There are now efforts for legislation to boost domestic manufacturing of pharmaceutical products. There is a new measure that would require the National Academies of Sciences, Engineering, and Medicine to "convene a committee of experts to analyze the impact of U.S. dependence" on foreign medicines and to make recommendations to Congress. There is also an effort to use the fiscal 2021 defense authorization bill to strengthen U.S.-based pharmaceutical manufacturing and advance "make it in America" policies that favor domestic drug-production plants. .However, MA insurers have already begun taking steps to reduce their costs in order to account for the cuts from CMS. As was noted in last week's legislative update, UnitedHealth – one of the largest MA plan providers – has dropped thousands of doctors from its networks, leaving many seniors doctor-less. It expects its physician network to be 85 percent of its pre-Obamacare size by the end of this year. TSCL is concerned that additional cuts to MA in 2015 will harm beneficiaries in other ways, by driving up premiums and reducing benefits. .In addition, the hold harmless provision does not apply to the premiums of Medigap supplements, Medicare Advantage, or Part D plans. Any increase in those premiums would lower the amount of Social Security benefits left to deal with other rising costs. .The Medicare Part D "doughnut hole" – the gap in coverage that occurs when beneficiaries reach their initial annual payment limit – is costing many older Americans thousands of dollars per year. Not all beneficiaries hit the limit each year, but in a recent survey of TSCL's members and supporters, we learned that 28%, more than one-in-four respondents, fell into the doughnut hole in 2015. .In a letter of support, Art Cooper – Chairman of The Senior Citizens League's Board of Trustees – wrote: "The Senior Citizens League's supporters – most of whom are enrolled in the Social Security program – question why Congress has not yet acted to address the funding challenges of the Social Security Administration in order to ensure the service that beneficiaries have earned and deserve … As such, The Senior Citizens League salutes you for introducing the Social Security Administration Fairness Act." .The CBO recently evaluated a number of different policy options for changing Social Security, noting three broad approaches that have received considerable attention, including: .According to a recent survey by The Senior Citizens League, 74 percent of survey participants favor applying the 12.4% Social Security payroll tax to all earnings. To learn more, visit . .Since 2010, seniors have failed to receive a COLA increase three times. When a COLA increase did occur, it has never met seniors' needs. In 2016, the increase was a meager 0.3% and it was only 2% in 2017. .Many Members of Congress will hold town hall meetings throughout the recess, giving voters an excellent opportunity to voice their views and concerns. In the upcoming week, the following Members of Congress, among others, will hold town halls in their states and districts.