TSCL Announces Support for New Legislation .This week, the Senate's Gang of Eight was busy defending its comprehensive immigration reform plan, and The Senior Citizens League (TSCL) saw two key bills gain support. .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. .Doughnut hole or coverage gap stage: 5.76. .The Senate bill also would change Medicare Part D by adding an out-of-pocket maximum for beneficiaries of ,100 starting in 202No such out-of-pocket cost cap currently exists. According to our 2019 Senior Survey, about one-in-five survey participants report out-of-pocket spending this high for prescription drugs. Advisor editor Mary Johnson estimates that this legislation would protect almost 14 million Medicare beneficiaries from out-of-pocket drug costs exceeding ,100 in the first year of enactment if signed into law. .What strategies are key to better managing healthcare costs in retirement? .In the 109th Congress, I co-sponsored legislation expressing CongressТ disapproval of the Totalization Agreement between the U.S. and Mexico because I believe it is imperative that we protect Social Security by preventing others from "gaming" the system. For this reason, I also co-sponsored the Illegal Immigration Enforcement and Social Security Protection Act of 2005, legislation aimed at cracking down on Social Security fraud. . You are fortunate to already be in a Medicare drug plan that covers Lantus because not all Part D plans do. If your drug plan had been one of the several Medicare Part D plans that doesn't cover Lantus, this drug could cost as much as 0 per 100/ml vial. Many diabetics need about 3 vials per month to control their blood sugar, which would cost more than ,000 over a 12-month period. But since you are in a plan that covers Lantus and presumably the other drugs that you take, here's what to expect when you exhaust 2019's Part D initial coverage limit of ,820 in total drug costs, which includes what both you and your drug plan pays. .To date, no government agency has released any complete estimate of the potential cost of illegal earnings to the Social Security Trust Fund. The best indication of the potential cost is contained in the Social Security Administration's "earnings suspense file" (ESF).