The US recovery "remains tepid", according to the annual report from the International Monetary Fund (IMF).
It has cut its growth forecast for the US economy to 2% this year from an earlier estimate of 2.1%.
The IMF warned of risks from the eurozone debt crisis and uncertainties surrounding domestic policies, with an election in November and the debt ceiling needing to be raised in 2013.
But it said there was also a chance that the economy could recover faster.
The IMF said non-financial firms could invest more than expected and the housing market recovery may accelerate.
Its report said that "house prices have stabilised recently, but remain at depressed levels".
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