On Thursday, lawmakers in the House began considering legislation (H.R. 1190) to repeal the IPAB, the unelected 15-member board that was created by the Affordable Care Act (ACA) to manage Medicare's growth. The House Ways and Means Committee advanced the bill with a vote of 31-8 two weeks ago, and earlier this week it was approved by the House Rules Committee. .Each month, due to the Social Security Act Amendments that were signed into law in 1977, more than 3.7 million Notch babies receive Social Security checks that are lower than the benefits they originally anticipated. Last year, Representative Mike McIntyre (NC-7) introduced the Notch Fairness Act, a bill that would provide modest compensation to those who were born in the Social Security Notch, or those years between 1917 and 192Even though TSCL lobbies aggressively in favor of the Notch Fairness Act, many Members of Congress believe that the bill's passage is unlikely this year because it would add approximately .9 billion to a growing deficit. To offset the cost of the Notch Fairness Act, we've come up with three fair and responsible options that we hope Congress will consider. First, Congress could increase efforts to reduce waste, fraud, and abuse. .It remains to be seen whether or not Congress will adopt the recommendations made by MedPAC in its most recent report. The Commission is an independent Congressional agency, but its policy recommendations are non-binding and Congress rarely takes immediate action on them. Nonetheless, TSCL will keep a close eye on the recommendations that were made this week, since they could positively affect millions of Medicare beneficiaries if enacted. .Despite the coronavirus emergency, TSCL is continuing its fight for you to protect your Social Security, Medicare, and Medicaid benefits. We have had to make some adjustments in the way we carry on our work, but we have not, and will not stop our work on your behalf. .Specialty-tier drugs are defined by Medicare, as those that cost more than 0 per month in 2019, and include drugs used to treat cancer, hepatitis C, multiple sclerosis (MS), and rheumatoid arthritis. Even when Part D enrollees reach the Medicare Part D catastrophic coverage phase, when co-insurance drops to 5%, beneficiaries who take these drugs can continue to face thousands of dollars in annual out-of-pocket costs, according to the Kaiser study. The study found that annual out-of-pocket costs for specialty drugs in 2019 are expected to average ,994 across the 28 specialty-tier drugs that are covered by drug plans. .Social Security Totalization Agreements are designed so that workers and their employers would not be subject to double taxation, owing payroll taxes to both the country in which they work, and their home nation. In addition, totalization agreements allow workers to earn generic work credits good for receiving retirement benefits in either country. These credits from the United States and other countries can be totaled together to receive benefits. The U.S. currently has 24 totalization agreements with other nations, most having economies similar to our own. .You should still watch out for symptoms of COVID-19, especially if you've been around someone who is sick. If you have symptoms of COVID-19, you should get tested and stay home and away from others. .Senate investigators recently explored one such astonishing case. They took a closer look at a disability attorney and retired Social Security judge who practiced along the border area of Kentucky and West Virginia. Some 10 to 15 percent of the entire population of the area — about three times the national average — is on disability. .The approach taken in the Scott bill is also the approach favored in the Senate bills. Ways and Means Chairman Neal said they will start negotiating a compromise between the two House bills that will also be agreeable to the Senate and he is optimistic they can reach a solution soon. This approach is opposed by conservative groups such as the National Taxpayers Union, which have opposed what they call "rate-setting."