In addition to funding the government, the 2,000-page deal will renew health benefits for 9/11 responders, lift a ban on the exportation of crude oil that has been around for nearly fifty years, and delay two Obamacare taxes for two additional years – one tax on medical devices and one tax on high-cost "Cadillac" healthcare plans. As a part of the deal, leaders in Congress also agreed to make permanent a number of tax breaks that have been subject to frequent renewals for decades. .The AWI, however, is susceptible to causing permanent benefit reductions when it turns negative, which can happen in years of deep economic recession and extraordinarily high unemployment, as was the case in 2020. Last year, concerns were high that the reductions could be as high as 9.1%, according to an estimate by Social Security's Chief Actuary Stephen Goss. But since then the economy and wages have steadily recovered and the dip in the AWI, if any, is not expected to be so deep. .First, one new cosponsor – Representative Ruben Gallego (AZ-7) – signed on to the Competitive DRUGS Act (H.R. 4117), bringing the total up to thirty-seven. If adopted, this bill would prohibit brand name pharmaceutical companies from paying generic drug companies to delay the introduction of their products to the market. Banning these anti-competitive "pay for delay" deals would lead to lower prescription drug prices for older Americans and other consumers. .As far as the other three orders are concerned, it has been reported that consumers may not notice immediate changes since the orders must be carried out by the federal bureaucracy and could face court challenges. .If Congress does not pass the new legislation, there will be a 2% cut starting April 1 and then a 4% cut in Medicare funding amounting to billion in early 202The cuts would be in place for each of the next five years. .The expert witnesses at the hearing focused their suggestions on improving the marketplace. Edmud Hailsmaier – Senior Research Fellow at The Heritage Foundation – said policymakers should change how they see the individual market. He said it should be thought of as two distinct pools which include (1) individuals wishing to be protected against the financial liability of large health expenses, and (2) those who are very sick and have no other insurance options. .While more than 47 million citizens of the United States are Medicare beneficiaries, each day 10,000 newly eligible citizens enroll in the Medicare program. And, according to the non-partisan Congressional Budget Office (CBO), the Hospital Insurance Trust Fund — the fund that pays the Medicare bills — is projected to become exhausted in 202On top of this, the Department of Justice estimates that billion is lost each year from fraud in the Medicare program. .TSCL strongly supports legislation that would allow Medicare negotiation of drug costs. .TSCL believes that beneficiaries need to maintain the freedom to choose their plan, their providers, and how they get their care. "We urge CMS and states to ensure a thorough beneficiary education process and have provisions that allow care with existing providers, especially during the transition," Hyland says.