Most surviving children would not be eligible for Notch Fairness Act benefits, but the issue should concern every single child of a Notch Baby. Recent Social Security reform proposals to attach a "price index" to the Social Security benefit formula would cut benefits for future retirees in a manner similar to the 1977 changes that led to the Notch. In addition, Congress thus far has taken no constructive non-partisan action to address Social Security's looming shortfall - meaning they may have to make very deep and abrupt cuts when they can no longer stall for time..In last week's update we told you about the pending retirement of Senator Lamar Alexander, who has been a champion of legislation to end surprise medical billing. We feared the effort to end the practice would now be more difficult in Alexander's absence..High premiums don't necessarily purchase better coverage. The generic blood pressure medication, Lisinopril, is one of the most commonly used prescriptions by Medicare beneficiaries. The least expensive Part D plan charges Second, the Social Security Fairness Act of 2017 gained one new cosponsor in Senator Tina Smith, bringing the cosponsor total to twenty-two. If signed into law, S. 915 would repeal the Government Pension Offset and Windfall Elimination Provision two Social Security provisions that cut the earned benefits of millions of teachers, police officers, and other public servants each year..On Thursday, the Supreme Court announced its 4-4 decision on a challenge to President Obama's immigration orders, which were released back in 2014 with the intent of halting the deportations of nearly 5 million undocumented immigrants. The split decision means the lower court's ruling is left in place, and the executive orders will not take effect..We must ensure benefits earned are benefits maintained. That's why I am proud to cosponsor H.R. 141, bipartisan legislation to eliminate the Windfall Elimination Provision and Government Pension Offset in our last Congress. The WEP and GPO unfairly penalize workers who paid into Social Security and earned benefits in addition to receiving a public pension through other work..Doctors, hospitals, and other providers would also be affected payments would be reduced to nursing homes, teaching hospitals, and other facilities, and doctors would no longer be paid according to the fee schedule laid out in the flawed sustainable growth rate formula. While some of these changes including the repeal of the SGR would be welcomed by TSCL, we do have serious concerns about the increased cost-sharing that many beneficiaries would see under the plan..Maintenance and repair: This doesn't refer to occasional jobs like painting and replacing a roof, for which you may need to tap savings or a home equity line of credit. This category covers the far more common on-going repair headaches like leaky plumbing, failed furnaces, and drafty windows. Housekeeping and gardening services and equipment also come under this expense category. As seniors age, the need for services grows as health and living circumstances change. A common rule of thumb is to establish from 2% to 4% of the value of your home as your annual maintenance and repair budget. If 2% is too big of a stretch, forcing you to spend down your savings faster than you intended, you may want to think about downsizing your home as a new year's resolution, and look for newer, more modest housing in a less expensive area or even renting..The fraudsters enlist unscrupulous doctors to approve the test and the doctor receives a kick back from the recruiting company for each prescription. Medicare receives a bill that can range from ,000 to ,000. Victims have later reported that they did not even know the doctor who prescribed the test. Law officials warn that health fairs, senior centers and even church events are magnets for the scam, where recruiters take cheek swabs for genetic testing and collect Medicare numbers.."While hold harmless is very valuable protection, the lack of an adequate COLA to begin with, and rapidly growing Part B costs, will keep millions of beneficiaries stuck in a no-growth rut in 2018," Johnson says. The Senior Citizens League is advocating legislation that would provide a more fair and adequate COLA, by tying the annual adjustment to the Consumer Price Index for the Elderly. Projections for The Senior Citizens League show that by using the CPI-E, Social Security benefits would be about 9 percent higher over 25 years. A benefit of ,300 in 2017 would be about 2 per month more using the CPI-E at the end of the 25 year period instead of the current method. To learn more, visit..Then, I head down the hall trying to remember what I was planning to do..What do you think about ways to strengthen the COLA? Take our 2019 Social Security survey at. copay for the drug, and the plan's monthly premium is just .50 in the zip code used in the analysis. The most expensive plan charges a co-pay of .19, and the plan has a monthly premium of .30. Counting premiums, that's a difference of ,055.88 for the entire year..As you have experienced, one of the biggest appeals of Medicare Advantage plans are low, or sometimes no, premiums. However, you would still have deductibles to satisfy and co-payments for most, if not every service. In addition, plans are allowed to charge you an out-of-pocket maximum up to ,700 in 2019, an amount that varies and tends to grow each year. Under Medigap, your premiums are higher and, depending on the policy, can increase annually. On the other hand, covered out-of-pocket costs are minimal to nothing. Medicare Advantage is more affordable when you are healthy, but can cost significantly more per year if you require a lot of healthcare services..Check your health plan's "out-of-pocket" maximum and budget a little more annually for emergencies: Traditional Medicare has no limit on out-of-pocket spending for hospital or doctors' services. But Medicare Advantage plans have annual out-of-pocket limits. On average, the out-of-pocket limits for Medicare Advantage plans is ,037 this year, but limits can be as much as ,700. Check the booklet that came with your plan, or call your plan's customer service number. It's a good idea to budget more than the out-of-pocket maximum for goods and services not covered by Medicare or your plan. For example, your plan may cover eye exams but not glasses. It's also good to have more the out-of-pocket maximum set aside in case you should ever require hospitalization..TSCL enthusiastically supports H.R. 1776, and we were pleased to see support grow for it this week. For more information, visit the Bill Tracking section of our website..Payments for smoking cessation programs..Why Did I Open This Refrigerator And What Are My Glasses Doing In There?.For more information about town hall meetings near you during the holiday recess, call the local offices of your Members of Congress. For contact information, click HERE.