CMS Announces Preliminary MA Payment Changes .Pre-Election Recess Continues .This week, lawmakers remained in their home states and districts to continue campaigning for the November 8th elections. They are expected to return to Capitol Hill in mid-November to begin the lame duck session of Congress. Until then, most lawmakers will be attending local events and holding town hall meetings in their home states and districts. .But when hold harmless is triggered more widely than usual, as we expect to be the case in 2021, there is no provision of law with which to finance the unpaid portion of Medicare Part B premium increases of the roughly 43 million who are protected by the provision. In the past, Congress has chosen to allow this cost burden to shift to the 30 percent of beneficiaries who are not held harmless. Because the cost is spread over far fewer people, instead of all beneficiaries, those who are not protected by hold harmless pay a far larger share of the costs, thus the huge Part B premium jumps. .However, if you live in a group setting (like a correctional or detention facility or group home) and are around someone who has COVID-19, you should still stay away from others for 14 days and get tested, even if you do not have symptoms. .Early Thursday morning, following a seven-hour voting marathon, lawmakers in the Senate passed a budget resolution that includes instructions for four committees – two in the House and two in the Senate – to craft legislation to repeal the Affordable Care Act. The resolution passed with a vote of 51-48, without the support of any Senate Democrats. While casting her vote, Senator Claire McCaskill (MO) – who serves as the Ranking Member of the Senate Committee on Homeland Security and Governmental Affairs – said: "Because there is no replace, I vote no." .Back in April the Social Security and Medicare Trustees released their reports with projections of the financial outlook of the programs. Those annual reports give the official government projections for the programs. It is important to note that the projections were made prior to the onset of the Covid-19 pandemic and therefore did not include the effects the pandemic has had on the economy and ultimately on the two programs. .TSCL is receiving a large number of comments about the impact of no COLA from retirees around the country, and recently started posting some of the stories. According to new research for TSCL, there are several important factors affecting why COLAs aren't accurately reflecting retiree healthcare costs. "First of all, the consumer price index (CPI) used to calculate Social Security and other retiree COLAs doesn't survey the spending of people age 65 and over," Cates explains. The Consumer Price Index for Workers (CPI-W) does not include changes in Medicare premiums, according to background information from the Bureau of Labor Statistics (BLS). .TSCL agrees with Congressman Duncan, and we enthusiastically support the CPI for Seniors Act. In a letter of endorsement, Art Cooper – Chairman of TSCL's Board of Trustees – wrote: "Unfortunately, years of record-low COLAs like this one – including multiple years of zero COLAs – will have a devastating impact on the long-term adequacy of Social Security benefits for more than 59 million beneficiaries … Your bill would go a long way in ensuring the retirement security older Americans have earned and deserve, and we look forward to informing our members and supporters about your efforts on Capitol Hill."