Source: "Senators Introduced Medicare Reform Plan: The Congressional Health Care for Seniors Act," Paul.Senate.Gov, March 15, 2012. .The bill now moves on to the full Energy and Commerce Committee for a markup, and later it will likely move to the House Ways and Means Committee, where more offsets will be added. Lawmakers in both the House and the Senate hope to repeal and replace the SGR before January 1st – if they fail to act, doctors who treat Medicare patients will see a 25 percent pay cut. TSCL was pleased to see the subcommittee's bill progress this week, and we are hopeful that Members of Congress will pass a permanent solution before the end of this year in order to preserve seniors' access to quality medical care. As the negotiations evolve, we will continue to post updates here in the Legislative News section of our website. .The campaign consisted of collecting and organizing TSCL-supporter signatures by each Congressional district. A personalized letter addressed to nearly each House Member was drafted to clearly convey the needs of our supporters and issue a call to action asking each office to look more closely at these issues. For those who have supported our causes in the past, these letters served as a "thank you" for their support. For many, however, the petitions signaled a clear and powerful message on behalf of their constituents that the time had come to make a concerted effort to stand up for seniors' rights. .Excludes medical documentation from doctors or healthcare providers convicted of fraud or excluded from participation in federal health care programs. .The fundamental fact is that two-thirds of Americans over the age of 65 depend on an average annual Social Security benefit of ,400 for at least half of their income. Yet little consideration has been given so far to the fact that earned income in excess of 3,700 is entirely exempt for the 6.2 percent payroll tax that funds Social Security benefits. TSCL believes that by raising the maximum wage ceiling Congress could significantly reduce the financial crisis facing the system, without causing financial hardship. .Changes in U.S. immigration polices impact the finances of Social Security and Medicare. Policies that expand legal immigration would result in new payroll tax revenues from immigrant workers flowing into Social Security and Medicare, strengthening program finances. On the other hand, policies that provide new work authorization to immigrants who are already working in this country illegally would provide new access to Social Security and Medicare benefits that could be based, at least in part, on earnings worked under invalid or fraudulent Social Security numbers. .Because Medicare doesn't negotiate drug prices, there are huge variations in cost for the same drug between drug plans, and even between pharmacies in the same plan. The difference in drug prices between the lowest and highest costing plans and pharmacies can be in the hundreds, or even thousands, of dollars. The high cost of drugs are the single biggest reason that people don't fill a prescription! But the most frequent reason that a drug costs so much more in the highest costing plan is lack of coverage by the drug plan —the drug is not listed on the plan's formulary. Sometimes, the pharmacy is not in the plan's preferred "network", and even preferred pharmacies can have significantly higher costs. For example, the lowest cost plan for Sovaldi, a drug used to treat Hepatitis C, charges ,600 in co-insurance (for a one-year treatment). The highest cost drug plan charges 0,800, the full cost of the drug, because Sovaldi is not on the plan formulary. The lowest cost plan for Advair Diskus, which is used to control and prevent symptoms of pulmonary disease, charges a co-pay of .33 per month from a mail order pharmacy, or the highest cost plan charges 6.62 per month because the drug is not on the plan's formulary. .Pet health insurance may not be worth the cost. While many veterinarian practices have brochures for pet health insurance, shop carefully, and read the fine print about what these policies do and don't cover. Pet owners can expect to pay between to per month for premiums, often more than what you pay in services most years. Consumer experts suggest that if you are worried about catastrophic costs, put the money you would spend on pet health insurance premiums into a pet savings account. .Sources: "Distributional Effects Of Raising The Social Security Taxable Maximum," Kevin Whitman, Social Security Policy Brief, July 2009, No.2009-0Lifting the Taxable Maximum Wage, Description of Proposed Provision: E2.2, Social Security Administration Office of the Actuary.