The GOP tax bill could trigger automatic cuts worth $136 billion from mandatory spending in 2018, including $25 billion in Medicare cuts, if Congress doesn’t find another way to offset its deficit increases, according to the Congressional Budget Office (CBO).

The tax bill would add an estimated $1.5 trillion to the deficit over a decade. Congressional “pay-as-you-go” rules, called pay-go, require that the White House Office of Management and Budget (OMB) automatically cut mandatory spending if legislation increases the deficit beyond a certain point.

“Without enacting subsequent legislation to either offset that deficit increase, waive the recordation of the bill’s impact on the scorecard, or otherwise mitigate or eliminate the requirements of the [pay-go] law, OMB would be required to issue a sequestration order within 15 days of the end of the session of Congress to reduce spending in fiscal year 2018 by the resultant total of $136 billion,” CBO wrote on Tuesday .

Medicare can only be cut by a maximum of 4 percent through the pay-go rules, however, which amounts to $25 billion in cuts.

Republicans are moving swiftly to pass a tax bill before the end of the year, with a House vote as soon as this week.

Democrats argue that the deficits produced by the bill will lead to cuts to popular programs like Medicare and Social Security.

The law also specifies restrictions for other mandatory spending accounts, such as Social Security and means-tested entitlements, which limits how much OMB can pull back spending.

Of the remaining $111 billion, CBO estimated that the OMB would only be able to cut $85 billion to 90 billion.

But that also means that the nonexempted accounts would be virtually wiped out.

Those include agricultural subsidies, some health funds linked to the Affordable Care Act, Customs and Border Patrol operations and funds in the Student Loan Administration, according to the Committee for a Responsible Federal Budget, a budgetary watchdog group.