This week, Senate Budget Chair Kent Conrad (ND) released his Fiscal Commission Budget Plan, which would overhaul the tax code and make major changes to both Social Security and Medicare. In addition, TSCL saw support grow for the Social Security Fairness Act. .Recently Congressional Budget Office estimated in its September budget outlook, that Medicare outlays for 2020 would rise about 12 percent — roughly double the rate forecast by the Medicare Trustees in their April 2020 report. This suggests that the Medicare Part B premium increase for 2021 could be about .40 per month higher in 2021, rising from 4.60 to 2.00. But even this estimate does not include the full impact of cost shifting that occurs when people with low Social Security benefits are protected from reductions due to high Medicare Part B premium increases. Thus, the base monthly Part B premium increase for 2020 could be even higher than .40, and closer to the spike seen in 2016. .The last thing we need to happen to our healthcare system is to limit access to quality care. Already, 1-in-3 physicians are limiting the number of Medicare patients they see, and 1-in-8 physicians are refusing Medicare patients all together. Furthermore, the Affordable Care Act created the Independent Payment Advisory Board to control Medicare cost. This would place 15 bureaucrats, appointed by the president, in a position to control the future of Medicare and is another example of the Federal Government forcing themselves into your health care decisions. .It is not clear what implications, if any, the findings might have for the two other major vaccines being used in the U.S., Pfizer's and Moderna's. .The second session of the 113th Congress is nearing its end, and The Senior Citizens League (TSCL) is pleased to report that 2014 has been a year to remember. Over the past few months, TSCL has hand-delivered hundreds of thousands of petitions to Members of Congress, urging them to support critical legislation like the CPI-E Act, the Notch Fairness Act, and the Strengthening Social Security Act. In the weeks leading up to the November elections, we sent out thousands of emails to members and supporters in an effort to help them get to know TSCL's long-time friends in Congress. .These overpayments occur because payments to plans are adjusted to pay more for older and sicker enrollees, and less for enrollees who are young and healthy. As well documented by the Medicare Payment Advisory Commission, Medicare Advantage plans use a variety of strategies to "document" enrollee medical conditions, including repeated, calls to homes in attempts to "update" health histories, and to schedule home visits from nurses to conduct health risk assessments even when patients have emphatically declined the visit. .Surveys have found that public opposition to cutting benefits is widespread, but there is support for changes that would make Social Security payroll taxes more equitable. According to TSCL's 2017 Senior Survey, 73% of survey participants support abolishing the taxable maximum cap and to apply the full 12.4% payroll tax to all earnings. .Contributing: Nathan Bomey and Robert Powell .According to the president and CEO of the Federation of American Hospitals, "The bill throws a lifeline to caregivers by continuing the pause in the 2% Medicare sequester, and making adjustments to buffer the impact of an ill-conceived change in physician payments during a pandemic."