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Elderly and disabled beneficiaries make up a majority of Medicaid spending.
https://www.pgpf.org/chart-archive/0094_spending_medicaid_beneficiaries
While a 10-year window is currently the standard, the number of years covered by budget resolutions has varied.
Reconciliation is a powerful process, whereby legislation drafted to meet those instructions has an easier path to passage.
Sequestration was designed to be a blunt instrument, whose arbitrary effects would be so undesirable that they would compel policymakers to reach compromise on budget legislation rather than allow the cuts to go into effect.
CBO plays a vitally important role in the federal budget process.
