The Senior Citizens League encourages its supporters to attend these events and to ask important questions of their elected officials, like the following three… .On Monday, lawmakers in the House revealed the American Health Care Act (AHCA), which would replace the Affordable Care Act (ACA) if signed into law. Just two days later – before the Congressional Budget Office had a chance to evaluate the proposal – Republicans on the House Ways and Means Committee and the House Energy and Commerce Committee voted to advance the proposal. .If these aren't challenges enough, The Senior Citizens League (TSCL) recently estimated that the Social Security benefits of the first wave of baby boomers have taken a hit from the economic downturn. Due to two years of no cost-of-living-adjustments (COLAs), and lower than expected COLAs, as well as an unprecedented drop in wages over the past decade, retiring seniors' benefits based on average earnings could be impacted as much as ,000. This impact is compounded when the losses in personal retirement savings and 401(k) plans are accounted for. .Medicare has recently issued a proposed rule that would require, with some exceptions, patients who stay in the hospital two days or less to be classified as observation patients, and those who stay longer to be admitted as an inpatient. But the rule does not require hospitals to tell patients when they are in observation status or allow them to appeal the decision before they leave. Medicare recommends patients who are in the hospital for "more than a few hours" to learn their status. TSCL believes that the rules unfairly burden Medicare patients and their families, and believes that patients have a right to know their observation status and to be given an opportunity to appeal the determination. To learn more, see the publication "Are You a Hospital Inpatient Or Outpatient, If You Have Medicare — Ask!" (CMS No. 11435). .Critics of mandatory arbitration say the agreements stack the deck against long term care residents and consumers. Unlike civil suits which go to court, arbitration is private, and there's no judge or jury. There are no rules of evidence that arbitrators have to follow under the law, and there's no oversight. Critics also contend that consumers are less likely to win their cases in private arbitration and, if they do win, they tend to get much less money than they would in court. .In order to correct the wrong done to those born during the Notch years, TSCL believes that some compensation should be provided. The Notch Fairness Act would provide victims of the Social Security Notch with a modest settlement payment or an increased monthly benefit calculation. .The Supplemental Poverty Measure reflects out-of-pocket medical spending and adjusts for the cost of living depending on where you live which are not taken into account by the official poverty measure. Here are some key findings from the analysis: .Perhaps the most difficult task on Capitol Hill today is getting the attention of Members of Congress. Yet, the nature of grassroots advocacy lends itself as an effective tool for grabbing the ear of Congress on matters needing decisive action. For The Senior Citizens League (TSCL) and our nearly 1.1 million supporters across the nation, this is no different. .Sources: Earnings Suspense File Data For 2008 and 2009, Social Security Administration, March 2, 201"The Growing Cost Of Illegal Immigration To Social Security," Mary Johnson, TSCL, June 2010.