U.S. Sen. Kirsten E. Gillibrand, D-N.Y., has big plans for Medicare, Social Security and other entitlement reforms to improve access and affordability.

The only problem is getting those reforms passed in Congress.

In a telephone town hall with New York AARP members on Thursday, the senator described the major points of her proposed legislation that would address rising health care and medication costs, stabilize the financial health of the Social Security program, peg entitlements payments to the inflation rate and address a litany of other issues relating to health care, senior care and the social safety net.

Sen. Gillibrand said, with an evenly divided Senate and a narrowly Democratic House, the only path to addressing these and other banner issues for Democrats may be to use the Senate reconciliation process, which allows…

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