Medicare pays for a wide range of services including many preventive benefits, but routine eye care is not one of them. Medicare-eligible adults with diabetes can, however, get a dilated eye exam to check for diabetic eye disease. The patient's primary care doctor is responsible for determining how often this exam is needed. Medicare also covers an annual eye exam to check for glaucoma if the patient is diabetic or there is a family history of glaucoma. .In March, the Trump administration paused routine nursing home inspections, which typically occur about once a year. Instead, the Centers for Medicare and Medicaid Services (CMS) asked that state agencies focus on inspecting facilities for their infection control practices, such as whether staff wash their hands or properly wear protective clothing before tending to multiple patients. .The uncertainty of Senate passage of the new legislation to waive the cuts to Medicare comes about because of the 2010 Statutory Pay-As-You-Go Act, which requires across-the-board cuts, known as sequestration, to "mandatory" programs if any new legislation increases the deficit. .Part D — If you choose a Medigap plan, or a Medicare Advantage plan that does not offer drug coverage, you will need a Part D plan. If you take any prescription drugs, be sure to input your medications to get an accurate estimate of costs and to check the coverage of the drugs you take. Coverage of prescription drugs varies from plan to plan and from one year to the next. The average monthly premium for Part D plans weighted for enrollment is Plans often charge a deductible and in 2011 you would need to spend a total of ,550 out-of-pocket (not including premiums) before reaching catastrophic coverage. .Action on Capitol Hill was slow this week as lawmakers remained in their home states and districts for the holiday recess. They are expected to return to Capitol Hill to begin the second session of the 114th Congress on Tuesday, January 5th. Check back then for legislative news, or visit our new page on Twitter for more frequent updates. .TSCL enthusiastically supports H.R. 2745, H.R. 3118, and H.R. 1795, and we were pleased to see support grow for each of them this week. .The message here isn't "work till you drop." Working even a few additional years can boost retirement security substantially when you finally do retire. There's a "triple whammy" effect -- delayed Social Security filings means higher monthly benefits; you have more years of contributions to retirement accounts; and you have fewer net years of drawing down those accounts. Working with financial planning experts, we estimated that these factors can boost income in retirement by one-third or more. .For years, workers were told to rely on a combination of Social Security, workplace pensions and their personal retirement savings. However, over the past 30 years or so the landscape of retirement savings has dramatically shifted. Traditional workplace pensions have shifted to 401(k) plans while some have been eliminated altogether, and the recent financial and housing collapse left many households with dramatically less value in homes and retirement funds. Partly as a result of these changes, many baby boomers and other future retirees are facing greater "risks" of not having enough to live on in their retirements. According to the Center for Retirement Research, 51 percent of households are "at risk" of not being able to maintain their pre-retirement standard of living. .Government officials, like the head of the Department of Veterans Affairs, can opt out of buying American drugs if the product is not produced "in sufficient and reasonably available commercial quantities" in the United States or buying the product in America would raise procurement costs by 25 percent.