There are reports that the Senate is now targeting roughly Dec. 18 as its adjournment date, and Senate Majority Leader Mitch McConnell (R-Ky.) is still looking to confirm judicial nominees this week while other members of the Senate work to find compromises on both the government funding legislation and a new coronavirus economic stimulus bill. .TSCL would like to thank Reps. Mike McIntyre (NC-7), G.K. Butterfield (NC-1), and Charles Gonzalez (TX-20) for taking the time to discuss the issues that are most important to our members and supporters. TSCL also met with Jeremy House, Legislative Assistant to Rep. Butterfield, Conrad Risher, Legislative Assistant to Rep. Gonzalez, Tommy Walker, Legislative Assistant to Rep. Diana DeGette (CO-1), Rebecca Shaw, Legislative Assistant to Rep. Chris Gibson (NY-20), and Nathaniel Ferguson, Legislative Assistant to Rep. Scott Rigell (VA-2). .According to the Congressional Budget Office's (CBO) recent baseline data for the Social Security Trust Funds, Social Security is expected to receive about 7 billion in payroll tax revenues in 202The CBO further estimates that the Trust Fund would receive billion in revenues in 2021 from the taxation of Social Security benefits. .The second bill is H.R. 1215, which would establish an office within the Federal Trade Commission and an outside advisory group to prevent fraud targeting seniors and to direct the Commission to include additional information in an annual report to Congress on fraud targeting seniors. .At the same time, prices for generic drugs were slightly lower in the U.S. than in most other nations. Specifically, the U.S. spent an average of Marvin Moser, MD author of "The Patient As A Consumer" Yale University School of Medicine Heart Book, provides these eight questions to ask: .After leaving major decisions on Social Security and Medicare cuts to the New Year, Members of Congress are returning to pick up their debate over entitlements and taxes. With the looming insolvency of the Social Security disability program just two short years away, Congress will be forced to take action to re-set program funding at some point soon. When that happens, cost-of-living adjustment (COLA) cuts could be used to shore up the program. .On June 3, 2011, the House Ways and Means Subcommittee on Social Security held a hearing on the Annual Trustees Report. The Subcommittee heard from the two Public Trustees of the Social Security and Medicare Board: Charles Blahous III and Robert Reischauer. .For 4 per month the state of Virginia retirees should be able to purchase the most comprehensive drug coverage available nationally. But that was not the case. In fact, the drug benefits offered for 4 per month were almost identical to what Paula could purchase directly on her own for just .70 per month. The cost is so much lower because the federal government pays subsidies that cover an average of 75% of the cost of the Part D premium. Paula could not enjoy that savings if she received her Part D coverage through the state of Virginia retiree plan. If Paula chose to "opt out," she could find an even less costly plan that provided better coverage for the drugs she currently took. .When hold harmless is triggered program-wide as in 2016, however, there is no specific provision of law with which to finance the unpaid portion of Medicare Part B premium increases for the roughly 43 million who are protected by the provision. In the past, Congress has chosen to allow this cost burden to shift to the 30 percent of beneficiaries who are not held harmless. Because the cost is spread over far fewer people instead of all beneficiaries, they pay a far larger share of the costs, thus the Part B premium spikes. .Now more than ever, we must fight to ensure that when older Americans retire they can look forward to a stable economic future and reliable, high-quality healthcare. During the devastating economic recession, older Americans saw their hard-earned savings dwindle, lost millions in diminished pension funds, and were laid off just a few years before retirement. Now, Congress must work past partisan gridlock to support seniors. During my time in Congress, I've fought for seniors by reaching across the aisle to protect landmark programs like Medicare and Social Security and introduced commonsense legislation that will strengthen the financial security of older Americans. .Economists are saying that cost-of-living adjustments (COLAs) overpay seniors and that recipients don't need so much money to maintain their standard of living. Cuts to annual cost-of-living adjustments (COLA) are a key provision of the deficit reduction plans on Capitol Hill, and TSCL is fighting the plans that would cut the benefits of more than 60 million beneficiaries. .Capping the Part D out-of-pocket spending requirement is a key provision of the bi-partisan Senate drug bill, "Prescription Drug Pricing Reduction Act of 2019" (S.2543). "Several of the provisions of this bill appear to have broad support with Medicare beneficiaries," notes Mary Johnson, a Medicare and Social Security policy analyst for The Senior Citizens League. The new survey found widespread support among survey participants for capping Medicare Part D out-of-pocket requirements at no more than 0 per month (,000) per year. About 36 percent of survey participants reported spending up to 0 per month on prescriptions in 2019, and another 21 percent spent more than that. .Why should seniors be saddled with the ripple effect of things they don't even buy? That just doesn't make sense. .84 cents for a generic that would have cost an average of elsewhere, according to the report from RAND Corporation, a nonprofit and nonpartisan research organization. .Medicare health plans also have new rules about co-pays and co-insurance. Copayments can vary drastically between MA plans, but through 2018, individual plans were required to offer all enrollees in the plan's service area access to the same benefits at the same level of cost - sharing. In 2019, MA plans have the option of imposing tiers for the cost - sharing of contracted providers, as an incentive to encourage enrollees to seek care from specific providers. Plans that utilize tiered cost-sharing must disclose tiered co-pays and co-insurance amounts to enrollees and providers, ensure that services at each tier of cost-sharing are available to all enrollees, and ensure that all enrollees are charged the same amount for the same service from the same provider. .The authors of the study concluded that unless the overall trend stabilizes or is reversed, or high cost-to-claim drugs are addressed, this trend will place an increasing burden on the neurologic Medicare budget. .How is Social Security different from a Ponzi scheme? Interestingly, the Social Security website has a research note comparing the two. Charles Ponzi became infamous in 1920 when he used the money he received from later investors to pay extravagant rates of return to early investors to entice more people to invest in his phony investment scheme. This only works when there's an ever-increasing number of new investors coming into the scheme. Eventually the scheme runs out of new investors and collapses, taking everyone's money with it. .TSCL's surveys have found that moving Medicare Part D to a pricing system that has similarities with Medicaid has strong support among older adults. Seventy percent of those who participated in our 2019 Senior Survey support allowing Medicare to negotiate prices for prescription drugs using a similar system to Medicaid's.