PolicyBrief
S.RES. 404
119th CongressSep 18th 2025
A resolution urging the protection of Medicare from the devastating cuts caused by H.R. 1.
IN COMMITTEE

This resolution urges Congress to protect Medicare from devastating, automatic budget cuts triggered by recent spending legislation.

Sheldon Whitehouse
D

Sheldon Whitehouse

Senator

RI

LEGISLATION

Proposed Resolution Urges Senate to Block $536 Billion in Automatic Medicare Cuts

This resolution is essentially Congress waving a giant red flag, urgently warning that Medicare is about to get hit with massive automatic budget cuts. Why? Because a recent spending bill is projected to add a massive $4.1 trillion to the national deficit between 2025 and 2034. Under the Statutory Pay-As-You-Go Act of 2010, that deficit increase automatically triggers something called sequestration—indiscriminate, across-the-board spending cuts that hit essential programs, including Medicare.

The $536 Billion Problem for Seniors

For the 67 million people who rely on Medicare, this isn't just budget jargon; it’s a direct threat to healthcare access. The Congressional Budget Office (CBO) estimates that this automatic sequestration will slash $45 billion from Medicare funding in 2026 alone. Looking out through 2034, the total expected cut is a staggering $536 billion. The resolution stresses that these cuts hit Medicare on top of other reductions already planned under a separate bill (H.R. 1), which could strip coverage from 15 million people.

What the Cuts Mean for Your Doctor

These cuts don’t just affect the federal budget; they hit the providers on the ground. Medicare payments are the lifeblood for community health centers, hospitals, and doctors who treat seniors, people with disabilities, and those with end-stage renal disease. If a half-trillion dollars is pulled out of the system, hospitals and clinics that already operate on thin margins might be forced to reduce services, close facilities, or stop accepting Medicare patients altogether. For someone whose parent relies on Medicare for dialysis or cancer treatment, these cuts translate directly into reduced access and longer wait times.

The Senate’s Urgent Homework

The resolution is a formal plea, urging the Senate to immediately step in and shield the Medicare program (Title XVIII of the Social Security Act) from these devastating financial hits. It argues that people have paid into Medicare their entire working lives and their earned benefits should be protected from these "reckless, across-the-board cuts." Essentially, this resolution is the Senate telling itself, "We created this problem with the deficit spending, now we need to fix the automatic penalty before it destroys senior healthcare."

The Bottom Line: Action is Required

This resolution itself doesn't stop the cuts; it’s a statement of intent that requires follow-up legislation to actually prevent the sequestration from happening. If the Senate doesn't act, the cuts are automatic and mandatory. For busy people juggling work and caring for aging parents, the key takeaway is that the stability of Medicare is currently hanging on whether Congress can quickly pass a bill to override its own prior budget mechanism. Until they do, the threat of a $536 billion reduction to the healthcare system remains very real.