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At the hearing the top Republican on the committee, Steve Womack of Arkansas and other Republican lawmakers said that Congress will need to limit the growth of Social Security, Medicare and Medicaid, which they referred to as "major mandatory programs.".When it comes to the big drug companies, they do not want limits on the costs of the drugs they manufacture. That is why they make so many campaign contributions..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..The object is to provide at least 300 million doses of a coronavirus vaccine by January 202In most of the agreements with the drug companies, the Department of Health and Human Services says the vaccines will be given to the American people for free if part of a vaccine campaign. Once the vaccines are approved, the program is intended to quickly deliver them to as many people as possible. The federal government has said it will cover the cost of delivery, but health-care providers can charge to administer the vaccine..Last year the Senate was a bigger problem when dealing with passing legislation but there still may be hope this year for a bi-partisan bill authored by Senators Ron Wyden and Chuck Grassley. "The bill would cap seniors' drug costs and penalize drugmakers for raising prices too fast - a provision that many Republicans have likened to price controls. It would save the government a projected billion over a decade, far less than the 0 billion-plus under the House negotiation bill," according to Politico..Low-income seniors, including about one-quarter of all Notch Babies, may be feeling the effects of the expiration of federal stimulus funding for Medicaid that ended recently. The recession drove up Medicaid enrollment sharply, but the federal government stepped in with extra funding to help states cover the costs. Increased enrollment and decreased funding have led states to eliminate some benefits and increase the co-payments they charge..The Social Security Trust Fund is the single largest holder of U.S. debt. In the past, when more payroll taxes were received than required to pay benefits, the surplus was by law, used for other purposes. The federal government accounted for borrowing the funds by issuing I.O.Us from the U.S. Treasury to Social Security or Medicare Trust Funds. In recent years, the program's financing reversed and now both Social Security and Medicare Trust Funds are paying out more in benefits than money coming in. Both now rely on drawing down the interest and then the I.O.Us. But when the rest of the federal budget is in deficit, the government must borrow to pay Social Security and Medicare benefits. And according to a growing number of economists, those borrowing days are numbered..Since 2000, COLAs have increased Social Security benefits a total of 53 percent, yet typical senior expenses grew almost twice as fast - 99.3 percent. Table illustrates ten of the fastest growing costs since 2000. Where no average prices are available, numeric values from the U.S. Bureau of Labor Statistics CPI-U are used. Table shows the fastest growing costs from January 2019 to January 2020..Higher Medigap costs: Experts say that beneficiaries with Medigap supplements tend to use more services than those without such coverage. Currently the plans often cover part or most of the deductibles and the co-insurance. Lawmakers from both parties propose requiring beneficiaries enrolled in Medigap plans to pay more through higher deductibles and co-payments. President Obama's 2014 budget plan called for imposing a new surcharge on beneficiaries who buy Medigap plans in 2017.