TSCL is continuing to meet with Members of Congress to ask for their support and passage of "The Notch Fairness Act" which was recently re-introduced in the U.S. House by Representative Mike McIntyre (D-NC), and in the Senate by Senator David Vitter (R-LA). The legislation, seeks to correct a disparity in benefits caused the last time Congress overhauled the Social Security benefit formula in 1977. .Sources: National Health Expenditures 2011 Highlights, Department of Health and Human Services, January 8, 2013. .TSCL opposes the payment of Social Security and Medicare benefits that are based on illegal work, and supports legislation that would ban Social Security work credits based on unauthorized earnings from being used to determine entitlement. .According to the report, CMS has not expanded the recovery audit program to Medicare Advantage by the end of 2010 as was required by the Patient Protection Act. Recovery audits have been used for years in other Medicare programs to recover improper payments. TSCL believes Congress must provide stronger oversight to ensure that scarce Medicare dollars are spent appropriately and to prevent private insurers from boosting profits by gauging both taxpayers and older Americans. .Second, the Social Security 2100 Act (H.R. 1902) gained one new cosponsor in Representative Jimmy Gomez (CA-34), bringing the cosponsor total to 16If signed into law, H.R. 1902 would strengthen Social Security benefits by improving the cost-of-living adjustment (COLA), increasing monthly benefits by 2 percent, creating a new Special Minimum Benefit equal to 125% of the poverty line, providing a tax cut to Social Security beneficiaries, applying the payroll tax to annual income over 0,000, and gradually increasing the payroll tax rate by 0.25%. .If signed into law, the PRIME Act would take a number of steps to prevent and reduce fraud, waste, and abuse within the Medicare and Medicaid programs. Among other things, it would enact stronger fraud penalties, curb mistaken payments by the agencies, phase out the ineffective "pay and chase" practice, reduce the theft of physician identities, and improve the sharing of fraud data among states, agencies, and programs. .The number of observation patients has exploded 88 percent over the past six years, according to the Medicare Payment Advisory Commission. Medicare has tightened rules for hospital admissions, and usually won't pay for admitted patients who should have been designated as observation status. Consequently, hospitals have increased their share of observation patients. But the rule is not the same for people's private insurance like Medicare Advantage. Most Medicare Advantage plans don't require their enrollees to have a three-day hospital admission in order to receive nursing home coverage, according to an analysis by Avalere Health research firm. .My sister lives alone at age 7She has no children. I've noticed a growing number of changes in her health over the past two years. She seems to have problems with anxiety, and recently became immobilized with fear of evacuating her home, prior to a severe hurricane. Fortunately she was OK, despite four days without power. Home maintenance tasks are becoming a huge burden for her and I worry about her vulnerability to scams. When should single older people start making plans for moving to assisted living? .You might be able to avoid doing so. Coronavirus stimulus legislation (CARES Act) that was signed into law in March waives required minimum distributions (RMDs) in 2020 for anyone who owns a 401(k), 403(b), or IRA. Instead of taking money from your retirement accounts this year, retirees can wait, or take less, to give investments time to recover. That's helpful, because most RMDs are based on the value of your retirement accounts on December 31st of the previous year.