It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .However, right now there is no guarantee Republicans would do that, and instead, it is probable they would blame the Medicare cuts on the Democrats. .To address this issue, my office put together a two-pronged approach both locally and nationally. First, we held a resources fair in South Los Angeles, focusing on identifying and combatting senior scams with service providers that offered direct assistance for attendees. Second, I introduced a bipartisan resolution to call attention to the barrage of fraud attempts that seniors face nationwide. .Insurers make major changes in their plans every year, like increasing premiums, co-pays, dropping coverage and even closing plans altogether. But according to a survey conducted by TSCL earlier this year, less than 18 percent of respondents said they switched their Part D or Medicare Advantage health plan for 201Medicare's annual Open Enrollment period starts earlier this year -- on October 15th -- and ends December 7th. Medicare beneficiaries should start the process now to find out what their choices are and how much they could save with a new Part D or Medicare Advantage plan. .Congress Still Can't Get Its Work Done .Implementing Medicaid cuts is proving even harder than getting the cuts enacted into law. In Connecticut for example, the state General Assembly recently voted overwhelmingly to reverse healthcare program cuts that they had passed just a few months before. Connecticut's 2017 budget agreement lowered the Medicaid program's income eligibility limits last year. The cuts, originally planned to go into effect January 1, would have kicked an estimated 86,000 older and disabled people off Medicare Savings Programs which pays Part B premiums and out -of - pocket costs, and moved another 27,000 to a second level of the program that provides less financial assistance. But, by January 8, 2018, the cuts were reversed by an overwhelming 130-3 vote, despite lingering concerns over financing. .America's immigration policy may make a dramatic shift in the coming months. According to press reports, the new Congressional leadership may push for an immigration plan that grants amnesty to illegal immigrants residing in the U.S., and America's senior citizens are paying close attention. .TSCL would like to thank the following for taking time out of their busy schedules to discuss issues of critical importance to seniors: Congressman David Valadao (CA-21), Congressman Mike Coffman (CO-6), Congressman Phil Roe (TN-1), and Mr. Thomas Woodburn (Legislative Assistant to Congresswoman Diana DeGette (CO-1)). .Whenever possible, share your views with your elected officials. It is important that they are made aware of how their constituents feel. Remember, you are the one who has control over their job security. You could either call or write your Members of Congress. You can find your member of Congress, as well as their address and phone number, through the Guide to Contacting Congress feature on the Home page of this web site.