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Under the proposed House budget resolution, a Social Security "reform trigger" would be pulled in any year the Social Security Trustees determine the 75-year actuarial balance of the Social Security Trust Fund is in deficit. The resolution would also put any legislation on an expedited schedule for passage..As was noted in last week's update, the AHCA would reform the current health system and negatively impact older Americans in several ways. It would restructure the Medicaid program, which funds nursing home care for many qualified Medicare beneficiaries. It would base premium subsidies on age instead of income, while allowing private health insurers to charge older Americans five times more than they charge younger folks for their coverage. And it would deplete Medicare's Hospital Insurance Trust Fund by eliminating two revenue sources that the ACA created, creating a funding crisis for the program..An estimated 39 million Medicare beneficiaries spend up to 29 percent of their Social Security benefits on healthcare costs, according to a new survey by The Senior Citizens League. "That's a huge chunk of one's household budget, and chances are that many of those people are paying too much for premiums, deductibles, and out of pocket costs," says Mary Johnson a Medicare policy analyst for The Senior Citizens League. "One of the best financial moves that Medicare beneficiaries can make is to review health and drug plan coverage and compare options during Medicare's Fall Open Enrollment Period, which starts October 15 and runs through December 7, 2021," Johnson says. "For many people, it could potentially save hundreds of dollars, making the difference between having to split pills or going without, versus to covering all prescriptions and still winding up with a little cash left over," says Johnson, who helps her friends and family with the task..The orders are not immediately enforceable. Health officials have been working on ways to implement some of the proposals - namely guidelines for states to implement importation plans. But it is unlikely that any could be finalized before the November presidential election, particularly since the most favored nation plan would not progress for at least a month..Notch Bulletin: Why were we singled out? I turn 84 this year and am having problems making ends meet. Still, I'm very interested in NOTCH reform. Why were we singled out for less Social Security ?.Most Americans contribute 6.2% of every paycheck to Social Security, but due to the taxable maximum earnings cap, wealthy individuals earning more than 8,500 pay nothing above that amount. Do you support increasing or eliminating the maximum taxable earnings limit to make the program more solvent?.To contact Social Security, you may call toll free at or visit the website at..I'm turning 65 later this year and my dentist tells me that I will need dentures. Does Medicare cover dental services?.According to an analysis performed for TSCL, monthly benefits between 2009 and 2016 are 13% lower than they would have been if inflation had been closer to the more typical 3%. For the typical retiree with an average monthly benefit of ,117 in 2009, Social Security benefits are about 9 per month lower this year, according to the analysis. The analysis calculated that, since 2009, people with average Social Security benefits have lost ,575 in total Social Security income over the past 7 years.