Other priorities in 2015 will include advocating for a more fair and accurate Social Security cost-of-living adjustment, monitoring the continued implementation of the Affordable Care Act, and protecting Medicare Advantage enrollees from harsh and unforeseen benefit cuts. .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. .Some 13% of the people who receive both Medicare and Medicaid are 85 and older. The youngest Notch Babies turn 85 this year, while the oldest turn 9That's approximately 1.17 million. TSCL believes that roughly one quarter of Notch Babies receive Medicaid as well as Medicare. .Medicare Doesn't Recover The Majority Of Overpayment Payment Amounts, .We are raising our 6-year-old grandson under permanent court ordered guardianship to age 1However, we are not allowed an additional Social Security benefit for this child unless we adopt him. Seems unfair since we have the same responsibility to support him. This will create a tremendous financial hardship, should my wife or I pass away and lose our benefit. We feel the rules should be changed to include benefits for permanent guardianships. -B.H. .A new healthcare cost survey conducted in October 2011 by The Senior Citizens League (TSCL) — one of the nation's largest nonpartisan seniors groups — found that the majority of seniors spent a very significant portion of their Social Security benefits in order to pay for healthcare. The survey asked for information about the out-of-pocket costs that respondents paid in the first six months of 2011, and for comments about how they were managing after two years of receiving no annual cost-of-living adjustment (COLA). .TSCL enthusiastically supports the bills mentioned above, and we look forward to helping build support for them in the coming months. .It's not what the government tracks that causes your Social Security cost-of-living adjustments (COLAs) to grow so slowly. It's what the government isn't tracking that's keeping your COLAs so low. It may surprise you, as it did us at TSCL, to recently learn that COLAs are calculated using methodology that doesn't directly measure what you pay out-of-pocket for health insurance premiums. Add to that the fact that the consumer price index (CPI) the government uses to calculate COLAs (CPI-W) represents the spending habits of younger urban wage earners and clerical workers — or the spending habits of only 29% of the U.S. population. That's certainly not going to reflect the inflation experienced by most Social Security recipients. .What you don't know about Medicare supplements (Medigap) or Medicare Advantage plans could cost you dearly. The system is rigged in favor of Medicare insurers, and consumers often have little idea what they will need or be able to afford. Here are a few tips: