Two bills that would provide for coverage of dental services under the Medicare program were introduced in Congress last week. H.R.502, authored by Rep. Nanette Diaz Barragan (D-Calif.) has been introduced in the House of Representatives, while S.97, authored by Sen. Ben Cardin (D-Md.) has been introduced in the Senate. .For this week, lawmakers in the House and Senate remained in their home states and districts to continue the month-long August recess. .The total cost for a single year of treatment with the nation's most expensive specialty drugs can cost more than the entire retirement savings for many retirees. The annual cost of the cancer drug Idhifa, for example, is 0,85According to a new study by the non-partisan Kaiser Family Foundation, the median out-of-pocket cost that Medicare Part D beneficiaries will pay out-of-pocket for specialty drugs in 2019 would be ,55Patients suffering from multiple sclerosis could pay an estimated out-of-pocket of ,409 in 2019 for Glatiramer acetate. Even on the "low side," the annual out-of-pocket for Hepatitis C drug, Zepatier runs ,622. .This question is signficant in light of proposals to "reform" Social Security. Several proposals, including "progressive indexing" of the benefit formula, involve changes similar to those that were enacted in 1977 that led to the Notch disparity. When proposals to change the benefit formula are debated, Members of Congress, the media, and the public tend to focus on the anticipated percentage of reduction. The danger of doing this, however, is that the assumptions used at the time often bear little resemblence to what accually occurs. .However, experts say the actual cost of living for Social Security beneficiaries is rising and their quality of life is falling. Social Security recipients have lost nearly a fourth of their buying power over the last 15 years, according to the Senior Citizens League. .While inflation varies significantly depending on the area of the country in which people live, locality - based payment rates are not calculated on living costs or specific price levels like the COLA. According to a story appearing on the Federal News Network's website, this is a common misconception about locality pay. In fact, consumer inflation is not even a factor when setting locality pay. .TSCL enthusiastically supports H.R. 4704, H.R. 4841, and H.R. 2212, and we will continue to advocate for their passage in the months ahead. For more information, visit the Bill Tracking section of our website. .The legislative proposal also does not specify whether the locality pay adjustment would be applied in addition to the COLA or used instead of a COLA. If the intention is to add a second adjustment in addition to the COLA my guess is that many retirees would welcome the additional boost. Should the proposal be intended to replace the COLA that brings a higher level of uncertainty to the annual adjustments than we already experience. For people who live in areas where private sector pay is on an even level with federal pay or lower, those retirees may wind up with little or no locality pay adjustment, perhaps over the course of many years. .This week, one new cosponsor – Rep. Elijah Cummings (MD-7) – signed on to the Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1030), bringing the bill's total up to twenty-five. If signed into law, the CPI-E Act would base the Social Security cost-of-living adjustment (COLA) upon the spending patterns of seniors. Currently, it is based upon the way that young, urban workers spend their money – a method that underestimates the spending inflation that seniors experience. A study conducted by TSCL this year found that seniors have lost 31 percent of their purchasing power since 2000 – a clear sign that the current COLA is growing too slowly.