Medicare open enrollment: It pays to get it right .As Congress returns to work, it begins another debate over the Social Security payroll tax – and with it, a debate over funding for Social Security. Many Americans are asking how an extension of the payroll tax cut would affect the finances of the Social Security Trust Fund. That's an important question. Keeping Social Security financially strong is essential for protecting current beneficiaries – and for ensuring that Social Security's guarantee will be there for our children and grandchildren as well. .Because of the strong push on the part of the President and members of Congress to find a way to lower drug prices, and getting drugs from other countries where the cost is lower has become popular as a solution, the Food and Drug Administration (FDA) recently released a proposal to let states submit drug importation plans for federal approval. .Laws prohibit Social Security officials from saying how much the agency paid Cummings who is now serving a 10-year prison sentence for raping and molesting a 3-year-old girl. Based on the maximum levels in effect during the months he was at large, the 27-year-old Cummings could have received as much as ,556. .Ensure that rebates drug makers now pay to benefit managers and insurers get passed directly to patients when they buy a medication. The White House last year withdrew an earlier version of the proposal, after the Congressional Budget Office estimated it would cost taxpayers 7 billion over 10 years. .Some in Congress are hopeful that the conferees will negotiate a "grand bargain," which would include an overhaul of the tax code and entitlement reform. However, leaders in both chambers have been pushing for the conferees to focus more narrowly on replacing the "sequester" and establishing a fiscal 2014 budget blueprint. Should the conferees fail to reach a consensus, the government could face another shutdown on January 15th, a default on February 7th, and about billion in across-the-board spending cuts at the beginning of the year. .Tuesday's hearing made it clear that the Joint Committee has an enormous amount of work to do in a very short amount of time and in a very politically-charged environment. Adding to the pressure, Elmendorf told the Committee Members that if they wish to have their proposal scored by the CBO before voting on it, they'll need to submit it by early November, giving them less than two months to reach a compromise. Despite the tough circumstances, most Members seemed up to the challenge and will to, as one Committee Member put it, "go big, go long, and go smart." .But not all beneficiaries will come out ahead. Some treatments have little or no competition, and patients needing those drugs might not see any extra savings. And for people who don't take pricey drugs, monthly Part D costs are likely to rise because premiums are expected to go up when insurers won't be able to keep rebates to improve bottom lines. .Congress Fails to Reach Agreement – President Takes Action