Republicans Are Cutting Medicare. Not Only Medicaid, Medicare [View all]

[hedda_foil]

https://prospect.org/politics/2025-07-03-republicans-cutting-medicare-not-only-medicaid/

Because of a statutory requirement to automatically impose budget cuts when legislation increases the deficit, the Big Beautiful Bill would require automatic sequestration cuts across the board, something that has been confirmed by the Congressional Budget Office (CBO) but has been largely absent from the debate over the bill. Medicare is one of the programs that will face the axe, and the damage sums to $490 billion over the next ten years, starting in the next fiscal year that begins in October. While many of the safety-net cuts in the bill are delayed to help Republicans with their re-election campaigns, the Medicare cuts must begin next year.

The Statutory Pay-As-You-Go (PAYGO) Act of 2010 requires the Office of Management and Budget to keep scorecards that track the cumulative effects of legislation on the budget deficit, based on estimates from the CBO. The Senate version of the Big Beautiful Bill adds roughly $3.3 trillion in debt over the next ten years. That will have to be made up through automatic sequestration cuts.
--snip--
Therefore, OMB would be required to issue an order reducing spending by $330 billion by January 2026. Many accounts are exempted from sequestration, including Social Security and several programs affecting low-income Americans. But Medicare is not.

There is a limitation on Medicare cuts of 4 percent of the program. In fiscal year 2026, that would come out to $45 billion. These cuts would increase with the growth of the program, hitting $75 billion by 2034 according to CBO. The total ten-year cuts would equal $490 billion.

--more--