It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .Mismatched earnings reports remain in the ESF until SSA obtains evidence to link the unidentified earnings to a valid SSN — a process termed "earnings reinstatement."(14) When SSA encounters reports that don't match its records, SSA goes through an involved, and time-consuming attempt to make a match. Reinstatements can occur any time, even years later. .TSCL Estimates 2019 Social Security COLA .According to the Urban Institute, parents who take paid leave one time would see a 3.2 percent cut in their future Social Security benefits, and parents who take paid leave two times would see a benefit cut of around 5.5 percent. Those who take four paid leaves would see permanent Social Security benefit cuts of around 10 percent in retirement. .The Senior Citizens League is proud to have endorsed the BENES Act, and we hope the Senate Aging Committee will work to enact this legislation by the end of this year. To stay updated on the progress of the BENES Act, visit the Bill Tracking section of our website. .[1] Social Security Policy Options, Congressional Budget Office, July 2010, page 18. .In addition, the AHCA would repeal a tax created by the ACA that serves as a critical funding stream for Medicare's Hospital Insurance Trust Fund. Cutting the tax would accelerate the insolvency of the Medicare Part A Trust Fund, and in a matter of a few years, it would become exhausted. In a Washington Post opinion piece, former Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) Andy Slavitt wrote, "That's clearly no accident: The program would wind up right where ‘entitlement hawks' such as House Speaker Paul D Ryan (R-Wis.) want it – in crisis. If this bill became law, the speaker would finally be positioned to change Medicare to a voucher program." .My sister's son-in-law lost his job several years ago, and not long after filed for disability. My sister says that after a recent tornado, he made "good" money cleaning up storm damage. I thought disability rules disqualified people from benefits if they work. Has this changed? .In some hard-hit states, inspectors conducted remote surveys rather than going into nursing homes, a process that involved speaking to staff by phone and reviewing records. In Pennsylvania, for example, inspectors conducted interviews and reviewed documents for 657 facilities from March 13 to May 15 — most of which was done remotely.