Get routine physicals and screenings done prior to the start of Medicare's annual Part D Open Enrollment. Case in point: My client had problems with her new blood pressure medication. It was one of the most common and inexpensive generics but she suffered from extreme fatigue and depression. At my urging, she returned to her doctor and was given a new brand prescription to try and a 7-day free sample. She felt better right away. Routine physicals and screenings are generally scheduled about 12 months apart, but try to get them completed about 30 days BEFORE the annual fall Medicare Part D Open Enrollment period, so you can allow for a trial period with any new meds. When you get your new prescription, ask your doctor or pharmacist for a complete list of side effects or possible drug interactions. Keep a list of symptoms if you don't start feeling better. .This week, lawmakers in the House and Senate voted to begin conference negotiations on legislation to overhaul the tax code. Representatives in the House passed their tax reform bill last month, and Senators in the Senate passed their version last Friday, with a vote of 51-4Members of the bicameral conference committee have been busy ironing out the differences between the two bills this week, and they hope to have a deal reached before they adjourn for the holiday recess on December 22nd. .Impose new Medicare deductibles and impose new coverage restrictions on Medigap plans: Impose a new 0 deductible for both Medicare Part A and Part B that Medigap plans would be restricted from covering. Would also limit the co-insurance or co-pays that Medigap plans could cover to 50 percent of the next ,000 in Medicare cost-sharing. Currently plans pay most, or all, of the Medicare cost sharing. .Unfortunately, a long-time TSCL goal of reducing prescription drug prices did not make it into the newly introduced House bill. It appears that, as we have written before, legislation to reduce drug prices will not be dealt with until sometime in the fall. .House Majority Leader Steny Hoyer (D-Md.) said he still expects the House to consider regular fiscal year 2021 spending bills beginning in June. But Senate Leader McConnell has not discussed any timetable for the bills coming out of the Senate Appropriations Committee, which must happen before the full Senate can consider the legislation. The Appropriations Committee got off to a late start, and it is not clear the committee will keep its summer working schedule. As a result, there is growing expectation that – once again - a continuing resolution will be needed to prevent a government shutdown on the eve of the election and that lawmakers will complete their work on the spending measures in a lame-duck session. .Consequently, Social Security recipients with the lowest benefits may not see much of an increase at all after Medicare Part B premiums are deducted. Those with benefits of about 0 or less are at risk of seeing the Part B premiums consume their entire COLA, leaving nothing extra left over to deal with other rising costs. .Can your husband do any other type of work? Even if your husband can't do the work he did in the past, the Social Security Administration will consider if there is other work he could do. .Second, one new cosponsor – Representative Sean Patrick Maloney (NY-18) – signed on to the Improving Access to Affordable Prescription Drugs Act (H.R. 1776). The cosponsor total is now up to twenty-three. If adopted, this comprehensive bill would require the federal government to negotiate lower Medicare Part D prices, allow the importation of prescription drugs from Canada, and cap monthly prescription drug expenses at 0, among other things. .Katherine Estep, a spokesperson for Airlines for America, a U.S.-focused industry trade group, said the CDC has not confirmed any cases of transmission onboard a U.S. airline.