Specialists are already warning that under the new "quality initiatives" some patients may have difficulty finding services under the new system as doctors join larger practices or stop accepting patients. As doctors reorganize and move into new HMO - like Accountable Care Organizations, all sorts of new questions are coming up. Does this payment system create an incentive to send unprofitably sick patients with complicated conditions elsewhere for care? How will the government measure quality, and what evidence will the Administration use to determine successful doctor performance? .One of the uncertain Democrats is Sen. Bob Menendez of New Jersey. His state is home to many big-name pharmaceutical companies and he voted against a measure to allow Medicare to negotiate drug prices in the Senate Finance Committee in 2019. .We could, too, but would need to consider mechanisms outside of our current box — at least for this national emergency. .The age at which you start receiving full Social Security benefits varies depending upon the year you were born. For people like you who turn 66 in 2021, your full retirement age is 66 and two months. For more retirement planning information visit www.SocialSecurity.gov. .Congressman Elijah Cummings (MD-7) – Chairman of the House Oversight and Reform Committee – announced his committee's investigation into twelve of the largest pharmaceutical companies in January. He said, "The goals of this investigation are to determine why drug companies are increasing prices so dramatically, how drug companies are using the proceeds, and what steps can be taken to reduce prescription drug prices." The first hearing that his committee held in the 116th Congress examined the causes of rising drug prices. .High drug or health plan premiums don't necessarily purchase better coverage. For example, the generic blood pressure medication Lisinopril is one of the most commonly used prescriptions by Medicare beneficiaries. The least expensive Part D plan in my area charges As a member of Congress, I have sought to protect Social Security and have advocated for seniors. From writing to President Obama urging him to exclude chained Consumer Price Index (CPI) from his 2015 budget to drafting legislation to help seniors save on tax deductions for medical expenses — I have fought to ensure Congress does not try to balance the budget on the backs of seniors. .Medicaid already uses this strategy to lower drug costs, and pays much lower prices than Medicare for the same drug. In June we reported that Medicare spending on the highest price category of prescription drugs, called "specialty drugs," increased from .7 billion in 2010 to .8 billion in 201Spending on the same drugs under Medicaid, the program that provides healthcare for low-income Americans, grew much more slowly over the same period, rising from .8 billion to .9 billion. .Budget Moves Through Committee .Source: Congressional Research Service May 24, 1999 .To be fair, the House of Representatives, for the most part, got its work done on time. It was once again the Senate that failed to do what it is supposed to do and pass the funding legislation that is needed for the new fiscal year which will begin on October 1. .This week, one new cosponsor, Rep. Michael Fitzpatrick (PA-8) signed on to the Public Servant Retirement Protection Act (H.R. 2797), bringing the cosponsor total up to eight. If signed into law, H.R. 2797 would repeal the windfall elimination provision (WEP) from the Social Security Act and establish a new formula for equalizing benefits for those with non-covered earnings. TSCL is very supportive of the Public Servant Retirement Protection Act since it would go a long way in granting dedicated public servants the retirement security they deserve. We were pleased to see one new cosponsor sign on this week, and we hope that support continues to grow in the coming months. .The other big variable in health care is insuring against the risk of a big tab for long-term care. This is an area where we just don't have very good options right now. The market for private long-term care insurance doesn't function very well -- the cost of coverage has been soaring, and the number of insurance companies in the market has been shrinking. Medicaid is the country's biggest payer for nursing home bills, but you need to spend down to poverty levels to qualify and most often your care choices are limited. The other options are "self-insuring" paying out of pocket if you're very affluent, or if like many older senior Americans, you rely on family members for help. .Millions of people, age 65 and older, have very limited incomes, and minimal savings. In 2016, half of all Medicare beneficiaries had incomes less than ,200. A looming question is whether the official measure still provides an accurate picture of poverty. .The Senior Citizens League urges lawmakers to act responsibly to keep the federal government fully funded so that essential programs like Social Security and Medicare can operate as smoothly as possible. In the days ahead, we will keep a close eye on the evolving negotiations, and we will continue to advocate for legislative solutions that would strengthen and protect your Social Security and Medicare benefits. For updates, follow us on Twitter or visit the Legislative News section of our website every Friday morning. copay for Tier 1 generics, and the monthly premium is just .50 in the zip code used in this search. The most expensive plan charges a co-pay of .19, and the plan has a monthly premium of .30 — a difference of ,055.88 for the entire year counting premiums! .The drugs that would be affected by any Trump action are among the costliest taken by Americans. They include innovative therapies for cancer, immune disease and other disorders. The industry says that Part B pharmaceutical spending makes up just 3% of overall Medicare costs. .With respect to cookies: The Senior Citizens League uses cookies to record session information, such as items that visitors add to their shopping cart. .For more information about Social Security reform options, click here. To watch Wednesday's House Budget Committee Hearing in full, click here.