Higher long-term costs for Social Security and Medicare: According to the CBO, people approved for work authorization and Social Security numbers, through policies like Obama's executive action, would be eligible to receive Social Security and Medicare benefits on the basis of their work history. Neither program requires citizenship in order to file a claim. While taxes flowing into the program are estimated to boost the programs in the short term, the CBO noted that periods of unauthorized employment count toward eligibility for Social Security if individuals receive authorization to work. According to the CBO,"The ability or inability of a formerly unauthorized worker to apply those employment periods to future benefits would affect federal outlays for the program. In addition… people who previously paid Social Security taxes under a stolen or fake Social Security number might be able to claim benefits in the future…" .According to information from the Medicare Rights Center, a nonprofit organization that provides Medicare counseling and educational programs, when you notify a Medicare Advantage plan after the move, then your mom's Special Enrollment Period begins the month you tell her plan, plus two more full months thereafter. .TSCL is concerned that illegal immigrants who gain temporary work permits and Social Security numbers would become permanently eligible for Social Security and Medicare among other federal benefits. Here are several areas of concern: .Whenever possible, share your views with your elected officials. It is important that they are made aware of how their constituents feel. Remember, you are the one who has control over their job security. You could either call or write your Members of Congress. You can find your member of Congress, as well as their address and phone number, through the Guide to Contacting Congress feature on the Home page of this web site. .The government negotiates prescription drug prices for veterans and Medicaid beneficiaries, but it is barred from negotiating lower prices for Medicare beneficiaries. As a result, seniors enrolled in Part D often pay much higher prices than other Americans for their prescription drugs. What are you doing to correct this unfair policy? .More than 61 million people, including adults age 65 and older, and younger disabled adults who receive Social Security disability benefits, get their healthcare coverage though Medicare.[3] The Social Security hold harmless provision protects about 70 percent of beneficiaries (almost 43 million beneficiaries) from increases in the Medicare Part B premium that exceed the dollar amount of their COLA. When an individual's Part B premium increases more than the dollar amount of his or her COLA, the Part B premium is reduced to prevent a reduction in net Social Security benefits from one year to the next. .Specialty-tier drugs are defined by Medicare, as those that cost more than 0 per month in 2019, and include drugs used to treat cancer, hepatitis C, multiple sclerosis (MS), and rheumatoid arthritis. Even when Part D enrollees reach the Medicare Part D catastrophic coverage phase, when co-insurance drops to 5%, beneficiaries who take these drugs can continue to face thousands of dollars in annual out-of-pocket costs, according to the Kaiser study. The study found that annual out-of-pocket costs for specialty drugs in 2019 are expected to average ,994 across the 28 specialty-tier drugs that are covered by drug plans. .In a letter of support to Rep. Kevin Brady (TX-8) – the sponsor of H.R. 711 – TSCL's Chairman Ed Cates wrote: "According to a recent study completed by TSCL, Social Security beneficiaries have lost over 20 percent of their purchasing power since 2000. Those who are subject to the WEP have undoubtedly fallen even further behind. It is now more important than ever for Congress to address the inequities that have been created by the WEP, and TSCL believes the Equal Treatment of Public Servants Act is a fair and responsible solution." .However, there are several steps an importer would have to take to be certified to import the drugs and they are costly. If the current FDA rules are kept in place it could be that states would not see significant savings in the costs of drugs, or even enough savings to justify the cost of setting up such a program.