President Trump’s proposed budget released Monday appeared to call on Congress to cut $818 billion from Medicare over 10 years, despite a long-standing promise from the president that he wouldn’t touch the popular program.

The budget does not outline specific cuts to Medicare, nor does it propose a cost-saving plan along the lines of an idea from former House Speaker Paul Ryan, R-Wis., to give beneficiaries subsidies to buy private coverage. Instead, the budget envisions spending reductions through Congress passing prescription-drug legislation and through efforts to reduce improper payments to healthcare providers.