The subcommittee's bill would repeal the formula and replace it with an enhanced fee-for-service system, while also allowing doctors to opt-out and participate in alternative payment models that emphasize quality. The bill was overwhelmingly approved by a voice vote on Tuesday, but much work remains to be done. Lawmakers have not yet determined how they will offset the full cost of the bill, although it does currently include funding for some provisions by authorizing transfers from the Medicare Part B Trust Fund. .We want to assure you that we will try to report the facts as we understand them and keep elective politics out of it. .In the months ahead, The Senior Citizens League will continue to work for enactment of legislation that would strengthen Medicare and lower costs for current and future beneficiaries. For progress updates, follow The Senior Citizens League on Twitter. .It turns out that PhRMA "spreads that money around to political campaigns across the country as well as other trade groups like the American Action Network (AAN), a conservative dark money group that launched a million ad campaign to defeat the Democrats' H.R. 3 proposal, which would allow Medicare to negotiate lower prices for prescription drugs and cap out-of-pocket drug costs at ,000," again, according to the Salon.com report. .More than 55% of participants in TSCL's 2019 Senior Survey support federal programs that help with energy assistance. .That's because COLAs are currently based upon the way young, urban workers, rather than seniors spend their money. The Bureau of Labor Statistics (BLS) uses an inflation index called the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W). It regularly underestimates the spending inflation that seniors experience since it fails to capture the rising costs of medical care, upon which older Americans spend a disproportionate share of their income. .Second, three new cosponsors signed on to the Social Security Expansion Act (H.R. 1114), bringing the total up to thirty-six. The new cosponsors are Representative Robert Brady (PA-1), Representative Albio Sires (NJ-8), and Representative Tim Ryan (OH-13). If adopted, H.R. 1114 would enhance Social Security benefits by basing COLAs on the CPI-E, increasing monthly benefits by around , improving the Special Minimum Benefit, applying the payroll tax to income above 0,000, and applying a 6.2 percent tax on investment income for wealthy individuals. .In order to keep Social Security checks coming, in full and on time, Congress will need to work promptly to raise or suspend the debt limit in coming months. Failing to do so would be irresponsible, especially when more than 60 million Americans rely on Social Security and Medicare. TSCL believes that Congress has better options than benefit cuts for strengthening Social Security. What do you think? Please take our new online 2019 Social Security survey here. .And, in case you had any doubts about why you need that Medicare Advantage plan in the first place, here are the general types of costs if you have Medicare Advantage plan coverage compared with having traditional Medicare with a Medigap supplement.