"The distinction between inpatient or outpatient can make a tremendous difference to what Medicare patients have to pay," says TSCL Executive Director, Shannon Benton. Inpatient stays are covered under Medicare Part A. Inpatients who are hospitalized for three days or more qualify for Medicare's limited nursing home stay coverage. Observation stays are considered outpatient services covered under Part B. Observation patients can have much higher copayments costs and sometimes get hit with huge bills for non-covered drugs. .An immigration program launched by the Obama Administration two years ago has issued valid, work-authorized Social Security numbers to about 600,000 applicants who attest to be in the country illegally. The program, known as "Deferred Action For Childhood Arrivals," is one of a series of administrative amnesty initiatives by President Obama to stop deportations of immigrants and let undocumented immigrants who meet the qualifications work in this country despite illegal status. Now immigration activists are pressuring President Obama and Members of Congress to expand the Deferred Action program, or pass immigration reform. .Candidates campaign for office saying they don't support cutting Social Security benefits of current retirees, or those close to retirement. Yet the two recently - enacted changes went into effect almost immediately after passage. People who are under the age of 66 by the end of April 2016 may no longer use file and suspend, and those who were under the age of 62 by the end of 2015 will no longer be able to use restricted applications for spousal benefits. .For more than three decades the government has quietly made numerous changes to how the cost of living is defined and measured — asserting that the changes make the CPI more accurate. The general public for the most part is unaware of the changes, and more importantly the financial impact on benefits has never been publically disclosed. .Last week the Centers for Disease Control and Prevention relaxed its warning for cruise travel for the first time since several outbreaks on ships brought the industry to a halt last year. .Recently Congressional Budget Office estimated in its September budget outlook, that Medicare outlays for 2020 would rise about 12 percent — roughly double the rate forecast by the Medicare Trustees in their April 2020 report. This suggests that the Medicare Part B premium increase for 2021 could be about .40 per month higher in 2021, rising from 4.60 to 2.00. But even this estimate does not include the full impact of cost shifting that occurs when people with low Social Security benefits are protected from reductions due to high Medicare Part B premium increases. Thus, the base monthly Part B premium increase for 2020 could be even higher than .40, and closer to the spike seen in 2016. .A number of Social Security recipients told their stories to the members of the subcommittee and explained the problems they face, as well as their desires for improvements to the program. .The crackdown was unique not only for its scale, but also. No Lie! Affordable Care Act Not So Affordable .The number of people receiving benefits.