TSCL believes the increased use of observation stays is denying Medicare beneficiaries access to medically necessary skilled nursing care. All days spent in a hospital should count toward Medicare's three-day hospital stay requirement. TSCL supports the Improving Access to Medicare Coverage Act (H.R. 1179) introduced by Representatives Joseph Courtney (CT-2) and Tom Latham (IA-3), and (S. 569) introduced by Senators Sherrod Brown, (OH) and Susan Collins (ME). The legislation would deem time an individual spends under observation status eligible towards satisfying Medicare's three-day requirement. .Should seniors with Medigap supplements that provide "first dollar coverage" be required to pay more up-front? Should Medicare continue to pay for services based on medical necessity, or should the government change to a system "based on evidence of the value of services?" Congress may be debating these questions this month when the Medicare Payment Advisory Commission (MedPAC) issues its June report to Congress. The idea is to make Medicare beneficiaries "think twice" before scheduling doctor, outpatient services, or hospital stays in order to reduce government spending on Medicare. .In 1977 Congress enacted changes to the Social Security benefit formula that affected seniors just two years from first entitlement to Social Security. A transitional formula supplied by Congress to phase in the changes, failed to prevent abrupt cuts and big disparities – as much as 1.80 per month in the well – publicized case of two sisters who worked for the same company. .The Medicare Hospital Trust Fund is Running Out of Money .In other words, next year's COLA could be calculated based at least in part on guesses. That could be disastrous for seniors. .How do I go about writing my Congressman and Senators? .To get information about Medicare supplement premiums, first select the plan offering the coverage you are interested in, "A" through "N". You can find a listing of these plans on page 82 of the 2017 Medicare & You handbook but not all states will have all plans. Once you have chosen the plan then you can simply compare premiums between insurers. The coverage for each type of plan is just the same, but premiums between various insurers can vary tremendously. .Tax Plan Moves to Conference Committee .The value of my 401(k) fell in March of this year and still hasn't fully recovered. I turned 70 in April. Will I be forced to sell investments at a loss in order to withdraw the required minimum amount?