What Was I Thinking? .The billion could be financed without taking money from the Social Security Trust Fund. One way is through reduction of pork barrel spending and government waste. In the fiscal year 2001 budget alone, pork "watch-dog" Senator John McCain (AZ-R) estimated that the government would spend a record billion in pork-barrel projects. .Rep. Rosa DeLauro (CT-2) introduced H.R. 4998 on June 26, 201It has since been referred to the Committee on Ways and Means. .While President Obama spent much of his speech to the nation discussing economic policies, he did take the time to direct a message to legislators in attendance. The President pleaded that lawmakers send him immigration reform legislation that would enable illegal immigrants to earn their citizenship so he could "sign it right away." President Obama said he is "prepared to make reforms" that would "rein in the long-term costs" of Social Security, Medicare, and Medicaid programs. .In our meetings on Capitol Hill, we're frequently told that Notch reform would more likely be addressed when Congress takes action on comprehensive Social Security reform, as it appears to be interested in doing now. TSCL is meeting with Members of Congress to ensure that Notch Reform is considered. .Medicare Advantage plans have somewhat different costs. If the stay is considered observation care, however, that is covered under Medicare Part B, which means you will have a copayment for each individual outpatient hospital service. In addition, Part B doesn't cover most prescription drugs that are received in an outpatient setting. Perhaps even more importantly, the lack of inpatient status also disqualifies you from receiving Medicare-covered care in a skilled nursing facility or nursing home. .As seniors know from experience, even as we face ever-higher prescription drug prices every year, we face increased Medicare premiums but also reduced Social Security COLAs. .Social Security Notch Reform – Work towards benefit equality for Notch victims. .The future of the AHCA remains uncertain in the House, and in the Senate, lawmakers have been even more cautious about its prospects. On Wednesday, Senate Majority Whip John Cornyn (TX) said: "Once [House lawmakers] pass the bill, my assumption is, the Senate's going to take a look at it but not necessarily be rubber-stamping what they're proposing. I would anticipate that we'll do what we used to do all the time which is, the House will pass a bill, we'll pass a bill, and then we'll reconcile those in a conference committee."