A huge inconsistency between U.S. immigration law and Social Security threatens to undermine the income security of millions of U.S. senior citizens and the disabled. In 2004 Congress passed legislation requiring immigrants to have work authorization at the time a Social Security number is assigned or at some later time, in order to become entitled under Social Security.(1) Therefore, immigrants who obtain authorization to work in this country may eventually claim benefits based on all earnings. .In addition, the AHCA would repeal a tax created by the ACA that serves as a critical funding stream for Medicare's Hospital Insurance Trust Fund. Cutting the tax would accelerate the insolvency of the Medicare Part A Trust Fund, and in a matter of a few years, it would become exhausted. In a Washington Post opinion piece, former Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) Andy Slavitt wrote, "That's clearly no accident: The program would wind up right where ‘entitlement hawks' such as House Speaker Paul D Ryan (R-Wis.) want it – in crisis. If this bill became law, the speaker would finally be positioned to change Medicare to a voucher program." .Our surveys are the key means to educate the public on issues, and for Members of Congress, to gauge how people think. Survey results can turn up the heat during an election year. This month, TSCL launches our annual 2020 Senior Survey, and we urge you to participate. This is our most important survey of the year, and your responses count. .Food and Drug Administration Issues Vaccine Fraud Alert .The federal contribution would be redirected from disaster relief money at the Federal Emergency Management Agency (FEMA). Those funds are not likely to last more than two months, and the President did not say when the benefits would kick in. .The vast majority of illegal immigrants come to this country for jobs. To obtain one, they need documentation to show an employer. There's a huge underground business in the manufacture and distribution of phony or even stolen Social Security numbers (SSNs). According to media reports, counterfeit SSNs and papers can be purchased on the streets for under ,000. .Over the past five years, the Social Security cost-of-living adjustment (COLA) has reached an all-time low, averaging just 1.5 percent. Seniors, however, have reported that their living expenses are higher than ever. In fact, The Senior Citizens League (TSCL) has found that seniors have lost almost one-third of their purchasing power since 2000, and their expenses have increased more than twice as fast as the annual COLA. Today, it is more clear than ever that the Social Security COLA is failing to help seniors keep up. .Even though Medicare recipients getting these services may stay in the hospital overnight or longer, getting the same nursing care, lab tests and drugs as they would if inpatients, their bill will be calculated very differently. Patients admitted for in-patient stays usually are responsible for the Medicare hospital deductible of ,484 for a stay of up to 60 days. They may also pay 20% of doctor charges. Many people have Medigap or Medicare Advantage plans that cover much or even all of this expense. Outpatient services, on the other hand, are charged differently, with the patient paying 20% of the Medicare approved amount for each service. In addition, the new billing changes would hit patients with "facility fees" that can run up to several thousand dollars to cover hospital overhead charges. And since, prescription drug plans don't cover medication for hospital patients, beneficiaries would be charged 100% of the full retail cost of drugs they need, even those they normally routinely take at home. .Lawmakers Avert Government Shutdown