The Centers for Medicare and Medicaid Services (CMS) has estimated that it improperly paid .1 billion to Medicare Advantage plans in 2013 alone. Yet the plans are rarely forced to repay the money they have overcharged, or face closer government scrutiny after the audits, according to the Government Accountability Office (GAO). The GAO report said that CMS has failed to target health plans with "known improper payment risk", allowing the worst abusers to avoid scrutiny. .Medicare has recently issued a proposed rule that would require, with some exceptions, patients who stay in the hospital two days or less to be classified as observation patients, and those who stay longer to be admitted as an inpatient. But the rule does not require hospitals to tell patients when they are in observation status or allow them to appeal the decision before they leave. Medicare recommends patients who are in the hospital for "more than a few hours" to learn their status. TSCL believes that the rules unfairly burden Medicare patients and their families, and believes that patients have a right to know their observation status and to be given an opportunity to appeal the determination. To learn more, see the publication "Are You a Hospital Inpatient Or Outpatient, If You Have Medicare — Ask!" (CMS No. 11435). .The President ordered a payroll tax deferral, not a cut, meaning the taxes will not be collected for a while but they will still be due at a later date. However, some observers have suggested that rather than give employees the additional money and then try to collect it back from them at the end of the year, employers will simply hold onto the money so that the employees would never see it in their paychecks. .This week, lawmakers remained in their home states and districts for a week-long spring break. They are expected to return to Capitol Hill on Monday, March 2In the meantime, many Members of Congress will be hosting town hall meetings, which The Senior Citizens League (TSCL) encourages its supporters to attend. .Susan's mother started taking the prescription drug Eliquis last year, that will cost her mother about ,244 out-of-pocket in 2019 for that drug alone (she takes five other generics). Last year, the cost of Eliquis pushed her mom into the Part D doughnut hole where out-of-pocket costs were higher. Rising costs of the drug in 2019 will mean her mom will hit the doughnut hole a month sooner this year. .Increase the retirement age: Raise both the eligibility age both for full benefits, currently at 66 and set to rise to 67 and, for the first time, raise the earliest eligibility age which is currently 62. .We want to emphasize that these are all projections based on the economic situation at the time they were developed. As we have seen in the past year, things can change dramatically and clearly, we still don't know how things will be in the coming months and year with regard to the pandemic. .As with the start of any new Congress, TSCL is encouraging Senators and Representatives to reintroduce and cosponsor key legislation for seniors, like the Consumer Price Index for Elderly Consumers Act, the Strengthening Social Security Act, the Notch Fairness Act, and the No Social Security for Illegal Immigrants Act. In addition, with comprehensive Medicare and Social Security reform on the minds of many deficit hawks, TSCL is working diligently to prevent harmful cuts that would affect your benefits. .This is certainly the case in Florida's 5th Congressional District, which I represent, where one in every four citizens has received SNAP benefits at some point over the past 12 months, a rate which is nearly twice the national average. It is estimated that only 42 percent of eligible seniors are enrolled in SNAP. SSI and the MSP have similarly low rates among seniors and individuals with disabilities. This is unacceptable.