This measure protects Medicare from automatic budget cuts that could happen because of a separate law nicknamed the “One Big Beautiful Bill Act.” It says that if the federal “PAYGO” rules would trigger across‑the‑board cuts, Medicare cannot be cut for that reason, starting the day this measure becomes law .

In short, it keeps Medicare benefits and payments from being reduced due to those automatic budget rules linked to that earlier law .

• Key points:
  • Who is affected: People on Medicare and the doctors and hospitals that serve them .
  • What changes: Medicare is exempt from any PAYGO “sequestration” (automatic cuts) tied to the “One Big Beautiful Bill Act” .
  • When it applies: For any such cut orders made on or after the date this measure becomes law .