4 in 10 beneficiaries rely on Social Security for the majority of their income. .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. .However, it differs from the House version which means it must go back to the House to see if it will agree with the changes that were made. .Separately, the House Ways and Means Committee Means Committee approved the largest expansion of Medicare since the addition of drug benefits two decades ago. .The second issue is the COLA – specifically next year's COLA. .Indeed, the Social Security Administration does not "promise" a specific amount of benefits, but they do not promise to replace a specific percentage of pre-retirement earnings either. Both benefit amounts and "replacement rates" can change at any time if Congress and the Social Security Administration deem it necessary. Prior to the 1977 changes, the replacement rate was not a stable percentage. For people who retired under the 1972-73 flawed formula (those born 1913 through 1916), replacement rates grew from 39% to a high of 54%. The new benefit formula led to a lower, more stable replacement rate of about 43%, as well as lower benefits. .The situation can be potentially dangerous for Medicare beneficiaries and their families. If you are approached or receive a call by someone offering money, free services, free groceries, free transportation or TVs for your Medicare number, say no. If you suspect fraud, Medicare has an area on its website where you can report fraud. .In Washington, my priority is helping improve the lives of the American people, and that includes addressing our nation's retirement system to ensure it serves our seniors more effectively. One way Congress did this was by passing the Setting Every Community Up for Retirement Enhancement (SECURE) Act of 201This bill, which passed with my support, will streamline and update our nation's retirement system in several ways, including removing the age limitation on IRA contributions, increasing access to retirement plans by allowing small businesses to join together to offer plans, and allowing penalty-free distributions from a retirement account for the birth or adoption of a child. This legislation isn't perfect, but it is a step forward, and I am glad the SECURE Act was passed into law at the end of 201While approximately half of American households still don't have an option for work-based retirement plans, as a nation we must continue to work to advance access to retirement savings vehicles and decrease barriers to entry for small employers who want to offer savings plans to their employees. .It's smart to compare your health insurance options. Your Initial Enrollment period for Medicare begins three months before you attain age 65, the month you turn 65, and ends three months after you attain 6If you decide in favor of starting Medicare as soon as you are eligible, then you would want to shop and compare coverage costs now.