Our next issue of interest this week is Surprise Billing. Surprise billing does not affect seniors on Medicare as much as it affects seniors under age 65 who still have health insurance through their employer or who are paying for their own health insurance. Surprise billing usually refers to expensive, unexpected medical bills that patients receive from hospitals and doctors' offices even when they have health insurance that they expect will cover the majority of treatments cost. Congress has been getting an earful from voters who are very upset about this situation and there seemed to be a fair amount of optimism that legislation dealing with surprise billing may be able to pass. If it does, there could be an effort to attach legislation dealing with drug prices to that bill. .Because of these risks, action will be required well before 2037 and the costs associated with delaying action grow each year. While TSCL understands that changes are needed to the Social Security system and some small changes are likely, harsh benefit cuts should not be tolerated. .The act also recalculates COLAs so future changes would be based on the price of goods and services seniors actually buy, like medications, by using a formula known as Consumer Price Index for the Elderly (CPI-E). Currently, the COLA is based on CPI-W, which evaluates the entire economy, including infant and toddler apparel, nursery care, toys and school fees. .My Husband Had a stroke at 6Would He Qualify For Social Security Disability? .Reducing prescription drug prices is a top issue for older voters. Seventy – two percent of survey participants support a proposal to tie Medicare Part D drugs prices to those paid in other industrialized nations, through the use of an "international drug pricing index" — an approach similar to prescription drug legislation passed by the House (H.R. 3). .Some want legislation to correct inequities for those born from 1917 through 1921, while others believe Notch reform must include the years through 192It is important to remember that hundreds of our elected officials agree that there is a Notch, and that Notch Victims deserve justice. However, some interpret the complicated rules affecting Social Security differently from others. We respect and continue to support all Members of Congress who are courageous enough to advocate Notch Reform of any sort. To read more on the Notch, click here: What is the "Notch"? .In addition, TSCL encourages its members and supporters to vote on election day, which is next week, on November 8th. To best be prepared, check out our list of election day resources right HERE. To see if your Members of Congress will be holding town hall meetings in the days ahead, call their local offices. You can find contact information HERE. For more sample town hall questions, click HERE. .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. .Low-income beneficiaries who receive Medicaid in addition to Medicare. State Medicaid programs pay the Part B premiums for people who qualify due to low income and resources. According to the Kaiser Family Foundation, there are approximately 10 million dually - eligible beneficiaries representing about two-thirds of those who are not protected by hold harmless.