Sens. Tom Carper (DE) and Tom Coburn (OK) introduced S. 1123 on June 10, 201It has since been referred to the Committee on Finance. .Every day approximately ten thousand people reach their retirement age. Many have spent a lifetime working to care for their families and save for retirement all while paying federal taxes. The taxes paid into Social Security and Medicare have helped make these programs successful for past generations of retirees. .The Medicare Prescription Drug Price Negotiation Act (H.R. 275), which was introduced by Congressmen Peter Welch (VT) and Francis Rooney (FL-19), would require the federal government to negotiate lower Medicare Part D prices on behalf of Medicare beneficiaries. .This week, The Senior Citizens League (TSCL) announced its support for new legislation that would strengthen and expand the Social Security program, and the federal government reopened after lawmakers and President Donald Trump approved a short-term continuing resolution (CR). .Much of the debate over federal deficit reduction plans has been focused on overhauling Medicare and making changes to Social Security. But a major funding change is also under consideration for Medicaid, the federal and state program that covers medical care for lower-income individuals including seniors who also receive Medicare. As federal and state governments struggle to address Medicaid funding shortfalls, TSCL is concerned that Notch Babies, and the families who provide care for them, would be among those who would be hit the hardest by funding cuts. .Johnson conducts research on the growth of the prices of goods and services that form a major part of a retirees' household budgets. According to Johnson, Medicare beneficiaries' out-of-pocket spending for prescription drugs was a total cost of ,097 in 2020 (including what beneficiaries and their drug plans pay). "Although drug plans vary, under the standard Part D benefit, the beneficiary is responsible for about 25% of that amount, and drug plans cover the remaining 75% up to an initial coverage limit which is ,130 in 2021," Johnson says. .Albert Bourla told Bloomberg Television in an interview that he believes there is a great opportunity for Biden to take the initiative to "reduce significantly the cost of medicines for the patients, which is the thing that is now problematic." .Understand which type works best for you. Medicare supplemental or Medigap premiums currently tend to be higher, often by hundreds of dollars, than those of Medicare Advantage Plans. In fact, there are Medicare Advantage Plans that offered hospital, doctor, and prescription drug coverage for Congress did not receive any automatic pay adjustment this year. With so many Americans (including seniors) suffering from long-term financial set backs, and so many workers out of jobs, lawmakers wisely opted to forego a raise. They last received a pay raise in January 200At the time their salary was increased 2.8% to 4,000 from 9,300. While the recession was taking a bite out of Americans' income, the pay of Members of Congress grew by ,800 from the time the recession began at the end of December 2007 through 2009, according to the Congressional Research Service. Over the decade 2000 through 2009, Congress gave themselves a total of 9 pay hikes, raising their salaries a total of ,300 from 6,700 in 1999 to the 4,000 that they receive in 201Legislation passed in 1989 established the current formula used to automatically adjust the Congressional pay increase that they refer to as a "cost-of-living adjustment" (COLA). .Another bill that would improve the COLA – the Guaranteed 3 Percent COLA Act (H.R. 991) – also gained support this week. Congressman Gene Green (TX-29) signed on to it, bringing the cosponsor total up to five. If adopted, H.R. 991 from Congressman Eliot Engel (NY-16) would base the COLA on the CPI-E and guarantee a minimum annual Social Security benefit increase of at least 3 percent. .This higher starting benefit will mean higher cost-of-living adjustments (COLAs) in terms of dollars, and higher benefits for spouses and survivors that are based on your benefit. Over the course of a 25 year retirement, the extra money adds up to more income from Social Security, often in the tens of thousands of dollars depending on the age you retire. .At the same time that Social Security and Medicare rolls are increasing, the funding for Social Security and Medicare, which depend on payroll taxes withheld from wages, has fallen. Payroll taxes are not withheld from people who have no earnings. .To view our full legislative agenda, click HERE, and to learn more about these issues listed above, click HERE. .Last week, Treasury Secretary Steven Mnuchin warned lawmakers that the suspension of the debt limit would expire on March 15th. That deadline has come and gone without congressional action, and the Treasury Department is now using "extraordinary measures" – like postponing contributions to retirement accounts for federal employees – to prevent a default. .Prices like these are not only unaffordable for most Medicare recipients, these costs also place pressure on Medicare's finances, since Medicare pays 80% of Part D costs during the catastrophic phase of coverage. Although drug plans vary significantly, the 2019 "standard Part D benefit" has a 5 deductible and a 25% co-insurance up to an initial coverage limit of ,820 in total drug costs. That includes both what consumers and their drug plans pay. Once total costs exceed that amount, beneficiaries hit the Part D "doughnut hole" or coverage gap. Under that stage of coverage, beneficiaries pay 25% coinsurance on the discounted price of brand name drugs, and 37% co-insurance for generics until they have spent a total out-of-pocket of ,100. At that point beneficiaries enter the catastrophic phase of coverage, but are still on the hook for 5% of the cost of their prescriptions. .By Mike Watson, TSCL Legislative Assistant .Medicare has recently issued a proposed rule that would require, with some exceptions, patients who stay in the hospital two days or less to be classified as observation patients, and those who stay longer to be admitted as an inpatient. But the rule does not require hospitals to tell patients when they are in observation status or allow them to appeal the decision before they leave. Medicare recommends patients who are in the hospital for "more than a few hours" to learn their status. TSCL believes that the rules unfairly burden Medicare patients and their families, and believes that patients have a right to know their observation status and to be given an opportunity to appeal the determination. To learn more, see the publication "Are You a Hospital Inpatient Or Outpatient, If You Have Medicare — Ask!" (CMS No. 11435). premiums in 200Don't let the lure of zero premiums fool you, because you will pay in other ways, especially if you get sick. .At any rate, what this means is the legislation that TSCL is fighting to pass which would safeguard and improve Social Security and Medicare still has the possibility of passing this year. Most of those bills will involve new spending, which means they will need to be included in new funding legislation.