Millicent Graves of Williamsburg, Virginia recently was shocked to discover an astounding price range in the same generic drug after her doctor prescribed a different form of Clobetasol propionate, commonly used to treat psoriasis. When she filled her previous prescription in December of 2014 for the Clobetasol solution, she paid — the full retail cost. But when filling the first prescription for Clobetasol foam in 2015, Graves discovered the retail cost was 5.8And five weeks later when she refilled her prescription for the foam, the cost had jumped dramatically— to 7, making the total difference in price between the solution and foam 1,691%. "When I looked at the receipt I almost passed out," she says. "Everything is the same as the first bottle! It's price gouging," she says. .To stay updated on the progress of prescription drug legislation, check back every Friday morning to read our weekly Legislative News summary. .Medicare Advantage, and its predecessor Medicare+Choice —both known as Medicare Part "C" — however, has no clear track record of saving the government money. In fact, for a number of years, Medicare Advantage cost more than traditional Medicare. .This week's announcement from SSA came as concerns from the Administration were rising about pending budget proposals before Congress. Lawmakers in the House have proposed more than 0 million less than the requested amount for administrative duties. SSA has said that if their proposal were to take effect, they would be forced to implement immediate furloughs, hiring freezes, and temporary office closures. .For example, you may want to suggest that your sister put a simple plan into writing. The plan should outline how she wants to live. It's important for your sister to consider who is going to take care of her, if there's an emergency, or, if she needs someone to drive her to or from doctors' appointments. Do you have such a plan for your own long-term care? Perhaps this is something the two of you can do together. Your sister is not too young to start her plan. In fact, age 78 is an ideal age to put a plan in place, and, even to consider moving into a senior living community. .He said the out-of-pocket costs that patients are paying need to be fixed and that pharmaceutical company executives would be willing to help cover the cost of such reform. However, he said they want to ensure their contributions would go directly toward lowering patient costs and not into the federal budget to be used for other things. .This week, Members of Congress remained in their home states and districts for the month-long August recess. .The basic science that has allowed the small company to move so rapidly was developed with a huge prior infusion of federal money to come up with a treatment for diseases like Zika. .TSCL believes a better approach to Medicare Advantage "risk adjustments" is needed, and should be written into law, rather than left to the discretion of politically appointed Medicare administrators. Congress could do this by writing a method for calculating the adjustment into the law. This approach would make payment for MA plans more like payment for other Medicare providers.