When there is no or a very low COLA, a special provision of law known as "hold harmless" protects beneficiaries when the dollar amount of their COLA is lower than the dollar amount of their Part B increase. The Part B premium is adjusted to prevent a reduction in Social Security benefits from one year to the next. "But when this provision occurs on a program-wide basis - as it did in 2016 and 2017, the entire increase in Medicare Part B for the year is shifted to the people who are not protected by hold harmless, Johnson notes. Instead of the Part B increase being spread over all Medicare beneficiaries, the total cost increase is borne by only 30 percent of Medicare beneficiaries who are not protected by the hold harmless provisions. They include:.The GPO reduces the Social Security benefit received by spouses and surviving spouses who also collect a government pension. Nine out of 10 public employees affected by the GPO lose their entire spousal benefit, even when their spouse paid Social Security taxes for many years. According to the Congressional Research Service, in 2018 approximately 6.6 million state and local government workers were in non- Social Security covered jobs. About 83% of all affected by the GPO are women..Through 2012, annual COLA increases have been tied to the increase in the consumer price index for Urban Wage Earners and Clerical Workers. Deficit reduction plans would switch to a more slowly-growing CPI known as the "chained" CPI to determine COLAs. Traditional CPIs measure the increase in prices. But the chained CPI doesn't. It measures consumer spending when prices go up. For example if the price of beef goes up, it assumes people switch to less costly choices, like chicken. The chained CPI measures inflation as growing less slowly than traditional indexes..consultant, or free -lancer or independent contractor. Check with your local.Over the past four years, TSCL's surveys have found that about 9 out of 10 people receiving Social Security benefits report that their household spending rose by at least per month during the prior year. But that's just the tip of the iceberg. "Retirees need to plan for large monthly jumps in spending annually over the course of their retirement," Johnson says. In every year since 2014, the largest percentage of those people participating in TSCL annual Senior Surveys reported that their household spending jumped by more than 9 per month. Since 2014 annual COLAs grew a total of just 3.5 percent, averaging less than 0.9 percent per year. One factor in why retirees have such a gap between their COLA and spending is the consumer price index that the government uses to measure inflation and to determine the annual boost. "One would think that the CPI used to calculate COLAs for retirees would be based on seniors' spending patterns, but it is not," says Johnson. Instead, the COLA is determined by the growth in the Consumer Price Index for Urban Wage Earners and Clerical Workers. Younger working adults spend a far smaller portion of their income on medical costs, which is the fastest growing category of the CPI in most years. On the other hand, younger working adults spend more on transportation and gasoline, categories that have gone down dramatically in recent years. "This tends to understate the inflation experienced by the majority of people receiving Social Security," notes Johnson..Medicare Extra Help helps pay for some, or most, of the out-of-pocket costs for Medicare prescription drug coverage. It is also known as the Part D "Low-Income" subsidy. Extra Help pays for the Part D premium up to a certain amount, lowers the cost of your prescription drugs, gives you special enrollment periods to switch plans, and eliminates the Part D late enrollment penalty if you did not enroll in Part D by your original deadline. If your income is under ,615 or ,175 and you have limited savings and resources, you might be eligible. Apply for Medicare Extra Help on the Social Security website..the New Deal in 1935, it was never designed to be anyone's sole means of support.Representative Dan Lipinski introduced H.R. 2787 on May 16, 201It has since been referred to the Committee on Education and Labor..Due to a loop hole in Social Security law, the pending controversial Totalization Agreement, signed in June 2004, would allow millions of Mexican workers, and dependents on their accounts, to become entitled to Social Security benefits that include credit for earnings received while working illegally. If allowed to take effect, TSCL believes hundreds of billions in Social Security benefits are at stake.