Discussion on the bill will likely continue into the summer, and TSCL will continue to monitor the ongoing debate. We remain hopeful that lawmakers will address any loopholes that would allow immigrants to claim Social Security credits based on work done illegally. In addition, TSCL is concerned that those with provisional status could have access to Social Security and Medicare benefits before they are granted citizenship. Both of these issues would put an unnecessary and unspecified strain on the Trust Funds, and we will continue to inform Members of Congress about potential issues in the coming weeks. .House Leaders Propose ACA Replacement .The massive cost of both House and Senate tax bills, estimated to add .5 trillion to the deficit, will trigger automatic spending cuts in 2018 due to language in the Statutory Pay-as-You Go Act of 20The Act, commonly known as "pay-go", prevents legislation from adding too much money to the deficit. Because the .5 trillion cost of the bill is not adequately offset, the Medicare program will see billion in cuts in 2018, and other critical programs like Meals on Wheels would see their budgets slashed. Lawmakers have said they will pass legislation early next year to avert these cuts, but that remains uncertain. .The news came from preliminary findings from Oxford University, a co-developer of the vaccine. The research could also bring scientists closer to an answer to one of the big questions about the vaccination drive: Will the vaccines curb the spread of the coronavirus? .Changes in U.S. immigration polices impact the finances of Social Security and Medicare. Policies that expand legal immigration would result in new payroll tax revenues from immigrant workers flowing into Social Security and Medicare, strengthening program finances. On the other hand, policies that provide new work authorization to immigrants who are already working in this country illegally would provide new access to Social Security and Medicare benefits that could be based, at least in part, on earnings worked under invalid or fraudulent Social Security numbers. .The amount you pay for your CT scan will vary by your Medicare Advantage plan and whether you get your CT scan from a preferred provider. You will need to call your plan to learn the out-of-pocket cost details, and to make sure the facility, doctors, and medical technicians performing the CT scan are preferred providers with your Medicare Advantage plan. You could pay considerably more if you use providers who are not under contract with your Medicare Advantage plan. Call the customer service number on the back of your health plan's card, have your questions written down and be ready to take notes. .The Senior Citizens League supports bipartisan legislation that would require Medicare to negotiate lower prices for Medicare Part D, would allow safe importation of prescription drugs from Canada and other countries where the same drugs are often sold for much less, and would ban "pay for delay" deals between drug manufacturers that keep cheaper generics off the market. To learn what you can do to help fight high drug costs, visit . .Throughout his testimony, Elmendorf stressed the fact that programs like Social Security and Medicare will continue to grow despite the slow pace of the economic recovery. Over the next ten years, he noted that the number of Americans over the age of sixty-five will increase by one-third. .Many in Congress have been outspoken about the potential cuts. Last week, a bipartisan group of forty Senators sent a letter to CMS urging administrators to maintain current payment rates in order to protect seniors from potential benefit disruptions. TSCL has also been expressing its concerns to lawmakers, and we will continue to keep a close eye on the issue in the coming weeks. For updates, visit the Legislative News section of our website.