The Health and Human Services Department finalized the policy through an interim final rule in November, meaning the agency skipped the comment period. Lowering drug costs for patients is the end goal of the policy, which the government argues justified the speedy implementation. .To avoid significant cost increases and unexpected benefit cuts next year, TSCL encourages its members and supporters to examine all MA plan offerings closely before making a selection or allowing a plan to automatically renew. The open enrollment period ends on December 7th, and coverage begins on January 1st. In the meantime, TSCL will continue to monitor the status of the MA program and advocate for legislation like the Medicare Advantage Participant Bill of Rights Act, which would protect MA enrollees from unfair and abrupt changes to physician networks. .This week, one new cosponsor – Congressman Bill Foster (IL-11) – signed on to the Social Security 2100 Act (H.R. 1902), bringing the total up to 16The bill, which was introduced just a couple of months ago, has more support in Congress than any other comprehensive Social Security reform bill to date. .When asked whether you prefer to get your Social Security benefits directly deposited electronically to bank accounts or received by mail, 9 percent of seniors still prefer receiving checks. .While Ponzi relied on keeping his financing scheme secret, Social Security's financing is well known. The Social Security trustees issue a detailed report every year that outlines the projected financing and outlays and funding problems of the program. .To participate in TSCL's monthly polls, visit our home page. .Medicare has recently issued a proposed rule that would require, with some exceptions, patients who stay in the hospital two days or less to be classified as observation patients, and those who stay longer to be admitted as an inpatient. But the rule does not require hospitals to tell patients when they are in observation status or allow them to appeal the decision before they leave. Medicare recommends patients who are in the hospital for "more than a few hours" to learn their status. TSCL believes that the rules unfairly burden Medicare patients and their families, and believes that patients have a right to know their observation status and to be given an opportunity to appeal the determination. To learn more, see the publication "Are You a Hospital Inpatient Or Outpatient, If You Have Medicare — Ask!" (CMS No. 11435). .However, it is possible that some doctors and hospitals may opt not to accept Medicare due to lower cost reimbursements or providers may also try to pass extra costs to consumers. .Texas has been hit the hardest by rural hospital closures, with 23 closures since 2013 and as many as 45% of rural and community hospitals operating in the red. By eliminating all private insurance with the single stroke of a pen, Medicare-for-all would force many of our state's already struggling hospitals to be reimbursed at lower rates, further complicating the financial solvency of rural health care providers.