And it could be worse if inflation is lower and Medicare Part B premiums are higher. Due to a special provision of law known as the Social Security hold harmless provision, when the dollar amount of the Medicare Part B premium increase is greater than the dollar amount of an individual's COLA, the Medicare Part B premium is adjusted to prevent a reduction in Social Security benefits from December of the previous year. Those affected by hold harmless wind up with no growth in their net Social Security benefit after the deduction for Part B premiums. That leaves nothing extra left over to deal with other rising costs such as housing and drug costs..Will money borrowed from the Social Security Trust Funds be repaid in full?.For more.H.R. 1553, Fair COLA for Seniors Act If adopted, H.R. 1553 would base annual Social Security cost-of-living adjustments on the Consumer Price Index for Elderly Consumers..A third order seeks to lower insulin costs and the fourth order would require Medicare to purchase drugs at the same price that other countries pay..Already Senate leaders are making in known that they won't get their work done on time again this year. Senate Appropriations Committee Chairman Richard Shelby said he's ready to move ahead with fiscal 2021 spending bills. But he told his subcommittee chairmen the Senate isn't likely to pass those measures until after the election, in December. Lawmakers expect to pass another stop-gap to prevent a funding lapse in September..TSCL understands that some changes to Medicare may be necessary to secure the long-term future of the program. However, we strongly believe that any changes should be phased in gradually and should not affect those nearing retirement. In addition, TSCL believes that the government must increase its efforts to combat Medicare fraud a growing issue that costs between billion and billion each year..The index used to determine the COLA of retirees does not measure the spending patterns of retirees, but younger workers instead. Retirees, we all know, spend their money differently than younger people and must spend a far bigger share of their budgets on housing and medical costs - two categories of spending that often rise several times faster than overall inflation..The hold harmless provision affects Medicare beneficiaries who have their Part B premiums automatically deducted from their Social Security payments. The law protects the Social Security benefits of those people, about 70% of all Medicare beneficiaries, when an increase in the amount of the Part B premium is greater than the amount of increase that individuals would receive in their COLA. The law prohibits a reduction to an individual's monthly Social Security benefit due to rising Medicare premiums from one year to the next..The hold harmless provision protects people who have their Medicare Part B premiums automatically deducted from their Social Security payments. If the Medicare Part B premium increase is greater than the amount of the COLA increase, then the Part B premium will be frozen to prevent a reduction in Social Security payments. The provision does not apply to new enrollees in 2016, people who pay their Medicare Part B premiums by check, low-income beneficiaries who have their Medicare premiums paid for by state Medicaid programs and high income people who pay premium surcharges.