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         1 Congressional Research Service
hfo1krin the legisiaive debate since 1914


                                                                                              October 15, 2019

FY2020 Mandatory Sequester Reduces Medicare $15.3 Billion,

Other Mandatory Spending $5.39 Billion


On October 1, 2019, the first day of FY2020, the FY2020
mandatory sequester order became effective.
Sequestration is a budgetary mechanism that requires
automatic cancellation of budgetary authority-the legal
authority Congress grants agencies to enter into financial
obligations.

The FY2020 mandatory sequester order reduced Medicare
payments by $15.31 billion and other (nonexempt)
mandatory spending by $5.392 billion. The reductions are
required by the Budget Control Act of 2011 (BCA; P.L.
112-25). The BCA, as amended, requires similar reductions
on the first day of each fiscal year through FY2029. (For an
in-depth analysis of the mandatory sequester, see CRS
Report R45941, The Annual Sequester of Mandatory
Spending through FY2029, by Charles S. Konigsberg.)

Mandatory Spending and Sequestration
There are two types of budgetary authority (BA):
discretionary spending provided in annual appropriations
bills, which makes up about 30% of federal spending; and
(2) mandatory or direct spending-the other 70%-where
the BA flows directly from multiyear authorizing laws
enacted outside the annual appropriations process.
Examples of mandatory spending programs include
entitlement programs, nutrition assistance, and multiyear
highway bills.

Since the creation of the sequester mechanism in the
Balanced Budget and Emergency Deficit Control Act of
1985 (BBEDCA; P.L. 99-177), it has been used to enforce a
variety of fiscal policy goals. Sequestration is generally
implemented through across-the-board (uniform
percentage) reductions to programs, projects, and activities.

BCA and the Mandatory Sequester
The BCA included discretionary spending caps to save
about $900 billion through FY2021 and a Joint Committee
process aimed at saving another $1.5 trillion.

For the initial tranche of budgetary savings, the BCA placed
statutory limits on discretionary spending for each fiscal
year from FY2012 through FY2021.

To accomplish the second tranche of savings, the BCA
established a bipartisan, bicameral Joint Select Committee
on Deficit Reduction (Joint Committee). The committee
was to negotiate a broad deficit reduction package, and as a
fallback, automatic spending reductions would be triggered
if Congress failed to enact at least $1.2 trillion in budget
savings by January 15, 2012.

The deadline was not met, triggering the BCA's $1.2
trillion in automatic reductions. Most of the $1.2 trillion


was to be achieved through annual reductions in
discretionary spending by reducing the defense and
nondefense spending caps below their initial BCA levels.
However, subsequent legislation-the Bipartisan Budget
Acts of 2013, 2015, 2018, and 2019-have partially or fully
rolled back the additional discretionary savings.

The remainder of the $1.2 trillion in savings was to be
achieved through annual across-the-board cuts
(sequestration) in all nonexempt mandatory spending. This
portion of the automatic reductions has been fully
implemented-and extended for an additional eight fiscal
years through FY2029.

Calculating the Mandatory Sequester
The BCA includes detailed statutory directions for the
Office of Management and Budget (OMB) to calculate, and
the President to implement, the Joint Committee reductions
for each fiscal year through FY2021 (see Figure 1).

To achieve the required $1.2 trillion of deficit reduction, the
BCA first subtracts an amount for debt service savings, then
divides the remainder over nine years to arrive at an annual
required reduction of $109.3 billion for each fiscal year
through FY202 1.

That amount is split equally between defense and
nondefense spending, and each half is then allocated on a
mostly proportional basis between discretionary and
mandatory spending.

The resulting reductions in discretionary spending were to
be implemented by lowering the BCA discretionary
spending limits-although the required cap reductions have
been superseded by four Bipartisan Budget Acts (2013,
2015, 2018 and 2019) that have raised the caps.

The required reductions in mandatory spending in the
defense and nondefense categories are achieved through a
mandatory sequester (across-the-board cuts)-subject to
numerous exemptions and special rules. OMB refers to the
mandatory reductions as the Joint Committee sequester.

2% Limit for Medicare and Other Special
Rules; Sequester Exemptions
The annual Joint Committee mandatory sequester generally
applies reductions across the board but is subject to special
rules and exemptions. The most significant special rule is
the 2% limit on Medicare reductions.

Medicare is the largest mandatory spending program
subject to sequestration, although special rules limit the
sequestration of Medicare benefit payments to 2%. Most
Medicare spending-$765.5 billion in FY2020-is subject
to the 2% sequester, including payments to health care


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