Over one million Medicare recipients in my home state of Indiana would face reductions in choice and difficulty receiving care if provider incentives are cut. Instead of reducing access to healthcare, it is time to shift focus to the big picture of improving the economy through job creation so more people are able to contribute to their own healthcare. It is not time to chip away at benefits to the men and women who built this great country. Individuals who contributed to Medicare for decades rely on that investment for their well-being. .In addition, we will be urging lawmakers to adopt legislation that would result in more fair and accurate COLAs in the future. Several bills before Congress would accomplish this, including the CPI-E Act (H.R. 3351), the Guaranteed 3% COLA Act (H.R. 3588), the Social Security 2100 Act (S. 1904, H.R. 1391), and the Social Security Expansion Act (S. 731). TSCL believes each of these bills would go a long way in ensuring the retirement security seniors have earned and deserve. .Many observers believe the plan will likely include a combination of tax increases and benefit cuts for Social Security. Some of the most commonly mentioned proposals are: (1) switching to the chained Consumer Price Index (CPI) to calculate Social Security COLAs; (2) lifting or raising the cap on income which is subject to Social Security taxes; and (3) raising the Social Security retirement age. Switching to the chained CPI alone would both reduce initial benefits and cut lifetime Social Security benefits by more than 10%. .TSCL's Endorsement Sought for Social Security Bill .This week, the Obama administration released its much-anticipated 2013 budget proposal, and the House-Senate conference committee compromised on a deal to prevent payment cuts to Medicare physicians and extend the payroll tax holiday. In addition, four new cosponsors signed on to the Social Security Fairness Act. .Not only does this put unwitting retirees' Medicare number in the hands of crooks who can then resell it to be used to file more false claims, but it can cause Medicare to deny future coverage for genetic testing when it's really needed, because the patient's record will show the test has already been performed. .You will still need to follow guidance at your workplace. .In 2016 your Part B premium would be 1.80 per month if your family income is under 0,000. (If income is higher beneficiaries pay higher Medicare Part B and Part D premiums.) In addition you will need to decide whether to purchase a Medigap supplement and enroll in a Part D plan for drug coverage, or to enroll in a Medicare Advantage plan that includes Part D coverage. .In addition, the agreements allow workers who split their careers in two or more nations to combine or "totalize" work credits from both countries. That allows them to become eligible for retirement benefits proportional to the amount of credits earned in either country. Although the U.S. has 24 such totalization agreements, most are with countries like the U.K. and Canada that have economies similar to ours. At issue in totalization with Mexico is whether millions of immigrants who have worked in this country without legal work authorization, along with their family dependents, would become eligible for U.S. Social Security benefits under the agreement.