By Jarrad Hensley, TSCL Legislative Assistant .Normally it would seem logical that a bi-partisan bill would have a very good chance of passing in the Senate, but these are not normal times. In fact, four of the five Republican Senators whose offices we visited this week, and who are on the Finance Committee, voted against their own chairman's bill. The five Senate offices we met with were Scott (SC), Thune (SD), Toomey (PA), Alexander (TN), and Burr (NC). We picked these Senators because all are members of at least one of the committees that any bill to lower drug costs would have to go through. .This week, TSCL endorsed one new bill sponsored by Congressman Eliot Engel (NY-16) – the Guaranteed 3 Percent COLA for Seniors Act (H.R. 3588). If signed into law, the bill would base Social Security cost-of-living adjustments on an inflation index specifically for seniors, and it would guarantee a minimum increase of 3 percent each year. .Support for the IPAB at both hearings was scarce. Some Members, including the Ranking Member of the House Budget Committee, Chris Van Hollen (MD), called the IPAB a necessary "failsafe" measure that will stabilize healthcare costs. He stressed the fact that the experts on the IPAB will make recommendations, but Congress will ultimately have the final say in whether or not they become law. .When hold harmless is triggered program-wide as in 2016, however, there is no specific provision of law with which to finance the unpaid portion of Medicare Part B premium increases for the roughly 43 million who are protected by the provision. In the past, Congress has chosen to allow this cost burden to shift to the 30 percent of beneficiaries who are not held harmless. Because the cost is spread over far fewer people instead of all beneficiaries, they pay a far larger share of the costs, thus the Part B premium spikes. .William told TSCL this week: "Senior citizens have the most to lose because they are by far the largest population of people who find themselves in need of costly in-home or nursing home care. For Congress not to be concerned with the catastrophic effect this would cause is cruel and unusual indifference to elderly and disabled Americans." .Beneficiaries are telling other Mexicans about the Social Security benefits. ."TSCL's concern is not over taxes collected under valid Social Security numbers," Cates says. "Our concern is over the use of earnings under invalid or fraudulent Social Security numbers to determine benefits," he explains. Earnings reported under invalid numbers most often occur when noncitizens work without legal authorization. But due to a loophole in current law, Social Security uses all earnings to determine benefits, even those from jobs worked under invalid and fraudulent Social Security numbers. Social Security thus pays benefits for the rest of the individual's life that may be based at least in part, on work under invalid Social Security numbers. TSCL believes this policy rewards people for document fraud. .Check to see if your drug plan has a deductible, and how much the deductible should be. The number of drug plans that are charging a deductible increased in 2020, and a larger percentage of the plans is charging the full standard deductible of 5 in 2020. A deductible is the amount you pay before your coverage kicks in. Deductibles can vary in how they are applied. You may get coverage for generics from day one, but you are probably going to be required to satisfy a deductible for your Eliquis. Of particular note, enrollees in the SilverScript Choice plan paid no deductible in many regions of the U.S. last year, but they will pay as much as 5 in 2020. A similar situation affects enrollees of the Humana Enhanced plan, who paid no deductible in 201For those who chose to remain in the plan — which is now called Humana Premier Rx, they will pay a 5 deductible.