On June 3, 2011, the House Ways and Means Subcommittee on Social Security held a hearing on the Annual Trustees Report. The Subcommittee heard from the two Public Trustees of the Social Security and Medicare Board: Charles Blahous III and Robert Reischauer. .Last year the House of Representatives passed major legislation to lower drug prices that included giving the Secretary of Health and Human Services (HHS) the authority to negotiate for lower drug prices with drug companies. ."It's outrageous to say that COLAs overpay seniors and the disabled," Hyland says. "To the contrary, COLAs already grow too slowly to provide the protection to Social Security benefits they're intended to," he points out. .Last week White House Chief of Staff Mark Meadows announced that President Trump would soon be signing three executive orders regarding prescription drug prices. While he did not provide any further information the Washington Post published an article about what one of the orders is likely to be. .Should lawmakers fail to reach an agreement before midnight on Friday, April 28th, a federal government shutdown will occur. TSCL hopes that Congress will avert a shutdown since Social Security and Medicare beneficiaries would see negative impacts if one were to occur. We will be monitoring the negotiations closely in the coming hours and days and will post progress updates on Twitter. .Deficit hawks on Capitol Hill agree that the current inflation index is inaccurate, but instead of adopting a method that actually measures seniors' spending, many have been advocating for an index that would further trim COLAs. The "chained" CPI has been lauded by lawmakers on both sides of the aisle – including President Obama – as a small technical correction that would factor in the substitution that occurs when the prices of certain goods increase. However, since medical care – a major expense for seniors – cannot be substituted for something cheaper, this index would unfairly affect them. After ten years, adopting the "chained" CPI would result in an monthly benefit cut for the average retired couple, and that loss would continue to compound. .Who are these beneficiaries? The Inspector General's report refers to these beneficiaries as dependents and survivors of other Social Security beneficiaries and subject to the Social Security Alien Nonpayment Provision (ANP) law. The ANP forbids payment of retirement, survivor and disability benefits when non-citizens have been outside the United States for more than 6 months. But as is so often the case with Social Security law, there are several exceptions; for example, if the non-citizen is from a foreign country that has its own social insurance system and meets certain conditions. Mexico is on the list of countries that meet the conditions of the exception. .This study illustrates why legislation is needed to provide a more fair and adequate COLA. To put it in perspective, for every 0 worth of groceries a retiree could afford in 2000, that individual can only buy worth today. .Unlike most of the top 10 causes of death, such as heart disease and cancer, which are covered in large part by Medicare, Alzheimer's care comes with extraordinary costs that are not covered. Medicare covers medically necessary inpatient hospital care, doctor's fees, outpatient services such as blood tests, and Part D covers many prescription drugs. However, a dementia diagnosis most often requires custodial care, like help bathing, eating, dressing, and supervision. Medicare does not cover custodial care.