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In addition, since 1992 there has been a significant change to the government's bottom line. For the government fiscal year ending September 30, 2000, the Congressional Budget Office reported a surplus of 6 billion- billion of which comes from non Social Security revenues. The CBO estimates the 10-year non-Social Security surplus to be about .1 trillion..The CBO estimated that, the American Health Care Act, introduced in March, would cut federal spending on Medicaid by nearly 0 billion over the 2017 2026 period. The CBO estimated that, by 2026, Medicaid spending would be about 25 percent less than projected under current law, yet Medicaid spending growth would exceed the rate of growth of the inflation adjustment. "With costs growing faster than reimbursements, states would have to come up with the money in some other way or be forced to cut services, restrict eligibility for enrollment or otherwise ration care," says Johnson.".Here's an example of how it might work in 2021, assuming you start work on February 1, 202Let's assume you are entitled to a Social Security benefit of 0 per month. You work and earn ,200 during the year. Your Social Security benefit would be reduced by ,120. You would receive only ,680 of your ,800 for the year..A majority of the 54 million senior and disabled Americans who receive Social Security depend on it for at least 50 percent of their total income, and one in three beneficiaries rely on it for 90 percent or more of their total income..About 28% of all Medicare beneficiaries are enrolled in Medicare Advantage Plans. United Health Care, the largest Medicare Advantage insurer in the nation, recently dramatically cut the number of doctors in its plans this year. TSCL remains highly concerned that more plans will follow suit next year as successive cuts kick in..Recently a journalist, familiar with my estimates of cost-of-living adjustments, contacted me for my thoughts on the topic. Did I think we were staring down rising inflation? I told him that I needed to see more data..New legislation before the House and Senate would repeal the Windfall Elimination Provision and the Government Pension Offset so that public servants receive the Social Security benefits they have earned and deserve. Will you cosponsor the Social Security Fairness Act when you return to Washington?.This week, action on Capitol Hill slowed down as the House of Representatives adjourned for a holiday recess, and the Senate focused on legislation to reauthorize programs within the FDA. Meanwhile, TSCL expressed support for a new House resolution, introduced by Rep. Scott Rigell..TSCL enthusiastically supports H.R. 1902 and H.R. 2016, and we were pleased to see support grow for them this week. For more information on the status of the bills, visit the Bill Tracking section of our website.