In the past several years, the Center for Medicare & Medicaid Innovation (CMMI), part of the Centers for Medicare & Medicaid Services (CMS), has designed and implemented demonstration projects and models to try new ways of paying providers to deliver health care to people with Medicare. These tests of new designs attempt to see if there are ways providers can be paid that will increase the quality of care people receive while either keeping costs stable or, ideally, lowering them.

As Congress moves quickly to send a tax bill to the President before the end of the year, the Senate is now closer to passing their version of the bill. The Senate cleared key process hurdles this week, passing their bill out of committee and passing a Motion to Proceed that allows the bill to be introduced on the Senate floor. Now Senators have a maximum of 20 hours of debate, plus a series of quick votes on an unknown number of amendments that various Senators may offer, known as “vote-a-rama.”

This week, the Medicare Rights Center joined with the AARP Public Policy Institute to release a new report, Consumer Protections in New Medicare Payment and Delivery Models: A Checklist. This checklist is the result of a partnership between Medicare Rights and the AARP Public Policy Institute in which we identified a set of concrete consumer protections that we believe should be integrated into the design of all Medicare models.

As 2017 winds down, there are several smaller pieces of Medicare legislation, often called “Medicare extenders,” that must pass Congress to keep the program stable in 2018. Extenders establish programs for a short time, and have to be passed or funded by Congress every one to two years. Two extenders are particularly important to people with Medicare: the low-income outreach and assistance extender and the therapy cap exception extender. Both extenders will expire in December of 2017 if Congress does not act.

This week, members of both chambers of Congress introduced a bill that aims to bring down rising drug costs. Representatives Elijah E. Cummings (D-Md.), Lloyd Doggett (D-Tx.), and Peter Welch (D-Vt.) joined with Senators Bernie Sanders (I-Vt.) and Patrick Leahy (D-Vt.) to introduce The Medicare Drug Price Negotiation Act of 2017, which would use several mechanisms to lower drug costs for Medicare beneficiaries while maintaining patient access to needed medications.

Today, the Medicare Rights Center sent a letter to leaders of the U.S. House Committee on Energy and Commerce voicing opposition to legislation that would shifts costs to people with Medicare. Importantly, the “Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017” (HEALTHY KIDS Act), would provide needed funding for the Children’s Health Insurance Program (CHIP). Unfortunately, however, the bill pays for this funding, in part, by requiring some higher-income people with Medicare to pay more than they already do for Medicare coverage.

On Tuesday, the U.S. Senate once again chose to reject a bill that would have caused tens of millions of people to lose health coverage and irreparably damaged the Medicaid program. Senate Leadership announced that the Graham-Cassidy bill will not come to the floor for a vote. Yet again, Americans across the nation lifted up their voices to protect health coverage and care for millions, including older adults and people with disabilities.

Earlier this week, Medicare Rights, in partnership with the Center for Medicare Advocacy, sent a letter to Senate leadership strongly opposing the newest legislation, known as the “Graham-Cassidy” bill, to repeal the Affordable Care Act (ACA) and cut and cap Medicaid. Despite outcry from health care providers, insurers, consumer groups, patient advocates, and the American people, the Senate appears poised to vote on this harmful bill next week.

Medicare guarantees access to health care for 57 million older adults and people with disabilities, including hospital and physician care and prescription drugs. Understanding how Medicare is funded and how that funding is spent can improve policy decisions going forward.

This week, future funding for State Health Insurance Assistance Programs (SHIPs) is once again at stake. SHIPs provide unique one-on-one, in-person counseling to help people with Medicare understand their rights and navigate their coverage options. Despite their high value and low cost, SHIPs have been under threat for the past several years, but have survived through a combination of strong advocacy and diverse Congressional support.