The subcommittee's bill would repeal the formula and replace it with an enhanced fee-for-service system, while also allowing doctors to opt-out and participate in alternative payment models that emphasize quality. The bill was overwhelmingly approved by a voice vote on Tuesday, but much work remains to be done. Lawmakers have not yet determined how they will offset the full cost of the bill, although it does currently include funding for some provisions by authorizing transfers from the Medicare Part B Trust Fund. .Susan has rheumatoid arthritis and was taking Humira, a drug that would cost more than ,000 out-of-pocket if she had to purchase it through a Part D plan. Prior to starting Medicare, she paid a .00 per month co-pay for Humira through her husband's insurance. Before starting on Medicare though, Susan decided to try a less expensive older generic, Methotrexate, which costs just .00 per month through her Part D plan. .There seems to be a great disagreement among supporters of Notch reform over who is truly a Notch Victim. What are the facts? .In 2008, an audit by the Social Security Administration's (SSA) Office of Inspector General found that spouses did not always receive the higher retirement benefits due them. Although 18,768 spouses were identified as eligible for higher retirement benefits in that audit and the SSA developed a notification letter, the agency took no further action to notify beneficiaries – citing "limited resources." As a result, these spouses never received the higher retirement benefits for which they were eligible. .When he first ran for office, candidate Trump promised he would not make any attempt to cut Social Security or Medicare while he is President. But in an interview this week with CNBC's Joe Kernan, and definitely something we will be keeping a close eye on, President Trump mentioned in a news conference that cutting entitlements (Social Security and Medicare) is not off the table. .We gave you the bad news about eating fried foods, which really is nothing very new. But there was some hopeful news last week that we want to pass along. .If Congress considers cuts to the COLA, changes in the benefit formula and increases in the retirement age, special attention will be needed regarding when changes would become effective and how they would be phased-in. The recession is already having a significant impact on the growth of Social Security benefits. If Congress cuts benefits, or reduces the growth in benefits during this slow recovery, it will likely produce a long lasting double-whammy effect for retirees. .In 1983 government economists changed the way housing costs were measured in the CPI. Housing represents almost 50% of the expenditures of people age 65 and older, and thus changes to that expenditure category tend to have a big impact. Rather than basing housing costs on some measure of home prices, after 1983 the Bureau of Labor Statistics estimated costs "based on what homeowners theoretically would pay to themselves in order to rent their own homes from themselves. The BLS then estimates how much homeowners raise the rent on themselves each month," according to Williams. .Here's where to go for help with these services: