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In fact, unlike the additional Medicare tax on high earners, this 3.8% net investment tax was not even a specific provision of the Affordable Care Act. It was a provision of a separate bill, the Health Care Education and Reconciliation Act of 2010 which was passed about two days after the Affordable Care Act. By setting up the revenues so that they would flow to the General Fund, Congress by-passed earmarking those revenues for Medicare Part A or Part B Trust Fund. That means when the funds are used for other government spending, the Medicare Trust Funds are not earning any interest from the federal government for the use of those funds..Over the years, TSCL surveys indicate that older Americans overwhelmingly oppose totally replacing Medicare with a system of private insurance plans. On the other hand, the design of traditional Medicare alone has a considerably high level of out-of-pocket spending, and no annual out-of-pocket limit. That leaves an important role for private insurers to fill in the gap with Medigap supplements or Medicare Advantage plans..My estimate is based on CPI data through March 2019 and projected through the third quarter of 2019, the quarter that the Social Security Administration will use to determine the COLA..Two Bills Gain Cosponsors.The OIG did not estimate the amount that the 11,179 collected in benefits in 2014, no doubt because privacy laws prevent the Social Security Administration from sharing that information. TSCL's Social Security policy analyst and Advisor editor Mary Johnson, however, estimates that this group of auxiliary beneficiaries may have received more than 5 million in benefits in 2014, based on current Social Security statistical data. TSCL agrees with the OIG, and believes that with Social Security in deficit, the Social Security Administration must do more to prevent improper payments..The disparity between growth in the COLA and Medigap premiums is likely to be worse in 2020. "Inflation is lower this year, and we are estimating that the COLA is likely to be around 1.7 percent," Johnson says. "Nevertheless, we anticipate that Medigap premiums will continue to grow several times faster for a number of reasons," Johnson adds..For the past two years, nearly 160 million Americans have enjoyed a two percent Social Security payroll tax holiday, which has resulted in approximately 0 in annual tax relief in the form of higher paychecks for the average worker. The measure was passed in 2010 in an effort to stimulate the sluggish economy, and it has been extended twice since then. But the popular tax cut is set to expire on the first of January, and for four key reasons, The Senior Citizens League is urging Congress to let the tax holiday come to an end..Shortly after the announcement, the White House confirmed that many affected by the new actions would be eligible to receive Social Security and Medicare. "If they pay in, they can draw," said White House spokesman, Shawn Turner, according to The Washington Post..If you have not been offered affordable insurance through your employer, you are not receiving Medicare, and you purchase your own health insurance coverage, you may be among those who have the most to gain from shopping for health insurance on the new health insurance exchanges. Depending on your income, you may be eligible for new premium subsides that would cover part of the cost of your health insurance premiums. The exchanges are now open for comparing health insurance coverage that becomes effective January 1, 2014.