By Jessie Gibbons, Legislative Analyst .Just years before they were set to retire, these individuals learned that they would receive significantly lower benefits than originally anticipated. The problem has grown and compounded over time, and TSCL believes that in order to make the program more equitable, some compensation for the injustice should be provided. We enthusiastically support Rep. Meng's Notch Fairness Act, and we were pleased to see one new cosponsor sign on this week. .The explosive cost of specialty drugs, that offer major treatment advances for people with life-threatening diseases, is not only threatening access to these treatments, but threatens to drain retirement savings, and leave widows and widowers in poverty after the death of a spouse. Unlike Medicare Advantage plans, and health insurance plans covering working-age adults, Medicare Part D has no annual out-of-pocket maximum to protect people with the highest drug costs. .A loop-hole in current Social Security law could allow millions of Mexican workers and their dependents to eventually collect Social Security benefits for earnings while working under fraudulent, or non-work-authorized, Social Security numbers. .The result of that analysis is precisely why we've opposed the President's order. To make matters worse, there is no plan on how to replace the money the Social Security and Medicare systems will lose if the temporary tax deferral becomes permanent. .The additional cost from adopting private accounts poses a much greater threat to the Social Security Trust Fund's solvency than it currently faces. Consequently, I have always adamantly opposed "private" accounts, or "individual" accounts, or "personal accounts" – regardless of what they're called. They're a big gamble and a risky deal for workers, retirees, and taxpayers alike. .Medicare Advantage plans. Medicare Advantage plans are administered by private insurers and cover all your Medicare Part A hospital, Part B doctors benefits. Many include Part D prescription drug benefits as well. They may also include coverage for benefits that aren't covered by Medicare, like vision or hearing services, as part of the premium, or you may pay extra for the coverage. You can enroll during your initial Medicare enrollment period or during the fall Open Enrollment Period that runs from October 15 through December To learn more about Medicare Advantage plans in your area, check your 2014 copy of Medicare & You. Call Medicare toll free at 1-800- MEDICARE ( 7) or visit Medicare.gov. .Finally, two new cosponsors – Senator Cory Booker (NJ) and Senator Deb Fischer (NE) – signed on to the bipartisan CREATES Act (S. 974), bringing the total up to thirty in the Senate. If adopted, the bill would increase competition in the prescription drug industry by encouraging generic and biosimilar drug manufacturers to introduce their products to the market more quickly. .Here's how the coverage gap works. Once individuals and their Medicare Part D plans spend the initial coverage amount (,310 in 2016) on covered prescription drugs in a calendar year, beneficiaries hit the doughnut hole. Once in the doughnut hole, coinsurance on covered drugs is not only higher, one must also pay a substantial amount out-of-pocket to reach the limit for catastrophic coverage. For brand-name drugs in the coverage gap, individuals are responsible for 45% of the cost, and for generic drugs, they're responsible for 58%. Once out-of-pocket costs for those in the doughnut hole total ,850, catastrophic drug coverage takes effect, and Part D plans pay 95% of prescription drug costs until the calendar year ends.