Most of the organization's income is raised through $12 annual membership fees paid by direct mail recipients, the majority of whom are senior citizens.
[13] Through its political action committee (PAC), NCPSSM supports incumbents and challengers who it believes have demonstrated a strong commitment to preserving the current Social Security and Medicare systems.
[15] In the 2020 presidential election, the group broke with tradition and endorsed a candidate, Democrat Joe Biden, citing the current administration's attacks on Social Security.
[17] In 1987, Social Security Commissioner Dorcas Hardy accused NCPSSM of using scare tactics to get money from elderly people afraid of losing their benefits.
[18] Later that same year, the group came under investigation by members of Congress who accused the organization of frightening the elderly about the safety of their Social Security benefits.