By doing her research now, your sister can start learning about her options in the area where she would like to live. She needs to get an idea of how much senior living options cost, how the options are financed, and what she needs to do to get ready for such a move. There are companies that specialize in helping older adults downsize, and she may need to talk to a financial planner and real estate agents to get her home ready to put on the market. .Three Ways Congress Can Pay For Notch Reform .The Congressional Budget Office recently estimated in their September budget outlook that Medicare outlays for 2020 would rise about 12 percent — roughly double the rate forecast by the Medicare Trustees in their April 2020 report. This suggests that the Medicare Part B premium increase for 2021 could be about .40 per month higher in 2021, rising from 4.60 to 2.00. But even this estimate does not include the impact of cost shifting due to protecting people with low Social Security benefits from reductions due to the high Medicare Part B increase. .This week, The Senior Citizens League's legislative team hand-delivered nearly eight hundred petitions to leaders in the Senate. The petitions urged lawmakers to support legislation that would boost Social Security benefits while strengthening the financing of the program by adopting the Social Security Expansion Act (S. 427). .The age at which you start receiving Social Security benefits. .The authors of the study concluded that unless the overall trend stabilizes or is reversed, or high cost-to-claim drugs are addressed, this trend will place an increasing burden on the neurologic Medicare budget. .Second, four new cosponsors – Senator Richard Blumenthal (CT), Senator Roy Blunt (MO), Representative Bill Posey (FL-8), and Representative Maxine Waters (CA-43) – signed on to the CHANGE Act (S. 2387, H.R. 4957), bringing the total up to ten in the Senate and twenty-four in the House. If adopted, the CHANGE Act would promote early identification of Alzheimer's disease, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. .Lower spending on prescription drugs. Under our current Medicare system, experts warn that Americans are taking too many unnecessary drugs for dubious reasons. A value-based system would tie the price of prescription drugs to its value in the treatment of the patient. For example, patients with high blood pressure would receive their blood pressure medications for the lowest price or even no co-pay. Value-based systems could lead to reducing the number of unnecessary prescriptions and over-the-counter medications that patients take, while improving their health. .My brother-in-law has a low income and is getting home healthcare services. Recently I stopped in and saw a fancy new TV. When asked where it came from, my brother-in-law said it was a rebate from the home healthcare agency. Does Medicare or Medicaid allow this? We live in South Florida.