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..Flu vaccination is especially important for people 65 years and older because they are at high risk of developing serious complications from flu. Flu vaccines are updated each season as needed to keep up with changing viruses. Also, immunity wanes over a year so annual vaccination is needed to ensure the best possible protection against flu. A flu vaccine protects against the flu viruses that research indicates will be most common during the upcoming season. Flu vaccines for 2020-2021 have been updated from last season's vaccine to better match circulating viruses. Immunity from vaccination fully sets in after about two weeks..This week, Members of Congress remained in their home states and districts to continue the fall recess. They are expected to return to Capitol Hill following the November elections to begin the lame duck session. Until then, most lawmakers will be attending local events and holding town hall meetings in their home states and districts..Social Security's finances depend largely on payroll taxes, tying the strength of Social Security to the strength of the U.S. economy. The U.S. unemployment rate was more than 13.3% through May. That was worse than the 2009 Great Recession, when the unemployment rate reached a peak of 10.6% in January 20With 20.5 million people out of work, combined with a higher number of new claims for benefits as older unemployed workers turn to Social Security, there will be a significant impact on the finances of the Social Security Trust Funds. The degree of the impact depends on how long it takes to get our economy safely up and running again..Right now, every politician in Washington has his or her eye on November. That is when the voters speak and hold their elected officials accountable..This week, the Social Security and Medicare Boards of Trustees released their highly anticipated annual reports on the financial status of the two programs. In addition, lawmakers remained in their home states and districts to continue the two-week spring recess..Protection of the Social Security Trust Fund Ensuring that the program's assets are locked out of the general budget..Here are some other deductions you might be able to itemize:.The suppressed growth in Social Security benefits not only creates ongoing benefit adequacy issues for retirees, but also Medicare budget problems when the COLA is not sufficient to cover rising Part B premiums for large numbers of beneficiaries. When the dollar amount of the annual Medicare Part B premium increase is greater than the dollar amount of an individual's annual cost of living adjustment, the Social Security benefits of about 70 percent of Medicare beneficiaries are protected by the hold-harmless provision in the Social Security Act. The Medicare Part B premium of those individuals is reduced to prevent their net Social Security benefits from being lower than the year before.