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2025 Statutory Pay-As-You-Go Act Annual Report

Office of Management and Budget

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Reporting cited here

  1. documented

    On this specific PAYGO theory, the Medicare promise was kept through 2026: a potential automatic reduction was legislatively prevented. The underlying law's deficit effect remains real, but it is not an actual Medicare cut.

    Sections IV-V and footnote 1 discussing P.L. 119-37 section 8001(d) and January 3 adjournment

    The Medicare Promise Test — Audit finding · Cited analysis

  2. documented

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

    Sections IV-V and footnote 1 discussing P.L. 119-37 section 8001(d) and January 3 adjournment

    The Medicare Promise Test — The record · The record

  3. documented

    Public Law 119-37 provided for the statutory PAYGO scorecards to reset when the first session of the 119th Congress adjourned; OMB recorded that January 3, 2026 effective event and found no sequestration for budget year 2026.

    Sections IV-V and footnote 1 discussing P.L. 119-37 section 8001(d) and January 3 adjournment

    The Medicare Promise Test — Counterevidence · Counterevidence