When many Americans were sleeping on Thursday morning, the House of Representatives passed a bill that did not read the text of Donald Trump’s beautiful acts. The reduction of Medicaid in this bill was widely guaranteed by people with fewer than 14 million health insurance by 2034. But less well is a serious effect of the bill for the Medicare winners. If the House of Representatives of the bill becomes a law, the Medicare payment for medical providers will cut more than $ 500 billion over the next 10 years. This will have a serious impact on tens of millions of elderly and providers and may be closed.
The GOP bill does not explicitly require Medicare cuts, but it will cause this according to the legal payment law. Congress passed STAT PAYGO in 2010 and did not interfere with expenditures for policy makers to enact tax reductions and increase federal deficits.
Closed facilities will threaten the health care approach to both the elderly and all community members.
According to the Stat Paygo, the management and budget office must maintain “Paygo Scorecards” on the five -year deficit and the 10 -year deficit impact. Paygo stipulates that when the bill is enacted, the average cost of the next five years is entered every year every year and the average cost of the next 10 years is entered every year. At the end of the parliamentary sessions, if there is a cumulative deficit in the two score cards in the fiscal year, there is an automatic expenditure reduction (isolation) to offset the larger of the two deficits. that Estimation of parliamentary budget office The Republican Republican Act will increase the deficit of $ 2 trillion over 10 years and cause isolation for 10 years.
Some types of funds, including many compulsory expenditures, such as social security, are exempt from automatic cuts, but the payment of Medicare providers is not. According to the CBO, there is a 4%limit for reducing the Medicare in isolation, but it is about $ 45 billion in fiscal year, and about $ 550 billion from 2034 to 2034. As a result, there is a risk of a financial stress, including a safety net hospital and more than 300 rural hospitals. Closed facilities will threaten the health care approach to both the elderly and all community members.
In short, the Trump and Republican Republican Party promised that the bill would not touch Medicare, but promised that the promise has been broken.
In order to make matters worse, the increase of $ 2.3 trillion is an average of $ 230 billion annually, so cuts on Medicare should still leave $ 18.5 billion in fiscal year 2026. You will have to come out of all other non -unpleasant programs, including farm price support and social service subsidies. But the CBO estimates that the total funds of these other programs are only $ 120 billion in that year. The funds for these other programs will be completely zero, causing serious difficulties for many Americans who are beneficiaries of this program.
Congress has a variety of ways to prevent reduction of Medicare and other programs. Members of the National Assembly can change the budget scores or instruct OMB to ignore the effects of the debt of the bill. However, attempts to travel around Paygo within the Republican Tax Private Prize Act require 60 votes in the Senate, violating the parliamentary budget law. Congress can find a vote to solve the problem in the subsequent law, but the passage of the solution will be the subject of the filibuster in the Senate. Opponents of the bill can be withholding by passing the solution unless the bill is abolished or changed.
Of course, if this ruin gift for the rich has never been enacted at first, such a solution would be unnecessary. But the Republican Party is eager for a program that saves life that relies on life to give tax benefits to millions of Americans. And if it includes Medicare, it is.
