At age 62, Susan Gross of Barboursville, Virginia, is nearing retirement age, but has no plans to stop working yet. High prescription costs and the need to provide care for a disabled adult son and her 90 - year old mother are other major reasons. With her rheumatoid arthritis medication, Humira, costing ,900 a month, both Susan and her husband continue to work full time. Susan is dependent on the health insurance coverage available through her husband's employer to help her afford her medications..CMS has also partnered with the Department of Justice to help to increase law enforcement efforts for Medicare fraud and abuse. In 2009, the Health Care Fraud Prevention and Enforcement Action Team was established to provide a law enforcement arm to the government's effort to stem the tide of Medicare fraud and abuse perpetrators. The special task force combines authorities from local, state, and the Department of Justice and Health and Human Services agencies to increase communication and shared investigative techniques..Across the country Meals on Wheels programs are reducing the number of meals delivered to low-income seniors or shutting down altogether according to a new survey. The programs typically deliver a hot prepared meal five days a week to people over 60 who are homebound and/or unable to shop and cook, low income, or all three. Without Congressional action, the programs will be cut by about .7 million in federal funding this year due to the automatic budget cuts known as "sequester.".The 3.8% "Medicare" net investment tax has never been received by the Medicare Part A Trust Fund, but has wound up going straight into the U.S. General Fund. That means it could be appropriated for any government spending!.A widely-discussed plan to reduce the federal deficit would use a slower-growing consumer price index, known as the "chained" CPI, to calculate the annual cost-of-living adjustment. The proposal, often referred to as "chaining" the COLA, would not be the first time the government has tweaked the inflation index to cut government spending on benefit programs.Compare generic costs: You sometimes pay more for common generics using your drug plan, than you would simply by visiting a pharmacy with generic program. Compare the costs first. If the generic saves you money over your normal co-pay, put your drug plan card away and shop at the discount pharmacy. Save your coverage for more expensive prescriptions..The Senior Citizens League is hopeful that Congress will pass responsible reforms to the Social Security and Medicare programs as soon as possible to strengthen benefits and restore the solvency of the Trust Funds. For more information about legislation that has been endorsed by The Senior Citizens League, visit the Bill Tracking section of our website..To offset the increased spending, the proposal calls for approximately 0 billion in health care savings, with most coming from within the Medicare program. Under the President's plan, more beneficiaries would be subject to means testing and they would see higher premiums for Parts B and D. In addition, new beneficiaries would need to pay a copayment on home health care services, and they would also be faced with a surcharge on premiums for Medigap plans..Representative Elijah Cummings introduced H.R. 448 on January 10, 201It has since been referred to the Committee on Energy and Commerce, and to the Committee on Ways and Means.