The basic science that has allowed the small company to move so rapidly was developed with a huge prior infusion of federal money to come up with a treatment for diseases like Zika. .The AWI, however, is susceptible to causing permanent benefit reductions when it turns negative, which can happen in years of deep economic recession and extraordinarily high unemployment, as was the case in 2020. Last year, concerns were high that the reductions could be as high as 9.1%, according to an estimate by Social Security's Chief Actuary Stephen Goss. But since then the economy and wages have steadily recovered and the dip in the AWI, if any, is not expected to be so deep. .On Thursday, lawmakers in the House and Senate advanced a two-week stopgap measure to keep the federal government operating past Friday, December 7th. President Trump had not yet signed it into law at the time of writing this week's legislative update, but he is expected to do so before the midnight deadline. As a result, lawmakers have an extra fourteen days to reach a deal to avoid another government shutdown on December 21st. .Sources: "Social Security Benefits Related to Unauthorized Work," SSA Office of the Inspector General, March 2003, A-03-03-2305"Illegal Immigrant Crackdown Looms," Nicole Gaouette, The Los Angeles Times, August 3, 200 .Federal records and senior advocates indicate that many observation patients who call Medicare about the billing problem are told there is nothing that Medicare can do to help. Hospitals are not required to tell patients they are under observation. Patients only learn they were receiving observation services when the bill arrives. By then it's too late because hospitals and doctors are prohibited from reclassifying observation patients as inpatients once they've been discharged. .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. .It remains to be seen how the CR debate will unfold in the coming weeks, but TSCL will monitor it closely since another government shutdown could have serious effects on Social Security and Medicare beneficiaries. For updates as the situation develops, visit the Legislative News section of our website. .Congress managed to pass a short-term fix to prevent a 19% benefit cut that was due to hit disabled Social Security beneficiaries by the end of this year. The legislation heads off the cut by temporarily transferring some payroll tax revenues over the next three years, expanding measures to better ensure medical eligibility for benefits, and by preventing improper payments due to fraudulent work. The stronger eligibility and anti-fraud provisions are strongly supported by TSCL, incorporating several recommendations that TSCL presented last fall to the House Ways and Means Subcommittee on Social Security. The legislation: .Unlike the experience of the general public who access state or federal health care exchanges to choose coverage, the choices offered to Members of Congress are dramatically different than those from many other parts of the nation. For 2017, Members had 57 plan options in "Gold" plans alone on the DC shop exchange. In many areas of the nation, particularly rural ones, Gold plans aren't even available. Unlike the Silver and Bronze level plans, Gold plans have lower deductibles, and cover 80% of costs with patients paying only 20%. Silver plans, for example, typically come with deductibles ranging from ,500 - ,000, and pay 70% of costs while patients pay the other 30%. And in some areas of the country, people are happy if they have a choice of more than six silver plans. Certain parts of the country have only one.