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So far critics of the program have not convinced CMS to pare down the size of the demonstrations and states winning approval will get the green light to start shifting patients into managed care plans starting next year..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..Earlier this year, after passing a .9 trillion tax bill in December and a .3 trillion spending package in March, leaders in the House called for a vote on a balanced budget amendment to the constitution that could have been disastrous for your Social Security and Medicare benefits. The amendment ultimately failed in the House, thanks to the voices of concerned citizens like you, but many lawmakers have said they aren't giving up on the drastic measure..Here are three good books to help you get up to speed:.At a prescription drug forum in Central Virginia in November 2019, I heard from seniors who share these feelings. They're tired of seeing their drug costs rising. They're tired of having no way to understand why these prices continue to spike, and they're tired of lawmakers who refuse to act on an issue that impacts millions of seniors and families across our country each day..Investing in an advanced aide role for DWCs will not only lead to less institutionalization and fewer re-hospitalizations, but will improve quality of life for seniors and reduce costs, reducing the overall burden on the health care industry. Seniors deserve to stay in their homes as they age, enjoy a high quality of life, all while receiving high quality, cost-effective care. The Advanced Aide Act will ensure that this is attainable..To avoid the fee in 2014, you need insurance that qualifies as minimal essential coverage. If affordable insurance is not available through your employer, you can shop for health insurance through your new state health insurance exchange, or market place. Middle to low income people who buy coverage through the exchanges will also get government subsidies in the form of advance refundable tax credits to help pay the premiums. These tax credits are only available if you buy coverage through the exchange. You aren't supposed to get the subsidy if you have an offer of insurance from your employer that meets the standards. You qualify for the subsidy if your income is less than 400% of the federal poverty level. So the qualification level is about ,000 or less for an individual and ,000 or less for a family of four in 2013..Will higher-income workers pay their fair share of taxes to Social Security?.Two Ways and Means Subcommittees held hearings on reforming Medicare and Social Security this week. On Tuesday, the Health Subcommittee heard from a panel of experts on Medicare reform, and on Thursday, the Social Security Subcommittee met to discuss potential changes to the program.