New York State receives federal funding for a variety of services such as health care, transportation, public assistance, education, employment and training, and emergency response and recovery. Most of the federal funding received by the state is for health and human services–such as Medicaid, SNAP, and Temporary Assistance for Needy Families. The State then sends the money out to municipalities, thus affecting county and city budgets. The loss of federal funding also means a loss of state funding, leaving Western New York ill-equipped to manage the higher share of costs for important services.