New Yorkers already carry one of the heaviest tax loads in the country, ranking #1 for state and local taxes per person.

Despite contributing heavily to federal programs via taxes, New York now stands to be hit hard by substantial spending cuts from Washington that threaten key programs millions of New Yorkers rely on.

One of the most immediate impacts stands to be on healthcare, where New Yorkers could lose a projected $13.5 billion in federal Medicaid funding every year, forcing patients statewide to go without care or make painful choices.

And that’s only the beginning. By 2030, federal cuts could cost New York more than $20 billion annually, destabilizing safety-net programs and straining state and local budgets.

New Yorkers are paying more than their fair share — yet risk losing access to the benefits and protections those tax dollars are supposed to guarantee. State and city lawmakers now face the difficult task of closing the funding gap in a way that protects access to critical programs without imposing new onerous taxes on overburdened New York families and businesses.