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benefits. We're living longer, and Social Security benefits alone, even with.Under the 'Ryan Budget,' Medicare would be turned into a private voucher program. But these vouchers are unlikely to keep up with healthcare costs, and could require seniors to pay more out-of-pocket for their healthcare. In fact, the non-partisan Congressional Budget Office estimates that by 2030, seniors would be paying nearly 70% of their health care costs out-of-pocket, with the vouchers picking up only 30% of the bill. It has also been estimated that seniors would end up paying up to ,400 extra for healthcare each year under the Ryan Budget..In making the 1977 changes, Congress, wanting to avoid an abrupt change, allowed persons born from 1917 through 1921 to use a special transitional benefit formula or the new 1977 formula, whichever would yield the higher of the two benefits. The transition benefit formula never delivered the promised benefit protection, however, because it did not yield a higher benefit amount. Instead, the new benefit formula most often yielded the higher amount..The Social Security Cost-Of-Living Adjustment is likely to be the first target for cuts. Most deficit plans in recent years propose tying the annual inflation boost to a more slowly - growing consumer price index known as the chained CPI. The new tax legislation, in fact, adopts the chained CPI to adjust tax brackets and the new expanded standard deduction. That will mean the standard deduction will grow more slowly than before and that people will wind up in higher tax brackets, or a greater portion of their income will be subject to tax, more quickly than before. For retirees, the chained CPI would mean lower COLAs, as well - if Congress extends the change to Social Security..Those born during the Notch period "saved Social Security" by receiving lower benefits for the rest of their lives. They are the generation that fought and sacrificed during World War II. Now, although they receive lower benefits, they are among the senior age group hit hardest by escalating health care insurance premiums and prescription drug costs..You receive care from a Medicare-certified home health agency..But the financial impact of immigration reform on Social Security remains in question. As of June 30, 2013, no government estimate of the long-term impact on Social Security has been made public. It is not yet known whether the House bill will contain similar provisions to protect Social Security..The American Health Care Act will go next to the Senate. TSCL strongly opposes this legislation and is urging older Americans to contact their Members of Congress. To learn more, visit..Sen. Richard Blumenthal introduced S. 1904 on July 30, 201It has since been referred to the Committee on Finance.