It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .In determining the COLA what items does the government track for price changes? Why does the COLA grow so much more slowly than my costs? .COLA Cuts .The CBO said earlier this year that if the Congress did not take action to address the shortfalls, the balances in the two trust funds would be exhausted within the next 10 years: Medicare's Hospital Insurance (HI) Trust Fund (in fiscal year 2024), and Social Security's Disability Insurance (DI) Trust Fund (in fiscal year 2026) .By Mike Watson, TSCL Legislative Assistant, .Town Hall Question: Many doctors are threatening to stop seeing Medicare patients if the sustainable growth rate formula is not repealed and replaced. What do you feel should be done about this? .In an interview this week, Rep. Charles Boustany (LA-3), who sits on the House Ways and Means Committee, revealed that the negotiators have hit a road block. They are struggling to come up with an offset for the bill, which could cost as much as 3.2 billion. Rep. Boustany said, "We're running out of time. We may end up with another one-year patch before it's all over. But, you know, we'll keep working, see if we can get to something." TSCL sincerely hopes that those on the three committees will successfully merge their bills to create a permanent, sustainable path forward. We will keep a close eye on the evolving negotiations in the coming weeks, and we will continue to urge lawmakers to repeal and replace the SGR. .The aggressive collection efforts resulted from a one-line change tucked into the 2008 Farm Bill lifting the statute of limitations. The U.S. Treasury seized a reported .9 billion in tax refunds this year alone — million of that was for debts more than 10 years old. The Social Security Administration says that 400,000 taxpayers collectively owe 4 million in debts that are more than 10 years old. .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.