The Senate bill also would change Medicare Part D by adding an out-of-pocket maximum for beneficiaries of ,100 starting in 202No such out-of-pocket cost cap currently exists. According to our 2019 Senior Survey, about one-in-five survey participants report out-of-pocket spending this high for prescription drugs. Advisor editor Mary Johnson estimates that this legislation would protect almost 14 million Medicare beneficiaries from out-of-pocket drug costs exceeding ,100 in the first year of enactment if signed into law. .A new audit performed this year by the SSA's Office of Inspector General found that the same problem persists. The Inspector General identified 26,033 spouses – who were eligible for about 5.3 million in higher retirement benefits (about ,502 a piece on average). .Town Hall Question: Comprehensive immigration reform would make millions eligible for Social Security benefits based on work done without legal authorization. What is your position on the current policy that allows entitlement based on work done under invalid Social Security numbers, and would you consider supporting legislation that would close this loophole? .Second, in October, Congress passed legislation to strengthen Social Security's Disability Insurance (DI) program. Many of the recommendations that TSCL made to the House Ways and Means Committee back in August were signed into law, including provisions that will ramp up fraud prevention and test new work incentives for beneficiaries. Most importantly, the law prevents a 20 percent benefit cut that was scheduled to hit 11 million disabled beneficiaries in December 201A cut of that size would have been truly devastating for enrollees, and TSCL applauds Members of Congress for averting it. .With the Medicare physician payment "doc fix" scheduled to cease at the end of February, lawmakers remain divided on where the funding will come from to extend the current level of payments to doctors. If the current "doc fix" expires, physicians' reimbursements will be reduced by a 27 percent rate. .This week, lawmakers returned to Capitol Hill following a two-week spring recess, and one member of The Senior Citizens League's (TSCL's) Board of Trustees visited Capitol Hill to advocate for legislation that would improve the Social Security and Medicare programs. In addition, two key bills gained support in the House and Senate. .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. .Nonetheless, several Senators at Tuesday's hearing urged CMS to consider withdrawing the proposed payment changes. Committee Chairman Orrin Hatch (UT) expressed concerns about the rule's potential unintended consequences. He said: "I believe this experiment is ill-conceived and likely to harm beneficiaries. It is an overreach on the part of CMS that, in my opinion, goes beyond the agency's statutory authority, extends nationwide, and requires all Medicare Part B providers to participate." .The decision is complicated by significant trade offs that can reduce or even eliminate the money you are hoping to receive. Here are some factors that you need to consider.