However, taking this action would cause at least two difficulties for the President. Signing legislation to reduce Medicare spending on the drugs would generate official budget savings that Congress could have applied to other health-care legislation -- bills to expand insurance coverage or reduce other drug spending, for example. Executive action taken before a bill's passage would remove a key bargaining chip, and likely reduce the scope of a health-care bill expected in the coming months. .We know that other prevention steps help stop the spread of COVID-19, and that these steps are still important, even as vaccines are being distributed. .In the meantime, TSCL would like to remind you that many Senators and Representatives will attend local events or schedule town hall meetings while they are in their home states and districts, giving constituents an excellent opportunity to voice their concerns. We encourage you to approach your Members of Congress and request their support for fair cost-of-living adjustments, Notch fairness, a permanent "doc fix," and other key issues. .Some issues of controversy inevitably arose at Thursday's hearing, but common ground was also found on the important issue of corporate tax reform. The Joint Committee, which must hold a vote on its final proposal before Thanksgiving, will likely hold a third public hearing in the coming weeks. TSCL will continue to monitor its progress. .The resolution's authors wrote, "Our plan would strengthen Medicare by offering future seniors guaranteed-coverage options – including traditional Medicare – regardless of pre-existing conditions or health history. All seniors will have the support they need to get the care they deserve." .No change to 401(k)s or IRAs: Prior to enactment, concerns were high that tax reform would restrict the amount of pretax contributions working people could make to workplace retirement accounts. Congress did not do this, and the tax rules affecting these accounts, for the most part, remain the same. .Enrollees in Medicare Advantage (MA) plans should take a careful look at changes in their health plan for 201These Medicare health plans have new leeway to offer new supplemental benefits. While some of the new benefits may be valuable to some families, other changes, which give plans greater leeway to "tier" the co-pay structure for healthcare providers, may mean higher out-of-pocket costs when non-preferred or out-of-network providers are used. .Social Security Notch Reform – Working towards benefit equality for older Americans. .TSCL is also concerned about the debt limit because in prior debates to lift the ceiling, Social Security benefits have been used as a bargaining chip, and retirees have seen unexpected benefit cuts. For example, in 2015, following the passage of the Bipartisan Budget Act, millions of seniors already eligible for Social Security benefits learned a popular claiming method called "file and suspend" would no longer be available to them. The unexpected change received no public debate, it went into effect almost immediately, and it hit seniors who were just months away from retirement.