TSCL's research has consistently found that Medicare Part B premiums rank as one of the fastest growing senior costs. Yet Medicare premium costs are not included in the measure currently used to determine the annual COLA — one major reason why COLAs do such a poor job of keeping up with rising healthcare costs. TSCL continues to lobby for a more fair and accurate COLA and supports legislation that would use a seniors' index — like the Consumer Price Index for the Elderly (CPI-E) — to determine the annual boost. .Instead, that money has gone into the pockets of the wealthy. Now Republicans want to cut benefits for hard - working Americans. They want to harm the most vulnerable among us, including manufacturing a crisis to put disabled Americans at risk of facing a nearly 20% cut in benefits, even while they provide more tax breaks for the wealthy and for corporations. .What cost increases should you keep an eye on in 2015? Prescription drugs! To learn more see "Unprecedented Generic Drug Price Spikes Wreaking Havoc." .Cruise passengers who are not fully vaccinated are more likely to get COVID-19, which spreads person-to-person, and outbreaks of COVID-19 have been reported on cruise ships. .Apply for Extra Help. Extra Help is the Medicare program for low-income seniors that can help with most or all of the cost of your drug plan premium, deductibles and co-pays. You also get valuable coverage in the Part D coverage gap. If you qualify, you would pay between $ for each drug. Apply even if you aren't sure, because the income requirements are not as stringent as those for State Pharmacy assistance programs. .Lawmakers Work to Avoid Government Shutdown .Texas has been hit the hardest by rural hospital closures, with 23 closures since 2013 and as many as 45% of rural and community hospitals operating in the red. By eliminating all private insurance with the single stroke of a pen, Medicare-for-all would force many of our state's already struggling hospitals to be reimbursed at lower rates, further complicating the financial solvency of rural health care providers. .The Senior Citizens League enthusiastically supports S. 2553, S. 2387, and S. 974, and we will continue to advocate for their passage on Capitol Hill in the months ahead. For more information about these and other bills that have been backed by The Senior Citizens League, visit the Bill Tracking section of our website. For frequent progress updates, follow TSCL on Twitter. .TSCL was pleased to see support grow for H.R. 1902, H.R. 2575, and H.R. 4841 this week, and we will continue to advocate for them tirelessly in the months ahead. For more information, visit the Bill Tracking section of our website. For updates on the progress of these and other bills, follow The Senior Citizens League on Twitter.