The Medicare Physician Payment Innovation Act (H.R. 574) also gained a cosponsor – Rep. Pete Gallego (TX-23) – this week, bringing the total up to thirty-five. If signed into law, H.R. 574 would repeal and replace the SGR, bringing increased stability to the Medicare program for both physicians and beneficiaries. .Budget Cuts Taking Toll on Congressional Staffs .Finally, one new cosponsor – Rep. Ted Yoho (FL-3) – signed on to the Social Security Fairness Act (H.R. 1795), bringing the total up to one hundred and seventeen. 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. .Under both measures, the poverty rate increases with age, and was higher for people in relatively poor health. .New research, however, suggests that Medigap substantially increases Medicare spending, because seniors with the policies are insulated from costs. Those with polices tend to receive more medical care than people who are required to pay some or all of the costs of their care out-of-pocket. According to the CBO, a 2010 study found that Medicare beneficiaries responded to increases in their cost sharing by reducing visits to physicians and use of prescription drugs.[2] "Making seniors pay higher initial Medigap cost-sharing affects both senior budgets, and senior health — especially if seniors forego necessary care," Cates notes. .Legislation to Stop Medicare Cuts Passes in Senate .In addition to Medicare Part A and B, you will need additional insurance. Medicare alone does not cover everything, and there are considerable out-of-pocket costs that would suck your life savings right out of any nest egg you might have. You will need to decide between a supplemental insurance policy, known as Medigap, and a free-standing prescription drug plan, or to join a Medicare Advantage plan with prescription drug coverage. TSCL strongly recommends that you get free, unbiased counseling, to learn your options and to find the most reasonably-priced coverage for your needs. All areas of the country offer this Medicare counseling through State Health Insurance Assistance Programs (SHIP). Although the actual name of the program in your area may vary, you can find the programs operating through your area agency on aging, senior center, or get contact info here: https://www.shiptacenter.org .As a result of the inadequate funding, both the both the Old-Age and Survivors Insurance (OASI) and the Disability Insurance (DI) programs have been struggling to serve the public. More than one million applicants are currently waiting to hear whether they qualify for DI benefits, and those who have appealed recent rejections must wait 600 days or longer for their cases to be re-heard. In 2017, 10,000 individuals died while waiting on their DI eligibility decisions. While waiting, they had no access to DI benefits or Medicare coverage, which recipients with long-term disabilities can receive after they are enrolled in the program for two years. .Medicare expects to start mailing cards in May of 2018, but be patient. The cards are going out on a "rolling basis" to different states over the next 9 months (see the chart at the end of this article.) To learn when new Medicare cards start mailing to your area, sign up for e-alerts from Medicare by visiting Medicare.gov/NewCard.