Unlike the federal government, states must balance their budgets each year. That means deep cuts and changes to Medicaid and the Supplemental Nutrition Assistance Program (SNAP) will require state legislatures and governors to cope with hundreds of millions of dollars in new costs each year.
Some states are implementing cuts in anticipation of the added costs and responsibilities they will have to take on. Critics of the Trump legislation warn that projects — road and benefits programs, among others — are almost certain to be scaled back in coming years.
"There's not a single state that has the resources to make up for this. You cannot backfill it," Maryland Gov. Wes Moore (D) said in an interview. "The federal government is now literally saying to the states, 'You are now on your own.'"…

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