Another bill that would improve the COLA – the Guaranteed 3 Percent COLA Act (H.R. 991) – also gained support this week. Congressman Gene Green (TX-29) signed on to it, bringing the cosponsor total up to five. If adopted, H.R. 991 from Congressman Eliot Engel (NY-16) would base the COLA on the CPI-E and guarantee a minimum annual Social Security benefit increase of at least 3 percent. .Why Does My Doctor's Office Need to Call My Insurer Before Scheduling a CT Scan? .If you've received a medical bill for services that you thought were covered by your health insurance you already know what surprise medical billing is. But as a reminder, "Surprise medical billing" is a term commonly used to describe charges received by someone who has health insurance but they received care from a health care provider who is not included in their insurance coverage. This situation could arise in an emergency when the patient has no ability to select the emergency room, treating physicians, or ambulance providers. Surprise medical bills might also happen when a patient receives planned care from an in-network provider (often, a hospital or ambulatory care facility), but other treating providers brought in to participate in the patient's care are not in the same network. This can end up costing patients thousands of dollars they thought their insurance would pay. .In our meetings this week we were pleased to learn that the members of Congress whose offices we visited plan on once again co-sponsoring the Notch bill. We also were very encourages to learn that there is a new bill that would repeal the Windfall Elimination Provision that has the best chance in years of moving out of committee and forward to the full House of Representatives for a vote. .The Safe and Affordable Drugs from Canada Act (S. 61), introduced by Senators Chuck Grassley (IA) and Amy Klobuchar (MN), would allow individuals to safely import prescriptions from approved pharmacies in Canada. .I'm still working and will turn 65 in July of this year. I currently get my health insurance through my employer. We have more than 20 employees and I've been told I can keep my employer's health insurance instead of starting Medicare in July. The health insurance that I have now is pretty expensive and the deductibles are high. How can I compare the costs between the two types of insurance? .In the past five years the annual adjustment has averaged just 1.4 percent — less than half the 3 percent average of the prior two decades starting in 1990. Retirees and disabled Social Security recipients are reporting that the COLA is doing a poor job of what it's intended to do — protecting the buying power of their Social Security benefits. According to an annual survey performed by TSCL, Social Security benefits have lost 31 percent of their buying power since 2000. .The Grassley-Wyden package would create a rebate system in Medicare Part B and Part D beginning in 2022 for brand-name drugs and biological products with prices that increase faster than inflation. Conservative groups and some Senate Republicans have opposed the rebate system for Part D, the prescription drug benefit program, but not for Part B, the outpatient services program. .Finally, one new cosponsor – Rep. Marcy Kaptur (OH-9) – signed on to the Social Security Fairness Act (H.R. 1795) this week, bringing the total up to one hundred and fourteen. If signed into law, the bill would repeal the Government Pension Offset (GPO) and the Windfall Elimination Provision (WEP) – two federal provisions that unfairly reduce the earned Social Security benefits of millions of state and local government employees each year.