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In a letter to Marilyn Tavenner, the Acting Administrator of CMS, the Medicare Payment Advisory Commission warned that some of the health plans don't have the experience to manage the full range of benefits required by dual eligibles or the capacity to serve large numbers that would be automatically transferred into the plans en masse at the beginning of the program..In order to cover shortfalls - in 2021, and every year thereafter - the Social Security Trust Fund will liquidate the special issue bonds it holds in order to pay scheduled benefits until the program becomes insolvent. According to the Social Security Trustees in 2020, without Congressional action, the combined Social Security Trust Fund will become insolvent around 2034, a little more than ten years from now. At the time of insolvency, Social Security will only receive enough revenues to pay about 77% of benefits. In other words, Congressional inaction could result in an automatic benefit cut of about 23%..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.".TSCL continues to support efforts to lower prescription drug prices and we will be watching this very carefully as things develop in the next few weeks..My doctor prescribed a new drug but, when I tried to fill it the first time, I learned that my drug plan does not cover it. The drug cost close to 0 dollars and I could not afford that! What can I do?.By Jessie Gibbons, TSCL Legislative Director.The study examined the increase in costs of 39 key items between 2000 and January 201The items were chosen because they are typical of the costs of most Social Security recipients, and include expenditures like the Medicare Part B premium, that are not measured by the index currently used to calculate the COLA. Of the 39 items analyzed, 25 exceeded the percentage of increase in the COLA over the same period. "This study illustrates why legislation is needed to provide a more fair and adequate COLA," Johnson says. "To put it in perspective, the same 0 worth of groceries that a retiree household could buy in 2000, can only buy worth today," Johnson adds..TSCL Endorses Social Security Fairness Act.This week, The Senior Citizens League announced its support for two bills that would improve Medicare coverage of certain services. First, TSCL endorsed the Audiology Patient Choice Act, a bipartisan bill that was introduced in March by Senator Elizabeth Warren and Senator Rand Paul. The bill was introduced in the House last year by Representative Tom Rice with the support of several cosponsors.