Both bills would stop a premium hike of nearly 50 percent that's scheduled to hit millions of beneficiaries in January. They would also prevent a deductible increase of nearly , from 7 to Most Medicare beneficiaries will not be affected by the increases due to the "hold harmless provision" that protects them in years when premium increases are large enough to reduce their monthly Social Security checks. Since seniors are expected to receive no cost-of-living adjustment (COLA) next year, the premium rates for around 70 percent of beneficiaries will remain unchanged from this year's. .To participate in TSCL's monthly polls, visit our home page. .Medicare Therapy Caps: A Long Battle for Patient Access .Advancing age puts many retirees at risk of oral health problems. A common cause of cavities is dry mouth, a side effect of more than 500 medications. Periodontal disease is widespread, even though it can be prevented with regular visits to the dentist and cleanings. In addition, research shows a strong link between oral health and a host of other diseases. .Although no other generation has yet been affected by a similar Notch, that could change in the future. Congressional inaction on Social Security's long-term financing problems could give birth to a whole new generation of Notch Babies. During recent hearings on the need for making Social Security more sustainable as Baby Boomers near retirement, David Walker, the Comptroller General of the United States, confirmed this saying "Doing nothing means that we are going to head to a precipitous decline in benefits. Remember the Notch Baby problem?" he asked. "This would be a Notch Baby problem magnified multiple times and it should not be allowed to happen." (10) .The exact mechanisms for enacting the provisions therein — such as requiring manufacturers to reveal their development costs — remain unclear. The industry has previously protected development data as a trade secret. The bills would also require "reasonable pricing clauses" be included in agreements between drug companies and agencies funding their work. They propose waiving exclusive licenses for COVID-19 drugs, allowing competitors to sell the same products as long as they pay the patent holder royalties. ."But the time is coming when the states and federal government will be under urgent pressure to cut Medicaid and Medicare costs," says TSCL Chairman, Larry Hyland. "TSCL is concerned that if states and the federal government don't design and implement the changes the right way, beneficiaries' may lose access to medically necessary care and quality." .Since 2010, seniors have failed to receive a COLA increase three times. When a COLA increase did occur, it has never met seniors' needs. In 2016, the increase was a meager 0.3% and it was only 2% in 2017. .The changes closed two claiming tactics known as "file and suspend" and "restricted application for spousal benefits." The claiming strategies have made it possible for both members of a couple who are 66 or older to delay claiming Social Security based on their own earnings records, in order to increase payments, while at the same time one spouse receives a spousal benefit. Alicia Munnell of The Center for Retirement Research at Boston College estimates the changes would save .5 billion per year — a potential cost that would grow over time.