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Several provisions within the H-CARE act include; increasing payments to Rural Health Clinics, authorizing to million annually for grants to rural providers to help with the cost of implementing health information technology, requiring prompt payment to rural pharmacies by Medicare prescription drug plans and ensuring that rural Americans are appropriately represented on the Medicare Payment Advisory Commission..Dining On A Social Security Budget.Is this fair? Should Congress change the indexing of the Social Security COLA to strengthen Social Security benefits? Click here to take our new 2019 Social Security survey.."For this group of Medicare beneficiaries, this will also be the largest Medicare Part B increase in five years after premiums remained relatively flat since 2013," says Mary Johnson, a Social Security and Medicare Policy Analyst for The Senior Citizens League. The jump in premiums is due to a special provision of law known as "hold harmless," which protected millions of Social Security recipients from reductions to their Social Security benefits in 2016 and 2017, when then the annual - cost - of - living adjustments were zero and just 0.3 percent, respectively..In addition, according to the CBO's analysis, around 15 million fewer individuals would receive coverage through the Medicaid program, which currently covers the cost of long-term care for one in five Medicare beneficiaries. The BCRA would do away with the current Medicaid reimbursement system where the federal government matches state Medicaid expenditures and replace it with a new formula that would be tied to inflation. If costs grow more quickly than reimbursements as they are expected to, states would likely need to cut benefits, increase taxes, or restrict Medicaid eligibility..The provision would ban earnings from jobs worked without legal authorization from being used to determine entitlement to Social Security benefits and for calculating the amount of initial benefits, legislation that TSCL and TSCL's grass roots members have long supported. TSCL's Legislative Assistant, Jessie Gibbons delivered a letter from Chairman, Larry Hyland, expressing TSCL's support for the amendment to Senators Hatch and Rubio..Social Security For Dummies, Jonathan Peterson, October 2017..Survey participants were asked: "Since the start of 2021, which of the following budget categories increased fastest in your household?".President George W. Bush proposed overhauling Social Security into a system of private accounts that would be invested in the stock market. The proposal never was passed into law, due to its unpopularity with the public. Before the proposal could gain traction, the Great Recession pounded the stock market, bringing a temporary end to the idea of investing Social Security payroll taxes into private individual retirement accounts. Between the peak of the stock market on October 9, 2007 and the low in March 2009, equity prices fell 50 percent, proving to many that the fixed benefit structure of Social Security is still desirable.