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Changes in social activity level. What sort of social circle does your friend have? Besides getting together with you, does she visit with others, participate in religious activities, or other group events? Does your friend still work on favorite hobbies, or is she starting to drop interest?.This week, lawmakers returned to their home states and districts for a two-week spring recess. They are expected to return to Capitol Hill on Monday, April 2In the meantime, many Members of Congress will be hosting town hall meetings, which The Senior Citizens League encourages its supporters to attend..TSCL does not make campaign contributions because we are funded by our supporters like you, and we simply don't have the millions of dollars like drug companies do. Instead, we rely on you and your vote. Elected officials care about money, but they care even more about your vote..Congress Adjourns for Holiday Recess.In years when there has been no, or almost no cost-of-living adjustment, Medicare Part B premiums have spiked significantly. TSCL is highly concerned that another Medicare Part B premium spike could occur again in 202Medicare beneficiaries who are not protected by the special provision of law known as the Social Security "hold harmless" provision could get hit with significantly steeper premium costs in 2021, and it may take several years before the majority of beneficiaries see their net Social Security benefit grow again..Unfortunately, it is not as cut-and-dried as "everyone will now pay per month for their insulin." It is much more complicated than that..Representatives Donna E. Shalala, Phil Roe, M.D., Ann McLane Kuster, and Larry Bucshon M.D. have introduced legislation to eliminate out-of-pocket costs for vaccines to everyone under Medicare. Currently, Medicare vaccine coverage is split between Medicare Part B and Medicare Part D. Seniors can access vaccines covered under Part B - such as flu, pneumonia and Hepatitis - with no out-of-pocket costs. However, under Part D, vaccines such as shingles and pertussis often include a cost to beneficiaries..Democrats have delayed the start of the program in part because of its cost and an agreement to limit the overall spending in the Biden budget bill to .5 trillion. There is some talk on Capitol Hill of offering seniors limited vouchers to use toward dental benefits before 2028 as a compromise..While the bill did win approval by the Appropriations Subcommittee this week, its future remains uncertain. Typically, bills that are advanced by Appropriations Subcommittees on Tuesdays are considered by the full Committee on Thursdays. However, the Labor-HHS-Education bill is not currently on the schedule, and Sen. Tom Harkin Chairman of the Subcommittee has said "there are no plans" for a full Committee markup. Some are speculating that, with the November elections looming, lawmakers are hoping to avoid the politically tough votes on amendments that come along with Labor-HHS-Education spending packages.