Wednesday, August 20, 2025

Senator Whitehouse warns of $500 billion in mandatory Medicare cuts hidden in Trump's Big, Beautiful Bill

"Republicans took a bank shot at Medicare"

Steve Ahlquist

United States Senator Sheldon Whitehouse joined Pawtucket Mayor Donald GrebienRhode Island Office of Healthy Aging Director Maria Cimini, and dozens of seniors at Pawtucket’s Leon Mathieu Senior Center to highlight the hidden Medicare cuts resulting from the recently passed One Big Beautiful Bill Act.

“I’m here to talk about what I consider to be the three pillars of economic security for most Americans: Medicaid, Medicare, and Social Security,” said Senator Whitehouse. “The Trump administration is making a move against each of them. 

We know about the Medicaid cuts because Republicans passed what I call the Big, Beautiful for Billionaires Bill, which cuts hundreds of millions of dollars from Medicaid. Republicans were tricky about it, so they moved the cuts for people until after the next election, so you’re not going to see the cuts until then. 

Who will see the cuts? Hospitals, nursing homes, health centers, and everybody who has to plan for next year’s funding. Women & Infants Hospital is already anxious about what will happen to its finances, and it’s not like our hospitals and healthcare providers are doing great already. There’s already talk about a healthcare crisis in Rhode Island, and these looming Medicaid cuts will make it worse.

“What they’re doing to Social Security is trying to bolex up its operations. They sent in DOGE [Department of Government Efficiency] to damage the operation of Social Security, and drive out the people who work there, make the trains run on time, and make the systems work. They’ve messed around in the computer systems, and they're continuing to put pressure on people to leave.

To me, their plan is to so disable the administration of Social Security that at some point, they don’t make payments, even if it’s briefly. Then they say, ‘Aha, there’s been a foul-up in Social Security. We need to take it over,’ and in will come the private equity folks and tech bros. It’s a backdoor way to privatize Social Security - by creating an emergency that you can then send in your private sector billionaire friends to solve. They then get access to all that data about people. They get access to all that money in the Social Security accounts.

“The third one we’re here to talk about today is Medicare. I suspect everybody here depends on Medicare. Now, there’s no mention of Medicare in the Big, Beautiful for Billionaires Bill, but if you know how a pool table works, there’s something called a bank shot. You don’t go directly at it, you bounce it off the bumper. Republicans took a bank shot at Medicare because they know there’s an existing law that says if you run up the debt so much, mandatory cuts to all sorts of things across the board are triggered, one of which is Medicare.

“Republicans added over $4 trillion to the debt in the Big, Beautiful Bill. That number is so big that it triggers the rule that requires cuts to Medicare. They don’t mention Medicare in the bill, but they also don’t prevent these cuts. It is on automatic pilot, which we want to prevent. That’s why people like me are going around the country pointing this out - so Republicans will realize they made a bad mistake and will back off so we can get them to protect Medicare instead of taking this bank shot to hit Medicare.

“This graph shows how much would be cut out of Medicare each year during the process of automatic cuts because of the huge, trillion-dollar increases to the deficit and debt the Big, Beautiful Bill is causing.”


Last month, President Trump and Congressional Republicans passed their Big, Beautiful Bill, which cuts almost a trillion dollars from Medicaid and raises health insurance costs. The new law included a hidden cut to Medicare, which the Congressional Budget Office (CBO) confirmed to Senator Whitehouse in a letter on Friday. By adding $4.1 trillion to the national debt, the legislation automatically triggers the Statutory Pay-As-You-Go (PAYGO) Act, which will impose $536 billion in automatic cuts to Medicare over the next decade unless Congress takes bipartisan action.

The CBO letter explains that the Republicans’ Big, Beautiful Bill will increase deficits relative to the January 2025 baseline by $2.1 trillion through 2029 and by $3.4 trillion through 2034. The law’s addition to the deficit triggers the sequestration process under the Statutory PAYGO Act.

CBO estimates that the White House Office of Management and Budget (OMB) will be required to issue a sequestration order to reduce spending by a total of $415 billion in fiscal year 2026, including a four percent sequestration cut to Medicare, which is expected to cut $45 billion in 2026 and total of $536 billion over nine years. Republicans could pass legislation waiving the PAYGO requirements, but did not include such a measure in the Big, Beautiful Bill.

“I’m here to tell you that that is not going to happen, but the way we prevent it from happening is by making sure that all of you, and people across America, know how they pulled this trick to cut half a trillion dollars out of Medicare while pretending not to, because they know about this law and they think you don’t,” said Senator Whitehouse to the seniors gathered at the Leon Mathieu Senior Center. “Now that the spotlight is on this mischief, we’ve got a very good chance to stop it, and we’re going to start putting pressure on them when we get back to Washington to fix this problem and exempt Medicare from what is called the Sequestration law so that you and Medicare are protected. That’s why I’m here today.”

Senator Whitehouse is also working to pass legislation to protect Medicare and Social Security’s solvency in perpetuity by requiring the nation’s highest earners to contribute their fair share.

Senator Whitehouse answered questions from residents on two unrelated issues.

Resident: The midterms are looming. Republicans are scared of losing both houses. So, what are they doing? And then, what are the Democrats doing to stop them?

Senator Whitehouse: Republicans are getting nervous that they will lose the House and maybe the Senate. There’s a very good chance that Democrats win back the House. I was just with U.S. Representative Jamie Raskin (Democrat, New Jersey), who would become the Chairman of House Judiciary if we win back the House. He was pretty positive about our chances. I would love to have Seth Magaziner and Gabe Amo be in the majority and be able to do good things for everybody, rather than having to wait around while the troublemakers make trouble.

“The Senate side is harder, but we can do it. I’ve been down to Texas recently to stir up good trouble for Democrats in that race. We’ve been down in Florida stirring up good trouble to help Democrats in that race. In North Carolina, we just got the perfect candidate: the former governor and attorney general who has been elected and re-elected. People trust him in North Carolina. Republican Tom Tillis is leaving Congress because the Trump people were so awful to him and tried to bully him. He voted against the billionaires’ bill and was very articulate about the Medicaid problems it would cause in North Carolina. So his seat is vacant.

“And then, excitingly, just today, Sherrod Brown announced he is coming back and running again in Ohio. He was defeated two years ago, but he’s very popular. He’s probably the only Democrat who could win in Ohio. We have the chance to win some of these seats, and that puts us in a position to stop the mischief and start doing productive things.

“Now, for two years, Trump would still have a veto, so we’d have to worry about that and negotiate with him, but that’s the way of the political world. But Republicans wouldn’t have the power to do all sorts of mad and crazy things and then terrorize the Republican members of the House and the Senate so that nobody would stand up against Trump.

“It’s going to be a big deal when the House turns, and it’s going to be even better if the Senate turns. There is a very good chance of happening.

“I’ll say one more thing: Everybody thinks of the House and the Senate as places where you pass laws. But another thing that could be done is to investigate. We don’t just legislate. We can also investigate. You remember the Watergate and January 6th hearings and the terrific presentations. One of the reasons I’m in constant touch with Congressman Raskin is that he has the ability, if he’s Chairman of Judiciary, to do significant investigations. I’m in a position to help. If he puts out a subpoena, he can deliver it. If I put on a subpoena, the Republicans in the Senate can filibuster it, which they’ve done already. So it’s important for us to work together; we’re already laying the groundwork for working together.

Resident: I know you’re involved in the Supreme Court regarding all these litigations going through the system.

Senator Sheldon Whitehouse: I’ve been the lead advocate for cleaning up the mess of the Supreme Court, which is pretty simple. They should have an ethics code. People should have independent investigations of whether or not the Justices broke the ethics rules. I don’t care who you are. Somebody should investigate if there’s a credible allegation that you’ve broken the ethics rules for your position. If it’s me, it’s the Senate Ethics Committee. If it’s the Secretary of Commerce, it’s the Inspector Generals and the ethics officials in the executive branch. If it’s the courts here in Rhode Island, it’s the judicial ethics review process. There are only nine people in the entire United States government who don’t have to have an investigation about a credible ethics charge against them, and it’s those nine members of the Supreme Court.

It is crazy that the only people exempt from proper fact-finding and the rule of law are those who are supposed to defend and exemplify proper fact-finding and the rule of law.

Then there’s term limits. There’s a lot of public support for 18-year term limits. I’ve got a bill to do that. Doing those two things will set the tone and create some turnover so the court can be refreshed and credible. One of the things that infuriates me is that we have a Supreme Court Justice who looks like he cheated on his taxes. We know that his friend gave him a loan for a free luxury motor home. We know that after making a few interest payments, the loan was forgiven, there was no more interest, and no principal was ever paid back. That’s called income. Tax Law 101: Forgiving a loan equals income. So the justice should have reported it on his judicial disclosure form as income, and he didn’t. And if he didn’t disclose it on his judicial disclosure form, what do you think the odds are that he didn’t disclose it to the tax people? I would say pretty good. It’s certainly a question that’s worth getting an answer to, but the Court has persistently refused to give me an answer to that question, and I think we’re entitled to have a Supreme Court where the justices pay their taxes and follow the law. That shouldn’t be asking much.

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