First, in the spring, Members of Congress passed legislation to repeal and replace the sustainable growth rate (SGR) – a flawed formula that set payment rates for doctors who treated Medicare patients. Because of the quirks in the law, doctors were faced with double-digit cuts year after year. Some stopped seeing new Medicare patients, and some even stopped participating in Medicare altogether. TSCL advocated for the SGR's repeal for more than a decade, and we were ecstatic to see it replaced once and for all last April. The law took effect immediately and, in the coming years, it will bring increased stability to the Medicare program for both patients and their doctors. .It's clear that Congress has failed mature workers and their families. We need to do more to create jobs and ensure mature workers have the skills needed for today's job market. .Under a 2004 law, non-citizens who apply for benefits with a SSN assigned in 2004 and thereafter must have legal work authorization at some point in order to file a claim for benefit. But the law does not apply to aliens who received a SSN prior to January 1, 200Those non-citizens may be able to claim Social Security benefits without ever having legally worked. In fact, our government already pays Social Security disability and retirement benefits to non-citizen aliens and their dependents based on illegal earnings. The cost to Social Security of those payments was recently estimated to be 6 billion through 2040, according to Advisor editor and Social Security policy analyst Mary Johnson. .Medicaid is the largest payer of long-term support services such as home care for the elderly, but states are not required to participate in the home and community-based program. .Give family recipe or ethnic specialty cooking lessons. As a child I learned how to make Pennsylvania German egg noodles from scratch from my grandmother. These were a highly treasured holiday gifts. My arms still ache remembering how long I had to roll the dough to get those noodles thin enough for my grandmother! Give out an invitation to special grandchildren or friends for lessons in making favorite traditional foods from scratch. .In 2015, after a national coalition of senior advocacy groups (including TSCL) demanded action, Congress reduced the increase in Part B premiums from 9.30 per month to 1.80 per month, which was still a very high increase of 16.1 percent. The premium included a "repayment" amount that was added to monthly premiums of all beneficiaries in future years to recover the cost of the reduced premium rate in 2016 over time. ."If you want to save money on health and prescription drug plans, it's more important than ever to compare and switch now during the fall Medicare Open Enrollment period which ends December 7th," Cates says. Free, unbiased, one – on – one counseling is available through State Health Insurance Assistance Programs (SHIP), many of which operate through local agencies on aging. .This year, I am currently gathering support for the Medicare Advantage Quality Payment Relief Act, which would require the HHS Secretary to take Medicare Advantage Quality Incentive payments out of the calculation of the Medicare Advantage benchmark cap. This will allow high performing plans to receive the quality payments that they rightfully earned and to use those payments to improve beneficiary care. .The House-Senate conference committee reached a deal this week to extend the payroll tax break and unemployment benefits, and prevent a 27% pay cut to Medicare physicians. The agreement came after months of debate and only after Republicans dropped their requirement that the payroll tax extension be offset by spending cuts.