The US House passed a budget resolution that could make major changes in how Medicare operates.
South Dakota Congresswoman Kristi Noem says the plan would expand means testing as a way of covering costs.

Noem says the changes would not really take effect for some time.

Senior citizens can sign up for Medicare when they turn 65, but starting in 2024, that would increase by two months a year, eventually moving up to age 67. In that same time, the plan would change into a voucher program, where seniors could buy coverage on a health insurance exchange.
Noem says the program has based coverage prices on the income of those covered for some time.

The Medicare proposal is part of a plan that will cut federal spending by five point five trillion dollars over ten years.