In addition, one new cosponsor – Rep. Diane Black (TN-6) – signed on to the No Social Security for Illegal Immigrants Act (H.R. 1716). The total is now at twenty-seven. If signed into law, H.R. 1716 would prohibit unauthorized workers from receiving Social Security benefits based on work done while in the country illegally, using stolen, fake, or fraudulent Social Security Numbers. TSCL believes it would protect the integrity of the program while preventing an unnecessary and unspecified strain on the Social Security Trust Funds. .Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. ."If you're not going in, you're essentially taking the providers' word that they're doing a good job," said Richard Mollot, the executive director of the Long-Term Care Community Coalition. .On Thursday, the Joint Select Committee on Deficit Reduction held their second public hearing, which focused on revenue options and reforming the tax code. The Committee heard testimony from Thomas Barthold, Chief of Staff of the nonpartisan Joint Committee on Taxations. .The other big variable in health care is insuring against the risk of a big tab for long-term care. This is an area where we just don't have very good options right now. The market for private long-term care insurance doesn't function very well -- the cost of coverage has been soaring, and the number of insurance companies in the market has been shrinking. Medicaid is the country's biggest payer for nursing home bills, but you need to spend down to poverty levels to qualify and most often your care choices are limited. The other options are "self-insuring" paying out of pocket if you're very affluent, or if like many older senior Americans, you rely on family members for help. .Obamacare is not the first government program in which major implementation glitches had disastrous consequences for large numbers of beneficiaries. In 1977 changes that Congress made to the Social Security benefit formula created a major inequity in benefits that cost retirees tens of thousands of dollars in Social Security benefits over their lifetimes. The seniors affected are among the oldest and most vulnerable today. Born during 1917 through 1926, and known as "Notch Babies," they received substantially lower benefits than other seniors close to them in age with almost identical work and earnings records. The name refers to the plunging "V" notch when benefits of Notch Babies are charted on a graph. .On Thursday, TSCL held its first ever town hall meeting with great success in North Carolina's 11th Congressional District. TSCL would like to thank Congressional Candidate Mark Meadows for taking time out of his busy schedule to address concerned members and supporters. .TSCL opposes legislative efforts that would make today's seniors and those nearing Medicare-age pay higher costs for their Medicare coverage. .Despite increased efforts by SSA, Mr. Bagdoyan emphasized the need for better program evaluation. He said: "SSA has taken some steps to establish an organizational culture and structure conducive to fraud risk management in its disability programs … But it has yet to comprehensively assess these risks or develop a strategic approach to ensure its anti-fraud activities effectively mitigate these risks."