Programs which cover some Part B costs, and Medicare Extra Help which provides help with prescription costs.