Medicaid already uses this strategy to lower drug costs, and pays much lower prices than Medicare for the same drug. In June we reported that Medicare spending on the highest price category of prescription drugs, called "specialty drugs," increased from .7 billion in 2010 to .8 billion in 201Spending on the same drugs under Medicaid, the program that provides healthcare for low-income Americans, grew much more slowly over the same period, rising from .8 billion to .9 billion. .The chances for legislation remain strong as more experts say older seniors need a benefit boost to protect them from outliving their retirement resources. Your continued support, letters, and phone calls to Members of Congress make all the difference in building co-sponsorship. TSCL has been instrumental in building support for the Notch Fairness legislation and remains committed to passage. .Analysts are warning about potential drug shortages, but there is a system for checking whether there really is a shortage, using reported shortage tools on the U.S. Food and Drug Administration (FDA) website. You can look up current drug shortages at :https://www.accessdata.fda.gov/scripts/drugshortages/dsp_SearchResults.cfm .Congressional Recess Comes to a Close .For the last few weeks we have reported on President Trump's executive order to allow employers to defer payroll taxes owed by workers, which funds Social Security and Medicare. TSCL is opposed to payroll tax cuts of any kind because they seriously jeopardize the financial viability of both programs. .In recent years, conversations about Social Security reform focused on the need to save funds by cutting benefits. While some lawmakers on Capitol Hill still favor an increase in the retirement age and a reduction in cost-of-living adjustments (COLAs), others have shifted the debate towards a growing retiree savings "crisis" and calling for expanding benefits instead. Three bills in particular would strengthen and modernize the Social Security program while making benefits more generous for all recipients, but especially for those who rely on them the most. These bills have won the support of many in Washington – including The Senior Citizens League: .TSCL strongly supports The PRIME Act, bipartisan legislation that would prevent the loss of billions in Medicare dollars every year. The PRIME act would make it more difficult to misuse Medicare provider billing information used in prescriber fraud. The legislation also requires the Center for Medicare and Medicaid Services and law enforcement to take steps to curb the use of stolen physician identities. .Higher long-term costs for Social Security and Medicare: According to the CBO, people approved for work authorization and Social Security numbers, through policies like Obama's executive action, would be eligible to receive Social Security and Medicare benefits on the basis of their work history. Neither program requires citizenship in order to file a claim. While taxes flowing into the program are estimated to boost the programs in the short term, the CBO noted that periods of unauthorized employment count toward eligibility for Social Security if individuals receive authorization to work. According to the CBO,"The ability or inability of a formerly unauthorized worker to apply those employment periods to future benefits would affect federal outlays for the program. In addition… people who previously paid Social Security taxes under a stolen or fake Social Security number might be able to claim benefits in the future…" .One further reason for the growth is undoubtedly the growth in the primary beneficiary rolls, upon which the benefits of ANP dependents and survivors are based. According to the Inspector General, older non-citizens workers are now at the age and have worked in this country long enough to be potentially eligible to file claims for retirement or disability. The Inspector General has also said that those who worked using invalid, or non-work Social Security numbers issued prior to January 1, 2004, did not need valid work authorization in order to file a claim. Under current law the Social Security Administration uses all earnings, including those for illegal work, to determine entitlement to benefits.