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). .Individuals at full retirement age (66 in 2017) who retire with an average monthly benefit of ,300 would receive about 0,000 over a 25-year retirement assuming a 2.2% cost-of-living adjustment. Since you were born in 1955, your full retirement age is 66 + 2 months. But even people who retire at full retirement age are leaving money on the table when starting benefits prior to reaching age 70. Waiting until age 70 allows benefits to grow 8% per year. .On Tuesday, the federal government shut down for the first time in seventeen years due to a legislative impasse between leaders in the House and Senate. Four days in, neither side has wavered much from its position. Leaders in the Senate are pressuring the House to pass a "clean" temporary funding measure, while leaders in the House continue to demand provisions that would delay or defund the Affordable Care Act. .Medicare Reform – Protecting seniors from sudden and harsh changes to the program. .A 2.5 or 3 percent COLA would be sufficient to boost an average monthly retiree benefit of ,500 by .50 to .00 respectively. That would be enough to cover a substantial Part B premium increase in 2021. .Find out the full cost of your new drug and whether your drug plan covers it, every year. Case in point: Using the Medicare Drug Plan finder I learned that my client's new brand name prescription cost more than a month for a 30-day supply, and her drug plan did not cover it. Because she was lucky enough to be in the middle of the fall Part D Open Enrollment period, however, my client was able to save ,080 in uncovered out-of-pocket drug costs in 2011 by switching drug plans. She was able to enroll in a plan that provided better coverage and reduced her drug cost to a co-pay. Once you determine that a new prescription is your best option, check your drug plan coverage and what you will pay for it — and do this every year. If the drug is expensive, and if your drug plan doesn't cover it, or drops coverage, you may want to go back to your doctor to see whether there is a less costly prescription that you can try. You can check the coverage and full cost of the drug using the Medicare drug plan finder at www.medicare.gov. .On Tuesday, House lawmakers advanced two Senate-passed bills that will reduce prescription drug prices at pharmacies if signed into law. The Patient Right to Know Drug Prices Act (S. 2554) will prohibit "gag clauses" that prevent pharmacists from telling consumers when it would be cheaper to purchase their prescriptions out-of-pocket rather than through their health insurance. Similarly, the Know the Lowest Price Act (S. 2553) will protect Medicare beneficiaries from "gag clauses." .Members of Congress adjourned for the holiday recess this week, with the Senate returning on Thursday to resume Fiscal Cliff negotiations. .For many aged 65 and older, times are already tough. Since 2005, health care costs have risen faster than inflation every year except 200We need to be working to make retirement more secure for the 130,000 seniors living in Southern Arizona who I represent and the millions of others across the country. I'll continue to fight to make that happen.