Unlike the experience of the general public who access state or federal health care exchanges to choose coverage, the choices offered to Members of Congress are dramatically different than those from many other parts of the nation. For 2017, Members had 57 plan options in "Gold" plans alone on the DC shop exchange. In many areas of the nation, particularly rural ones, Gold plans aren't even available. Unlike the Silver and Bronze level plans, Gold plans have lower deductibles, and cover 80% of costs with patients paying only 20%. Silver plans, for example, typically come with deductibles ranging from ,500 - ,000, and pay 70% of costs while patients pay the other 30%. And in some areas of the country, people are happy if they have a choice of more than six silver plans. Certain parts of the country have only one. .The Senior Citizens League regularly tracks and estimates the projected annual COLA increase with the release of monthly consumer price index data from the Bureau of Labor Statistics. "Inflation data through August are confirming that the COLA will be in the vicinity of 0.2%, forecast by the Social Security Trustees, and that would trigger the "hold harmless" provision," Gibbons says. .The following four bills were the focus of Legislative Liaison Kluck's meetings on Capitol Hill in December… .Last July 24 President Trump announced his intention to sign four executive orders regarding prescription drugs, including one that would tie the cost of drugs in the US to drug prices in other countries. At the same time, he said he would delay signing the order and give pharmaceutical companies, which have vigorously opposed such a move, time to come up with their own plan to lower drug prices. .Congress and President Obama are battling over the federal budget, but supporters in Congress aren't about to forget Notch Babies. The Notch Fairness Act bills (H.R. 155) and (S.90) were introduced by Representative Mike McIntrye (NC-7) and Senator David Vitter (LA). They were among the first bills to be re-introduced in the new session. The bills would provide Notch Babies born from 1917 through 1926, or spouses who receive benefits on their account, a choice of ,000 payable in four annual installments or, an improved monthly benefit. .As we continue dealing with the Covid 19 pandemic, TSCL remains constant in our fight for you to protect your Social Security, Medicare, and Medicaid benefits. We've had to make some adjustments in the way we carry on our work, but we have not, and will not stop our work on your behalf. .Here are some ways to trim the cost of visits to the vet: .Does Medicare Cover Eyeglasses? .As we've found out in our meetings with Congressional staff members, Congress is hearing thousands of complaints from voters who want surprise billing stopped. But, they are also hearing from the health care providers who are making a lot of money from surprise billings and they are fighting back to try and stop or modify legislation. Because of the pressure Congress is receiving from opposing sides, getting legislation to fix the problem is more complicated than you might expect. There are four bills in the Senate to deal with the issue and five in the House.