The Senior Citizens League is predicting another record-low Social Security cost-of-living adjustment (COLA) in 2020 despite skyrocketing prescription drug prices and home heating costs. Will you cosponsor the Fair COLA for Seniors Act (H.R. 1553), which would make the COLA more adequate for Social Security beneficiaries? .Editor's note: While I have a pretty reliable track record on estimating the COLA, this year's inflation is far different than at any previous time in the past 26+ years. Inflation has been so volatile that I worry my probability models may not work as well as they typically do. In most years I'm pretty certain about my September estimate of the COLA for the following year. But this time all bets are off. Be patient — I'm no psychic, and stay tuned to the news! .If signed into law, the Medicare Physician Payment Innovation Act would repeal the sustainable growth rate (SGR) formula for physician reimbursements, and it would set up a five-year trial period during which the Centers for Medicare and Medicaid Services would test and evaluate new payment and delivery models. TSCL strongly believes that the SGR formula breeds uncertainty in the Medicare program for both physicians and beneficiaries. Many doctors have stopped accepting Medicare patients, and many more are threatening to do so if a permanent solution is not established soon. We believe that Rep. Schwartz's bill would bring increased stability to the Medicare program, and we were pleased to see four new cosponsors announce their support for it this week. .The annual Medicare Advantage Open Enrollment period starts January 1 –March 3During this time, you will be allowed to switch to another MA plan or return to Medicare and a stand alone plan. However, if you give up your MA plan in favor of returning to original Medicare, that does not necessarily mean you would be able to buy a Medigap supplement. Medicare supplement insurers are not required by law to cover pre-existing conditions, other than during certain periods (when you first sign up for Part B or if you qualify for a Special Enrollment Period.) .The Centers for Medicare and Medicaid Services (CMS) has estimated that it improperly paid .1 billion to Medicare Advantage plans in 2013 alone. Yet the plans are rarely forced to repay the money they have overcharged, or face closer government scrutiny after the audits, according to the Government Accountability Office (GAO). The GAO report said that CMS has failed to target health plans with "known improper payment risk", allowing the worst abusers to avoid scrutiny. .Deciding when to file is the biggest decision you face. Social Security benefits are calculated using a formula called the primary insurance amount, or PIA. Seniors who wait to start receiving Social Security until their full retirement age (currently 66) receive 100 percent of PIA; taking benefits at 62, the first year of eligibility, gets them 75 percent of PIA. By waiting until age 70, they'll receive 132 percent of the PIA – nearly double the monthly income for the rest of their lives. Those benefits are enhanced by an annual cost-of-living adjustment, which is added back in for any years of delayed filing. .Therefore, they are considering using the "reconciliation" process because they would only need 51 votes. But if they do that, legislation passed over ten years ago dictates that they must either raise taxes or cut spending on current programs to pay for the new spending in the President's bill. .Essential Drugs Need to be made in the U.S. .TSCL's legislative team will be monitoring the tax reform discussions closely in the coming days and weeks, and we will post updates here in the Legislative News section of our website, as well as on Facebook and Twitter. In the meantime, we encourage our supporters to contact their Members of Congress to request their opposition to tax reform measures that will jeopardize the health and financial security of older Americans. For contact information, click HERE.