Prevention of Fraud, Waste, and Abuse – Ensure that scarce Medicare and Social Security dollars are spent properly. .Radical Medicare Overhaul Proposal In Senate .The first is H.R. 446, the Protecting Seniors from Emergency Scams Act. .The savings to the government for switching to the more slowly-growing CPI compound over time, and are substantial. The Congressional Budget Office estimates that the change would cut COLAs by 2 billion from 2012021 alone and, if used in other federal retirement programs and for indexing taxes as well, would reduce deficits by about 0 billion over the next decade, including reduced interest on the debt. .Legislation to help state is urgently needed because some of them are already cutting Medicaid. States are required by law to balance their budgets and Medicaid is one of the largest items in the budgets of many states. And of course, cuts to Medicaid hurt some of the most vulnerable seniors as well as others who could not otherwise afford the health care they need. .COLAs are intended to protect the buying power of Social Security benefits against rising inflation. A new study recently released by TSCL found, however, that the CPI used to calculate COLAs today only does an anemic job of protecting benefits as it is. Since 2000, the COLA has increased just 31 percent, while typical seniors' expenses jumped 73 percent, more than twice as fast. .Just how bad is it? We were stunned to learn just how big the disparity in drug prices can be. Recently I compared the highest and lowest prices of the top ten most-prescribed drugs in the U.S. using the Medicare drug plan finder. In my area, a monthly supply of diabetes drug Lantus Solostar for example, ranges from a high of 2.00 from the mail order pharmacy of First Health Part D Value Plus plan to a low of .75 from the network retail pharmacies for SilverScript Choice. In fact, the cost difference between the highest and lowest-cost plans for the ten drugs compared averaged 3 per month! .According to studies performed for TSCL, many Notch Babies, particularly those who rely on Social Security for most, if not all, of their income, are at risk for living near or below the federal poverty level. For example, Notch Babies who retired in 1984 at age 65 with average benefits of 0 per month, would receive about ,839 this year. In the 48 contiguous states and Washington DC, that's only 8% above the federal poverty guidelines and qualifies for various assistance programs. .The aggressive collection efforts resulted from a one-line change tucked into the 2008 Farm Bill lifting the statute of limitations. The U.S. Treasury seized a reported .9 billion in tax refunds this year alone — million of that was for debts more than 10 years old. The Social Security Administration says that 400,000 taxpayers collectively owe 4 million in debts that are more than 10 years old.