Accelerate retirement account distributions when you have excess deductions. If your standard deduction will exceed your taxable income this year, consider withdrawing a little more retirement funds if you will need them this year. Doing so when you have a low or even a zero tax rate will potentially help you avoid paying more in the future when your deductions are lower or taxes rates are higher..At least one participant, CVS Health, plans to begin offering vaccinations to "eligible populations" using doses from the federal program on the first day, Feb. 1The pharmacy chain expects to receive about 250,000 doses that will be rolled out at approximately 330 stores across 11 states including California, Texas, Virginia, and New York..Recent healthcare reform legislation gradually reduces what beneficiaries must spend when they reach the Part D doughnut hole or gap in coverage. Medicare consumers who hit the doughnut hole receive a 50 percent discount on brand name drugs and a 7 percent discount on generics in 201While that's good news, don't breathe any sighs of relief just yet. Seniors and the disabled who hit the doughnut hole must still spend ,448 in total drug costs in 2011 before they reach catastrophic coverage period..As you might imagine, the Congressional schedule has been totally rearranged. They had scheduled recesses for the national party conventions, their usual August recess, and then for the elections. We assume those are all up-in-the-air now..Medicare Savings Programs cover the cost of the Medicare Part B premium, saving a person 8.50 per month in 202Depending on income, those with the lowest income may also qualify for additional benefits that cover the Part B deductible and out-of-pocket costs. People with incomes in 2020 of up to ,456 per month or ,960 might be eligible if they have limited savings and resources of ,860 or ,800. These limits are slightly higher for Hawaii and Alaska. This program is administered through state Medicaid programs and states may have guidelines that allow people with slightly higher income to enroll. If interested,contact your local Medicaid office to apply..While that part is good news for consumers, TSCL is closely watching to see how these changes may impact Medicare Advantage premiums and emergency room co-insurance costs. And unfortunately, drug costs are likely to continue to shock us unless Congress takes action to address that next!.In the early days of the HIV/AIDS epidemic, the first generation of drugs was mediocre at best, he said. As scientists learned more about the virus and the disease it causes, the medicines became more effective. That may be a model for what we are going to have here. We may not get the best vaccine up front. But hopefully it will be good enough and will be replaced later by better vaccines. We have may just have to live with that until we get a better one..It is possible there could also be another emergency spending bill or, as we reported above, even a full-blown stimulus to try and keep the economy going..Three Key Bills Gain Support