Medicaid is the largest payer of long-term support services such as home care for the elderly, but states are not required to participate in the home and community-based program. .The bill would reduce the number of tax brackets from seven to just four — 12 percent, 25 percent, 35 percent — and would keep the highest bracket at 39.6 percent. It also increases the standard deduction from ,350 (individuals)/,700 (married couples) to ,000 (individuals)/,000 (married couples). While the standard deduction would increase, taxpayers on the other hand would lose personal exemptions — the ones for themselves, a spouse and/or dependents, which currently are ,050 per person. Exemptions would be replaced with a 0 credit through 2022, and eliminated thereafter. .For nearly 30 million Americans, access to a trauma center is over an hour's drive. It's no exaggeration to say the fate of health care programs for rural America could mean life or death for the communities that feed, fuel, and clothe the rest of the country. .The pending cuts are due to a rule, the PAYGO Act, which was passed in 2010 and which corrects for additions to the federal deficit by automatically cutting funding from certain departments and programs. ."This is the right time to act. Our trust funds are approaching insolvency even more quickly because of the pandemic," Senator Mitt Romney (R-Utah), who is leading the effort, said last Monday on the Senate floor. "It is far better to prepare and hopefully prevent a crisis than wait for a crisis to fall upon us." .While employment plunged at the height of the recession in 2009, new data from the Social Security Administration (SSA) suggests that millions of illegal immigrant workers hung onto their jobs. Employers sent in 7.7 million wage reports of workers whose names and Social Security numbers (SSN) don't match those on the SSA's files for 200The "mismatched" wage reports are frequently caused when the SSA receives copies of W2s for illegals who work under stolen, false or invalid SSNs. Although employment among illegal workers appears to have declined in 2009, the number of such "mismatched" wage reports that the SSA received from 2000 - 2009 averaged 9.5 million per year. .Planning healthcare costs is extremely important, but not an easy task. According to the Kaiser Family Foundation, healthcare expenses, on average, accounted for nearly 15 percent of Medicare household budgets in 200But even if you're in good health today, you're not out of the woods. The amount you spend on healthcare not only grows every year, but your need for more healthcare services increases with age. .Members of the committee questioned several witnesses at Thursday's hearing, including Dr. Janet Woodcock (Director at the Center for Drug Evaluation and Research at the Food and Drug Administration), Nancy Retzlaff (Chief Commercial Officer of Turing Pharmaceuticals), and Martin Shkreli (founder and former Chief Executive Officer of Turing Pharmaceuticals). .In 2013 the Social Security Office of the Actuary released an actuarial note regarding providing information of the effects of unauthorized immigration on the status of the Social Security Trust Funds. The Office of the Actuary stated that it has difficulty "in determining what portion of taxes paid to and benefits received from the Social Security Trust Fund are derived from the earnings of immigrants working without authorization." The obtuse note was frustrating to dissect as there was no discussion on the reasoning behind assumptions and there was no attempt to estimate the long-term cost in Social Security benefits of unauthorized work. Here are some eye-opening points that the Office of the Actuary did provide: