The Shapiro Administration has released an analysis of the serious threats posed by the proposed federal budget reconciliation bill (H.R. 1), highlighting its potential to destabilize health and nutrition supports for hundreds of thousands of Pennsylvanians. The legislation could result in over 300,000 residents losing Medicaid coverage and shift $1 billion in food assistance costs from the federal government to the state. Medicaid cuts would disproportionately impact individuals with disabilities, older adults, children, and low-income families, leading to service reductions, provider strain, and possible closures of up to 25 rural hospitals. Similarly, new restrictions on SNAP could strip benefits from at least 140,000 Pennsylvanians, with downstream impacts on public health and local economies. The bill also includes costly unfunded mandates, requiring millions in state spending on new administrative systems and staffing. The report calls attention to the compounded risks these changes pose to vulnerable populations and the systems that support them. Click here to read the full report.