The Medicare Promise Test — The record

Entities and roles

• America First Audit — The Medicare Promise Testaudit case
• Donald J. Trumpcomparison subject

Relationships in this file

1. Donald J. Trumplinked by cited action or authorityAmerica First Audit — The Medicare Promise Test

Claims and evidence

1. factdocumented

   Public Law 119-21 increased projected deficits and therefore entered the statutory PAYGO process.

   • U.S. Government Publishing Office: Public Law 119-21Enacted law; Title VII tax and health provisions
2. factdocumented

   President Trump signed the deficit-increasing reconciliation law; the later PAYGO reset was enacted separately by Congress and signed by the President.

   • U.S. Government Publishing Office: Public Law 119-21Enacted law; Title VII tax and health provisions
   • Office of Management and Budget: 2025 Statutory Pay-As-You-Go Act Annual ReportSections IV-V and footnote 1 discussing P.L. 119-37 section 8001(d) and January 3 adjournment