"That combination elevates the risk of disruptions to care, and unexpected, uncovered costs — two problems that could plague seniors shifted to new managed-care plans," Hyland says. Most states are expected to "passively enroll" beneficiaries into the plans requiring beneficiaries to take the initiative to opt out. "It is too early to know what type of choices those wishing to opt out will have," Hyland notes. "Without a strong notification and education process, many of the affected dual eligibles may not be aware, or understand, that they have new health coverage, " he says. "A new health plan can mean a change of doctor if their former providers don't participate," Hyland explains. .What Did My Member of Congress Mean By That? .Near the end of this past November President Trump issued two rules aimed at lowering prescription drug prices that affect Medicare beneficiaries. The rules followed up on executive orders that Trump signed in July. .Congress Fails to Reach Agreement – President Takes Action .TSCL has been concerned that the coronavirus pandemic could accelerate the impending insolvency of the Medicare Trust Fund. With record numbers of Americans out of work, fewer payroll taxes are coming in to fund Medicare spending. At the same time, the number of beneficiaries is rising and, earlier this year, Congress accessed Medicare's reserves to fund COVID-19 relief efforts. .We were also told that the Congressman is working on further legislation to raise benefits and further extend solvency which he plans on introducing later this year. We will report on that new bill whenever it is introduced. .Thousands of The Senior Citizens League's supporters – including the 800 petition signers – have told us they are failing to keep up with rising costs, and they are forced every day to make tough decisions about how they will spend their Social Security checks. To address this growing issue, The Senior Citizens League and its supporters urge Congress to adopt the Social Security Expansion Act (S. 427) before the end of the 115th Congress. .The Social Security COLA is provided to help protect the buying power of benefits when costs rise due to inflation. Yet even under the current method of adjusting benefits, Social Security benefits have lost 30 percent of buying power since 2000, according to a recent report released by TSCL. "Switching to the chained CPI would mean the erosion in the buying power of Social Security benefits would occur at faster rates than is already occurring today," says Johnson. "That puts retirees at higher risk of depleting retirement savings more quickly than expected, going into debt, and going without." According to Johnson's analysis, if the proposal were to take effect this year, average benefits would be about per month lower by 2026, and about per month lower in 20 years. .To learn more and participate in surveys visit .