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Representative C.W. Bill Young.The big concern is that per capita caps and block grants won't keep pace with the real growth in costs in state Medicaid programs - especially since the reimbursements formulas would be tied to the rise in inflation. Actual medical costs are expected to grow several times faster than reimbursements. States could be forced to reduce spending on older people and younger disabled adults, who account for a disproportionately large share of Medicaid spending. States could tighten eligibility, reduce non-mandatory benefits like your home caregiving program, and nursing home reimbursements, or otherwise ration care..A growing number of Social Security recipients are affected by the tax, because the income thresholds are fixed, rather than adjusted annually, like income brackets. Because of this, the number of Social Security recipients who are hit by the tax has increased substantially over the years as incomes increased..However, a rift has developed among Democrats in the House of Representatives. Those who want to empower the government to demand lower prices from drug makers are concerned that moderates in their party are now emboldened to blunt their ambitious drug-pricing agenda..The Senior Citizens League supports legislation that protects Medicare benefits and lowers out-of-pocket costs for beneficiaries. To learn how to get involved, visit..A common debate is re-emerging this year over Social Security's "deficit, " as the federal borrowing limit looms. The debt limit, which was suspended since late 2015, was re-instated on March 16th. That debt limit sets the money the Treasury can borrow to pay for federal obligations, including money owed to the Social Security Trust Fund.."'The Senate's immediate role is clear: we need to support the federal, state, and local public health officials and healthcare professionals who are working overtime to blunt, delay, and mitigate the spread of the virus,' McConnell said. 'The American people deserve for their Congress to meet this subject head on.'".Even the Committee For a Responsible Federal Budget, which proposes the change, suggests that lower-income people could be especially vulnerable under the proposal. The organization is recommending that Congress dedicate about billion in savings from lower spending on COLAs to "enhance various benefits for low-income individuals" saying "while chained CPI is the most accurate measure of inflation, it could result in some undesirable distributional consequences."."The Social Security Notch: An Economic Analysis," John Haldi, The Senior Citizens League, October 2002.