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"Medicaid plays an essential role for both low - income older Americans and middle -income seniors made poor by their health care costs," Johnson notes. Medicaid benefits can include paying premiums and out - of - pocket costs for Part B coverage. It is also the primary payer of costs not covered by Medicare, including nursing home care..TSCL is highly concerned about the Totalization Agreement since it would likely add billions in costs to Social Security and drain Social Security benefits from American citizens who retire in the future. The Agreement would also increase exponentially the number of foreign workers claiming Social Security benefits. Social Security law currently allows non-citizens, who at some point obtain work authorization and a valid Social Security number, to claim benefits. Under current policy, Social Security uses all earnings regardless of a workers' legal status at the time the work was performed, to determine entitlement to benefits - including earnings while working illegally in the U.S. Such work could have been done while using an invalid or even fraudulent Social Security number. Several Members of Congress have introduced legislation that would prevent the Totalization Agreement from moving forward and that would give Congress more oversight over Totalization agreements with other nations. In addition, anti-Totalization legislation opposes Social Security benefits going to those who worked in the United States while illegal..In the coming days, TSCL will be keeping a very close eye on the movement of the omnibus spending bill. If lawmakers fail to reach an agreement before the December 11th deadline, the federal government will shut down once again, potentially impacting the timeliness of Social Security checks and reimbursements to doctors who treat Medicare patients..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..One TSCL member Barbara B., 75 of Indiana recently told us: "It's been 36 months since I've had any raise in my net operating Social Security, but my actual household costs continue to go up. This isn't fair to retirees." Barbara, who is now 75, retired 9 years ago. Like many seniors around the country, she feels that her Social Security benefits are not keeping up with inflation..Retirement accounts allow your savings to grow tax-deferred, but the rules change when you turn age 70 ½. At 70 ½, traditional IRAs require the owner to take required minimum withdrawals and you can't contribute any more savings. But you can still continue to put money into other types of retirement accounts, including Roth IRAs and some types of 401s, as long as you have earnings from jobs..Republican lawmakers are voicing deep skepticism about passing another round of ,200 rebate checks as they contemplate the next and possibly final stage of coronavirus relief legislation..Because of age-related changes in their immune systems, people 65 years and older may not respond as well to vaccination as younger people. Although immune responses may be lower in older people, studies have consistently found that flu vaccine has been effective in reducing the risk of medical visits and hospitalizations associated with flu..Medicare Part B premiums jumped .10 per month in 2020 - one of the biggest increases in recent years. While the Social Security cost-of-living adjustment increased benefits by 1.6 percent in 2020, Medicare Part B premiums climbed 6.7 percent, more.