Medicare + Social Security

Congress keeps rewriting retirement. PRIA tracks every bill the day it moves.

The legislation, agency rules, and trust-fund deadlines that decide your Social Security check and Medicare costs, watched in real time and translated into plain English.

Dates To Watch

These are not doomsday clocks. They are the dates when current law stops fully funding two promises retirees plan around.

Source

Social Security retirement benefits

Q4 2032

OASI reserves are projected to run short in Q4 2032

78%

funded

2250

Days

19

Hours

40

Mins

37

Secs

If Congress does nothing, ongoing payroll taxes would cover 78% of scheduled retirement benefits.

Medicare hospital coverage

Q2 2033

Medicare HI reserves are projected to run short in Q2 2033

89%

funded

2432

Days

19

Hours

40

Mins

37

Secs

If Congress does nothing, ongoing Medicare Hospital Insurance income would cover 89% of scheduled benefits.

2026 at a glance

The numbers already in effect.

Before the next bill or rule lands, these are the figures that hit a 2026 household budget, a higher Medicare premium, the Social Security COLA, the drug-cost cap, and a larger wage base for payroll taxes.

Medicare Part B

$202.90

standard monthly premium for 2026

Part D drug cap

$2,100

covered-drug out-of-pocket ceiling

Social Security COLA

2.8%

benefit increase effective January 2026

Taxable wage base

$184,500

maximum earnings subject to Social Security tax

Congressional bill tracker

Every bill that touches your benefits.

119th Congress · refreshed every 30 minutes

Social Security, funding & benefits

Medicare, coverage & costs

View all 475 bills mentioning “medicare

Inside CMS & the SSA

The agencies act between the headlines.

Most of what changes your benefits never reaches a vote, it lands as an agency rule or an announcement. Here is the official record, newest first.

Rules & notices

Browse the Federal Register

Newsroom, straight from the source

Social Security Announces Significant Improvements in the Supplemental Security Income Program

SSAJul 24, 2026

SSA’s 2026 SSI annual report says the agency has improved program administration by reducing improper payments, increasing accuracy, and speeding service for Supplemental Security Income recipients. The changes are mainly operational, including streamlined instructions, better call handling, expanded financial institution and payroll data matching, and tighter non-medical redeterminations.

Read the full release at SSA

Social Security Administration Announces New Online Tools and Notices for Disability Claims

SSAJul 21, 2026

The Social Security Administration announced new online self-service tools for disability claims and appeals in my Social Security, including online submission of disability forms, a claim status tracker, secure access to proffer letters, and 26 additional disability-related notices in the Message Center. Claimants can also opt into email or text alerts, while paper notices will still be mailed. The release emphasizes faster communication and more efficient case processing for disability adjudication.

Read the full release at SSA

Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes Proposed Rule (CMS-2452-P)

CMSJul 21, 2026

CMS proposed rule CMS-2452-P would implement section 71115 of Public Law 119-21 by creating new indirect hold harmless thresholds for state health care-related taxes, limiting new and increased provider taxes and adding reporting requirements for states. CMS says the rule could reduce federal Medicaid spending by $246 billion over 2026-2035. Comments are due on a date not specified in the document.

Read the full release at CMS

Manufacturer Effectuation of MFP Draft Guidance for 2028 Medicare Drug Price Negotiation

CMSJul 16, 2026

CMS issued draft guidance on how manufacturers must effectuate the Medicare Drug Price Negotiation Program maximum fair price (MFP) in 2028 for selected drugs covered under Medicare Part B and Part D. The guidance describes data flows, payment processes, and a 14-day prompt payment window, and it opens a 60-day public comment period.

Read the full release at CMS

Strengthening Original Medicare

CMSJul 16, 2026

CMS blog post outlining its strategy to strengthen Original Medicare through payment reform, price transparency, interoperability, and increased accountability. It highlights CY 2027 policy proposals in the Physician Fee Schedule and OPPS, including a proposal for certain Accountable Care Organizations to reduce or eliminate cost sharing for some Part B services starting in April 2027. The post also references ongoing data collection, competitive bidding, and requests for comments on payment accuracy.

Read the full release at CMS

CMS Modernizes Nursing Home Oversight with New Risk-Based Survey Approach Designed to Highlight High Performance, Encourage Improvement

CMSJul 16, 2026

CMS announced a risk-based nursing home survey approach that will streamline oversight for higher-performing facilities and focus more resources on homes with greater compliance risk. The change is intended to recognize strong performers while maintaining oversight of nursing homes that need improvement.

Read the full release at CMS

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule

CMSJul 14, 2026

CMS proposes CY 2027 Medicare Physician Fee Schedule changes effective on or after January 1, 2027. The rule would lower proposed conversion factors compared with CY 2026, adjust payments for same-day E/M visits and global procedures, revise the E/M complexity add-on into percentage-based modifiers, and tighten payment rules for remote monitoring services. Impacts are most direct for healthcare providers, with indirect effects on Medicare beneficiaries’ access, cost sharing, and care coordination.

Read the full release at CMS

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P) — Medicare Shared Savings Program Proposals

CMSJul 14, 2026

CMS proposes CY 2027 Medicare Shared Savings Program changes aimed at strengthening ACO participation, rebalancing incentives between BASIC Level E and ENHANCED tracks, and improving benchmark methodology. The proposal could increase payments for some ACOs, especially those serving higher-risk or rural populations, while seeking savings for Medicare Trust Funds. Public comments are due by the close of the 60-day comment period.

Read the full release at CMS

Don't find out late

Get the next change the day it happens.

PRIA watches Congress, CMS, and the SSA around the clock and alerts you when a bill, rule, or deadline moves the math on your retirement.

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Educational estimates, not filing advice.
Every bill, rule, and release links back to its primary source.
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