The federal budget deficits caused by President Donald Trump’s tax and spending law could trigger automatic cuts to Medicare if Congress does not act, according to the nonpartisan Congressional Budget Office.

Recent analysis from the Congressional Budget Office estimated that Medicare spending would see steep cuts over roughly the next decade absent congressional action, following passage of President Trump’s major tax law last month.

The nonpartisan Congressional Budget Office has an estimate of how much Americans stand to gain — or lose — from the new law.