A new report from the Congressional Budget Office (CBO) says that undocumented immigrants who receive work authorization are eligible to receive Social Security and Medicare benefits on the basis of their work history. Under current law there's no citizenship requirement to receive benefits, but individuals must be lawfully present in the U.S. That will mean higher spending on Social Security and Medicare in the future, the CBO said. While the CBO said new payroll taxes would boost Social Security and Medicare's financial condition in the short term, in the long term federal spending would increase significantly as those people became eligible for benefits. .Much of the debate over federal deficit reduction plans has been focused on overhauling Medicare and making changes to Social Security. But a major funding change is also under consideration for Medicaid, the federal and state program that covers medical care for lower-income individuals including seniors who also receive Medicare. As federal and state governments struggle to address Medicaid funding shortfalls, TSCL is concerned that Notch Babies, and the families who provide care for them, would be among those who would be hit the hardest by funding cuts. .For the last couple of weeks we've also reported on a hearing by the House Committee on Oversight and Reform regarding the prices that drug companies are charging for some of their drugs that are critical for the health of many seniors. .COLA Cuts .Is his condition "severe"? Your husband's medical condition must significantly limit his ability to do basic work— for at least 12 months. .Unlike the way Medicare negotiates costs for all other medical services and medical equipment, the program doesn't have the authority to negotiate drug prices. That leaves older U.S. consumers paying higher prices than people who get their medications through the VA Administration or state Medicaid programs. And because Medicare isn't negotiating on our behalf, there's no consistency in drug pricing between Part D drug plans either. Prices vary enormously, and new research for TSCL indicates millions of drug plan enrollees are getting gouged when they don't compare and switch to better plans. .The resolution's authors wrote, "Our plan would strengthen Medicare by offering future seniors guaranteed-coverage options – including traditional Medicare – regardless of pre-existing conditions or health history. All seniors will have the support they need to get the care they deserve." .The Hard Times Guide to Retirement Security .TSCL believes the drug problem could explode this year. Citing massive "sequester" budget and staff cuts, federal officials are set to scale back or drop investigations into Medicare and Medicaid fraud and abuse cases. The Department of Health and Human Services may lose a total of 400 staffers and the existing staff is stretched so thin that it was unable to investigate about 1,200 cases of Medicare and Medicaid fraud and abuse last year.