Medicare health plans also have new rules about co-pays and co-insurance. Copayments can vary drastically between MA plans, but through 2018, individual plans were required to offer all enrollees in the plan's service area access to the same benefits at the same level of cost - sharing. In 2019, MA plans have the option of imposing tiers for the cost - sharing of contracted providers, as an incentive to encourage enrollees to seek care from specific providers. Plans that utilize tiered cost-sharing must disclose tiered co-pays and co-insurance amounts to enrollees and providers, ensure that services at each tier of cost-sharing are available to all enrollees, and ensure that all enrollees are charged the same amount for the same service from the same provider. .Critics of mandatory arbitration say the agreements stack the deck against long term care residents and consumers. Unlike civil suits which go to court, arbitration is private, and there's no judge or jury. There are no rules of evidence that arbitrators have to follow under the law, and there's no oversight. Critics also contend that consumers are less likely to win their cases in private arbitration and, if they do win, they tend to get much less money than they would in court. .Nations all over the world are experiencing unprecedented disruptions to the drug supply chain, and that affects the U.S. drug supply. You may be interested in this article which explains the problem:https://www.cnbc.com/2020/03/24/us-drug-shortage-fears-grow-as-india-locks-down-due-to-the-coronavirus.html. .Taxpayers who receive pension payments. .The President's order halts the collection of payroll taxes from Sept. 1 through the end of the year. In addition, he instructed the Treasury Department to look into how the government can forgive the deferred tax payment permanently because as things stand right now the taxes must be repaid after the first of the year. .Senator Richard Shelby (AL) – Chairman of the Senate Appropriations Committee – told reporters this week that a shutdown is possible. He said: "I'll just say that I don't think it's a good idea to shut the government down, period. But people are going to posture. And it could happen, it's happened before … I don't believe a shutdown's in my interest, the president's interest, the people's interest, either party's interest … But some people look at it differently." .The Social Security Administration calculates benefit withholdings based on the amount you report that you will earn for the year, and then will withhold all benefit payments for a certain period of months to cover excess earnings. For example, say you received a Social Security benefit payment of 0 per month in 2007 (,800 for the year). Let's say that during 2007 you worked and earned ,450 or ,490 over the earnings limit (,450 - ,960). Social Security would withhold ,745 in benefit payments covering slightly more than 6 months of your payments. .The Senior Citizens League enthusiastically supports the two bills mentioned above, and we were pleased to see support grow for them this week. For more information about these and other bills that have been backed by The Senior Citizens League, visit the Bill Tracking section of our website. .After a bill passes Congress there is a certain process that must be followed when it is transmitted to the President for his signature. That is why the extra time is needed at this point.