Injured workers who are either on medicare or have a reasonable expectation of being on medicare within 30 months and have settled a case for $250,000, must obtain medicare approval. The medicare standards are presently found in memorandums issued by CMS.These memorandums are notorious for containing language such as "these rules can be changed at any time by CMS". Injured workers are faced with a dilemma: either settle the compensation case with the risk of medicare changing the rules at any time or try the compensation case to a conclusion. Hopefully, the end to this horrible problem may be in sight. In May of this year, new legislation was introduced called the "Medicare Secondary Payer and Workers' Compensation Settlement Act of 2007" . The bill attempts to create clear and concise guidelines for workers compensation attorneys.