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TSCL on the Hill.Third, three new cosponsors Representative John Garamendi, Representative Jim McGovern, and Representative Judy Chu signed on as cosponsors to the bipartisan Nursing Home CARE Act, bringing the total up to twenty-two. If adopted, the bill would protect Medicare and Medicaid beneficiaries by more quickly codifying emergency preparedness rules for nursing home facilities that receive funding from the federal government..insurers have hiked premiums so high that policyholders have been forced to drop.Inflation, as measured by the U.S. Bureau of Labor Statistics' consumer price index, has taken a deep tumble over the past year, meaning older Americans will have to settle for a cost-of-living adjustment of 1.6% in 2020 after getting a 2.8% increase this year..Despite receiving the largest Social Security cost of living adjustment in five years, the majority of retired and disabled beneficiaries will not see any increase in their net Social Security benefits in January, warns The Senior Citizens League. A big jump in Medicare Part B premiums is to blame. The Centers for Medicare and Medicaid Services recently announced that the Medicare Part B premium will be 4 for next year. That's the same amount that the Part B premium is today, but tens of millions of Medicare beneficiaries are paying less than that this year. Millions of beneficiaries pay roughly less - and their annual COLA may not be enough to cover the difference..Medicare beneficiaries would still be on the hook for the ,000 that would need to be spent out-of-pocket before the catastrophic coverage even starts. For the average beneficiary, that could take one-third or more of one's entire Social Security income for the year..Medicare has recently made revisions to its payment rules, but those changes do not drop the three day of inpatient care for nursing home coverage, or require hospitals to tell patients when they are getting observation care. Legislation has been introduced in Congress that would count observation stays as part of the three hospital days required for nursing home coverage.."Senior Advocates: Small Social Security Bump May be Sign of Future Bad News".Low-income "dual-eligibles" - Medicare beneficiaries whose incomes are so low that they are also eligible for Medicaid. Part B premiums are paid on their behalf by state Medicaid programs.