How Should Congress Strengthen Social Security and Medicare? .Lawmakers Approve Temporary Spending Bill .TSCL also announced its support this week for the Medicare Prescription Drug Price Negotiation Act (S. 41, H.R. 242), which was introduced by Senator Amy Klobuchar (MN) in the Senate and by Representative Peter Welch (VT) in the House. Their bill, if signed into law, would require the Secretary of the Department of Health and Human Services (HHS) to negotiate prescription drug prices on behalf of nearly 40 million Medicare Part D beneficiaries. If HHS were able to negotiate similar prices as those paid by Medicaid and the Veterans Health Administration, the Medicare program would save billions of dollars annually, and beneficiaries would have better access to more affordable prescription drugs. .Last fall, as part of his deficit reduction plan, President Obama recommended charging a 30 percent surcharge on Part B premiums to new beneficiaries who purchase Medigap polices with "near first-dollar" coverage. But do Medigap supplements encourage the over use of services? According to the Kaiser Family Foundation, about 20% of Medicare beneficiaries have a Medigap policy and they paid an average of 8 per month for premiums in 2010 (premiums vary significantly). People purchase the policies specifically to protect against the considerable costs that Medicare does not cover, and to help keep budgets in retirement years more predictable. They have modest incomes, but don't qualify for Medicaid. About 66% have incomes below ,000 and nearly 31% have incomes below ,000. .Payments for neurologist-prescribed brand name, but not generic, drugs in Medicare Part D increased consistently and well above inflation from 2013-2017. .A major study by two economists at the Social Security Administration found that the growth is mainly due to Baby Boomers moving into disability-prone ages, growth in the number of women covered for disability benefits, and ordinary population growth. But the researchers were unable to account for 10 percent of the growth that they attributed to what they dubbed the disability "incidence rate" — meaning the growth not attributable to something else. Some members of Congress and the public are beginning to question whether overly vague eligibility criteria, and too many applicants receiving benefits that they aren't entitled to, might be to blame. .Sen. Mitch McConnell (R-Ky.), who was the Senate Majority Leader at that time, refused to even bring the bill up for a vote on the Senate floor. .The cost of additional coverage varies significantly. There are pros and cons that need to be weighed for the type of selection you make for your additional coverage. For example, you should ensure that your Part D or Medicare Advantage plan is selected based on the drugs you take, and the doctors and hospitals you actually use. (A Medicare benefits counselor will check this information for you on the Medicare website.) While the cost of this additional coverage varies, the coverage offered may be identical, and that is why we recommend getting help from a SHIP counselor, who can help you find coverage to keep your costs to a minimum. Medigap insurance, for example, costs more for the premium, but you would have minimal out-of-pocket costs. On the other hand, you might pay less for the premium of a Medicare Advantage plan, and perhaps get some additional benefits like vision care, but you would have co-pays or co-insurance for each service. In Central Virginia, for example, a Medigap G policy may be found for about 0 per month, and roughly per month for the drug plan (or even less). .The four orders would: