Finally, two new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305) this week, bringing the total up to sixty-five. The new cosponsors are Reps. Tom Cotton (AR-4) and Matt Cartwright (PA-17). If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within Medicare and Medicaid – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. .In addition, three new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305) this week, bringing the total up to twenty-four in the Senate and thirty-four in the House. If signed into law, the comprehensive bill would take a number of steps to prevent fraud, waste, and abuse within the two programs – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. The new cosponsors are Sen. Sheldon Whitehouse (RI), Rep. Carol Shea-Porter (NH-1), and Rep. Jackie Speier (CA-14). .Changes are looming for Medicare and Social Security. Make your opinion count. Visit TSCL online at and take our monthly poll. We'll announce the results in upcoming issues of this newsletter. . Send an email to your Members of Congress. This is an election year, and the last thing they want to hear is that health insurers are blaming COVID-19 for the steep price increases. You can get email addresses on TSCL's website here: http://wfc2.wiredforchange.com/o/8854/p/dia/action4/common/public/?action_KEY=10560. Or, you can look up your Representative and send emails at: www.house.gov and Senators at: www.senate.gov. .(Washington, DC) The portion of Social Security benefits that retirees spent on Medicare premiums and out-of-pocket costs climbed in 2018 for a growing number of retirees in 2018, according to a recent survey by The Senior Citizens League. About 30 percent of retirees say that premiums and out-of-pocket spending consumed one-third to one-half of their Social Security benefits. The findings represent a 7 percent jump from the 23 percent of retirees reporting healthcare costs took this portion of Social Security in 2017. .On the web: Here's the link to the WTHR TV "Tax Loophole" video or visit www.wthr.com. .Understand which type works best for you. Medicare supplemental or Medigap premiums currently tend to be higher, often by hundreds of dollars, than those of Medicare Advantage Plans. In fact, there are Medicare Advantage Plans that offered hospital, doctor, and prescription drug coverage for One glitch that trapped working seniors during the 2010 tax season involved the 0 economic stimulus payment beneficiaries received if they were getting Social Security, Supplemental Security Income (SSI), railroad retirement or veterans' disability compensation. The 0 payment reduced the Making Work Pay Tax Credit that working seniors could claim to a maximum of 0 (individual) or 0 (joint). The IRS withholding tables that employers used in 2009 and 2010, however, did not adjust for those payments. Compounding the problems for seniors, the problematic IRS withholding tables also allowed reduced withholdings for pensions — even though pension income was not even eligible for the credit. .On Monday, President Obama released his .8 trillion budget request for fiscal 2013, calling it "a blueprint for how we can rebuild an economy where hard work pays off and responsibility is rewarded." While the proposal leaves Social Security as is, many Medicare beneficiaries – especially those considered "high earners" – would see major changes. .The Senior Citizens League encourages its supporters to attend these events and to ask important questions of their elected officials, like the following four… .While many seniors rely on Social Security for nearly all their retirement income, for others it is part but not all their retirement. Those seniors have investments they rely on to generate the income they need in their retirement years. .Resources: The Medicare Rights Center has an online tool called "Medicare Interactive" that can answer more of your questions about prescription drug coverage. Try it at www.MedicareInteractive.org. .The bill, which TSCL supports enthusiastically, was amended this week to include a pay-for that would cover the projected cost of its passage. Since the IPAB currently has no appointed members and it has not yet been triggered to begin making recommendations to Congress, the Congressional Budget Office (CBO) estimated that its repeal will have no budgetary impact over the next six years. However, it could increase spending by around .1 billion between 2022 and 2025 since it may be triggered during that timeframe. .By Rick Delaney, Chairman of the Board, TSCL .In its June 2018 Long Term Budget Outlook, the Congressional Budget Office (CBO) projected that earnings will grow faster for higher-income people than for others over the next 30 years. The CBO expects that trend to lead to a decrease in the amount of payroll tax receipts that otherwise would flow into Social Security, as a greater share of earnings will be above the maximum amount subject to Social Security payroll taxes. .Where to find premium information. Rather than calling insurance agencies for quotes, first visit the website of your state insurance commission and look for a publication listing all the state-approved Medigap insurers and Medigap plans (A through N) sold in your state. The information includes the insurer's company name, phone number and website address, and more crucially, the current premiums for the plans (A through N). Since all insurers are required to cover the same benefits under specific plans (A through N) then all you need to do is select the plan covering the benefits you are interested in (such as Plan F), then find a good insurer with the lowest premium for the plan you are shopping for. Not all states have all plans. Calls to the insurer are necessary to confirm premium quotes for your zip code. For Part D Plans, or Medicare Advantage plans, use the health and drug plan finder on the Medicare website at www.Medicare.gov. It's important to select those plans by selecting the lowest-costing plan based on the prescriptions you currently take. premiums in 200Don't let the lure of zero premiums fool you, because you will pay in other ways, especially if you get sick. .Sources: "Humana Inc. Overcharged Medicare Nearly 0 Million, Federal Audit Finds," Fred Schulte, NPR, April 20, 202"Insurers Running Medicare Advantage Plans Overbill Taxpayers By Billions As Feds Struggle to Stop It," Fred Schulte and Lauren Weber, Kaiser Health News, July 16, 201"Reducing Medicare Advantage Overpayments," Committee for a Responsible Federal Budget, February, 23, 2021. .TSCL is registered as a 501(c)(4) citizens action organization. Open to anyone concerned about protecting earned benefits, TSCL is registered to conduct grass roots lobbying, public education, and fundraising activities in nearly every state. No government moneys are accepted or utilized by TSCL.