The trust fund used to pay hospital insurance costs for Medicare will be wiped out two years earlier than expected, according to a government report released Wednesday.

The report also showed that the Social Security trust fund has enough cash to pay full benefits for another 18 years, the same timeline as last year. In the latest annual check-up on the two largest entitlement programs, the trustees overseeing both Social Security and Medicare said additional reforms are needed in order to avoid cutting health care and retirement benefits for American retirees.