On Thursday – seven years to the day that the Affordable Care Act (ACA) was signed into law – lawmakers in the House were scheduled to vote on the AHCA. However, lacking the 218 votes needed to win passage, leaders postponed the vote. After last-minute changes were made to the text – including a repeal of the ACA's "essential health benefits" requirement – President Trump demanded a Friday vote. .Deciding when to file is the biggest decision you face. Social Security benefits are calculated using a formula called the primary insurance amount, or PIA. Seniors who wait to start receiving Social Security until their full retirement age (currently 66) receive 100 percent of PIA; taking benefits at 62, the first year of eligibility, gets them 75 percent of PIA. By waiting until age 70, they'll receive 132 percent of the PIA – nearly double the monthly income for the rest of their lives. Those benefits are enhanced by an annual cost-of-living adjustment, which is added back in for any years of delayed filing. .The number of employees at your company determines whether you must enroll at age 65, or whether you can delay, and keep your employer insurance. Because you work for a company with fewer than 20 employees, Medicare pays first once you turn 6That means, if you miss your initial enrollment deadline, you would not be able to use your former employer coverage, even if you and your employer continued to pay the premiums. People who work for companies with more than 20 employees may delay enrollment and keep their current coverage as long as they meet certain rules. .For Medicare Advantage enrollees whose physicians are dropped, this means one of three things. They will either have to scramble to find a new doctor, pay more to see their out-of-network doctor, or switch to a Medicare Advantage plan with a better network of providers. Seniors who did not choose the third option last fall will have to wait until October – the start of Medicare's open enrollment period – to find a new plan. .The alternative to this approach is control by a board of unelected bureaucrats known as the Independent Payment Advisory Board (IPAB). This board will consist of 15 unelected, unaccountable bureaucrats empowered to make decisions about what kind of care people on Medicare can receive. I am greatly concerned that this board is being given way too much authority to determine what benefits are covered and how much physicians are paid. This commission's sole intention will be to determine whether Medicare is spending more than is budgeted and, if so, to offer "fixes" to cut back on Medicare spending that would then be fast-tracked with very little opportunity for Congressional input. President Obama's former Budget Director Peter Orszag called IPAB "the single biggest yielding of power to an independent entity since the creation of the federal reserve." I believe the best way to control costs in Medicare is to increase choice and competition, not cede control of health care decisions to a board of 15 unelected, unaccountable bureaucrats. .Alexandria, VEighty-nine percent of people responding to a new poll by The Senior Citizens League (TSCL) are opposed to President Obama's executive action on immigration. The poll was conducted prior to the president's announcement of executive action that would allow an estimated 4.9 million unauthorized immigrants to avoid deportation. It asked, "Should President Obama bypass Congress to halt deportations of illegal immigrants?" Only 11 percent of those responding said "yes." .Sources: "Social Security Benefits Related to Unauthorized Work," SSA Office of the Inspector General, March 2003, A-03-03-2305"Illegal Immigrant Crackdown Looms," Nicole Gaouette, The Los Angeles Times, August 3, 200 .Your husband would need to apply for Social Security disability benefits to learn if his medical condition meets the Social Security Administration's definition of disability. But before getting started, it's important to understand your choices, since your husband is also old enough to start Social Security retirement benefits. .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…"