TSCL believes that Congress should strengthen Social Security's protections by enacting legislation to prohibit the use of unauthorized earnings from being counted toward eligibility for Social Security benefits, "a change that should be made regardless of the outcome of the Supreme Court decision or whether Congress moves on immigration or Social Security reform," Cates says. .The Part B and Part D deductible period starts on January 1 of each year and ends on December 3If you were healthy during the year, but require doctor's services in November for the first time and the charge is 0, then you (or possibly your supplemental insurance plan) will have to pay that charge. If you don't see the doctor again until January, you start a whole new deductible period. If he charges you 0 again, then you or your insurer will pay the 0 again. . Basing a decision on amenities and features. Just because the facility markets itself like a five - star hotel or is located near a great golf course does not equate to five - star standards of care. Look around and get a feel for the number of staff to residents. Try to meet a few residents. Are they happy? Does the staff look like they get satisfaction from their work? The office of your local Long Term Care Ombudsman can tell you about documented issues and problems that facilities have had in the past. .Look, nobody gets wealthy off of Social Security. It's a subsistence level program. .This failure of the COLA to keep up with rising Medicare Part B premiums and other retiree costs is creating a dilemma that is growing in magnitude, not only for older Americans, but also for the nation's safety net programs like Medicaid. A majority of Social Security recipients depend on their benefits for more than half of their income, and almost half of all retirees have only limited or no retirement savings at all. The lack of adequate growth in benefits over the past eight years is pushing modest income seniors into poverty, forcing even those who started out as middle-income retiree households to rely on Medicaid for help paying Medicare costs, rental subsidies, fuel assistance, food pantries and senior meals programs. .Instead they learned they received observation care, which is considered an outpatient service, and is billed under Medicare Part B. With that designation, patients can have higher out-of-pocket costs even though they may have the very same health problems as people admitted as inpatients. .Reps. Peter Roskam (IL-6) and John Carney (DE) introduced H.R. 2305 on June 14, 201It has since been referred to the Energy and Commerce Subcommittee on Health. .Due to record-low growth in health care costs, the board hasn't been triggered to begin making recommendations to Congress yet, and it currently has no appointed members. Nonetheless, many lawmakers feel that such critical policy-making decisions should be left solely in the hands of elected representatives, and they hope to repeal it long before it is needed. .If adopted, S. 61 would allow for the personal importation of safe and affordable drugs from approved pharmacies in Canada.