Darryl Chavis, 62, served in the U.S. Army for two years as a watercraft operator. He stands outside the Borden Avenue Veterans Residence, a short-term housing facility in the Long Island City neighborhood of Queens, N.Y., where he lives. Chavis relies on the Supplemental Nutrition Assistance Program (SNAP) and is worried about new work requirements for the program, commonly known as food stamps. (Photo by Shalina Chatlani/Stateline)

NEW YORK — After a year in the U.S. Navy, Loceny Kamara said he was discharged in 2023, because while on base he had developed mental health issues, including severe anxiety and nightmares, and had fallen into alcoholism.

Kamara, 23, went to rehab and managed to get sober for some time while living with family in the Bronx, he said. But after he lost his job as a security guard in December, Kamara was kicked out of his home. Now he lives at a veterans homeless shelter in Long Island City, a neighborhood in Queens, New York, and he relies on the Supplemental Nutrition Assistance Program — commonly known as food stamps — and odd jobs to make ends meet.

Each month, nearly 42 million people receive SNAP benefits to help supplement their grocery budgets. Able-bodied SNAP recipients who are between 18 and 54 and don’t have children have always been required to work. Veterans, however, have been exempt from those rules — but that’s about to change.

The giant domestic policy measure that President Donald Trump signed on July 4 eliminates that exemption. Beginning in 2026, veterans will have to prove they are working, volunteering, participating in job training, or looking for work for at least 80 hours a month to keep their food stamps beyond three months, unless they qualify for another exemption, such as having certain disabilities.

Republicans in Congress and conservatives who helped formulate the law say these eligibility changes are necessary to stop people who could be working from abusing the system. But critics say the change fails to take into account the barriers many veterans face, and that the new work rules will cause thousands of veterans to go hungry.

“I’m pissed. I mean, I cannot get a job. Nowhere to live,” said Kamara. As he spoke, Kamara pointed to his collared shirt, noting that he had just dressed up to interview for a job as a security guard. He learned that morning he hadn’t gotten the job.

“I’ve been out of work for eight months,” Kamara told Stateline. “It’s hard to get a job right now for everybody.”

Veterans depend on SNAP

Nationally, around 1.2 million veterans with lower incomes, or about 8% of the total veteran population of 16.2 million, rely on food stamps for themselves and their families, according to the Center on Budget and Policy Priorities, a left-leaning research group.

An analysis by the group found veterans tend to have lower rates of employment because they are more likely to have health conditions, such as traumatic brain injuries, that make it difficult for them to work. They also tend to have less formal education, though many have specialized skills from their time in the military.

There has been a work requirement for most SNAP recipients since 1996. But Robert Rector, a senior research fellow at The Heritage Foundation, a conservative think tank, said the rules have “never really been enforced.” Rector argued that able-bodied people who have been exempt from the work requirement, such as veterans and homeless people, create an unnecessary burden on the system if they are capable of working but don’t.

“Most of the people that are in this category live in households with other people that have incomes, and so there really isn’t a chronic food shortage here,” Rector said in an interview. “We have tens of thousands of free food banks that people can go to. So it’s just a requirement to nudge these people in the proper direction, and it should no longer go unenforced.”

Darryl Chavis, 62, said that view ignores the difficulties that many veterans face. When Chavis left the U.S. Army at 21 after two years of service, he said, he was “severely depressed.”

“Nobody even came to help me,” said Chavis, who served as a watercraft operator, responsible for operating and maintaining tugboats, barges and other landing craft.

Chavis said he was diagnosed with post-traumatic stress disorder, which has made it difficult for him to keep a job. He just moved back to New York from Virginia after leaving a relationship. He’s been at the housing shelter in Long Island City since January.

“What I’m trying to do is get settled in to, you know, stabilize into an apartment. I have the credentials to get a job. So it’s not like I’m not gonna look for a job. I have to work. I’m in transition, and the obstacles don’t make it easy,” Chavis said.

The new SNAP work rules apply to all able-bodied adults between 55 and 64 who don’t have dependents, and parents with children above the age of 14. Some groups, such as asylum-seekers and refugees, are no longer eligible for the program.

Barbara Guinn, commissioner of the New York State Office of Temporary and Disability Assistance, estimates that around 300,000 New Yorkers could lose SNAP benefits due to work requirements. Of those, around 22,000 are veterans, homeless or aging out of foster care, she said. Almost 3 million New Yorkers relied on SNAP as of March 2025.

Veterans in other states are in a similar situation. In California, an estimated 115,000 veterans receive SNAP benefits, according to a study by the Center on Budget and Policy Priorities. The number is nearly 100,000 in Florida and Texas, and 49,000 in Georgia.

Between 2015 and 2019 about 11% of veterans between the ages of 18 and 64 lived in food insecure households, meaning they had limited or uncertain access to food, according to the U.S. Department of Agriculture, which oversees SNAP.

“We know that SNAP is the best way to help address hunger. It gets benefits directly to individuals,” Guinn said. “There are other ways that people can get assistance if they need it, through food banks or other charitable organizations, but we do not think that those organizations will have the capacity to pick up the needs.”

A greater burden on states

In addition to the work rule changes, the new law reduces federal funding for SNAP by about $186 billion through 2034 — a cut of roughly 20%, according to the Congressional Budget Office, an independent research arm of Congress. The federal government expects the new work requirements to reduce SNAP spending by $69 billion as people who don’t comply are dropped from the rolls.

SNAP has historically been funded by the federal government, with states picking up part of the cost of administering the program. Under the new law, states will have to cover between 5% and 15% of SNAP costs starting in fiscal year 2028, depending on how accurately they distribute benefits to people who are eligible for the program.

“This has been a strategic agenda to dismantle SNAP and to blame states for doing so, because they knew they are making it so incredibly burdensome to run and operate and unaffordable,” said Gina Plata-Nino, SNAP deputy director at the Food Research & Action Center, a poverty and hunger advocacy group.

“States are going to have to cut something, because there’s no surplus. There are no unlimited resources that states may have in order to be able to offset the harm.”

Guinn said New York expects to see a new cost burden of at least $1.4 billion each year. In California, new state costs could total as much as $3.7 billion annually, according to the California Department of Social Services.

Kaitlynne Yancy, director of membership programs at Iraq and Afghanistan Veterans of America, said many veterans with disabilities will not be able to fulfill the work requirements or find resources elsewhere. And it’s unclear whether states will be able to provide their own relief to people who are no longer exempted from work requirements or will be excluded from the program.

“It is a frustrating thing to see, especially for those that have been willing to put everything on the line and sacrifice everything for this country if their country called them to do so,” she said.

Yancy, 35, served in the U.S. Navy from 2010 to 2014. She began to use food stamps and the Medicaid program, the public health insurance program for people with lower incomes, as she navigated life’s challenges. They included going back to school to pursue her bachelor’s degree, becoming a single mother, and a leukemia diagnosis for one of her children. Frequent trips to the hospital made it hard for her to work steadily or attend school for 20 hours each week, she said.

Guinn said the new rules will create significant administrative challenges, too; even SNAP recipients who are working will struggle to prove it.

“Maybe they’re working one month, they have a job, and then their employer cuts their hours the next month,” Guinn told Stateline. “There are mechanisms for people to upload documentation as needed to demonstrate compliance with the program, but from an administrative standpoint, right now, we don’t have any super-high-tech automated way of doing this.”

Stateline reporter Shalina Chatlani can be reached at schatlani@stateline.org.

Stateline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Stateline maintains editorial independence. Contact Editor Scott S. Greenberger for questions: info@stateline.org.

A medical worker prepares to vaccinate people at a pop-up COVID-19 vaccination clinic in a rural Delta community in April 2021 in Leland, Miss. The Mississippi State Department of Health, like other state health departments, is concerned about the potential loss of federal funding. (Photo by Spencer Platt/Getty Images)

Between 2016 and 2022, as congenital syphilis cases rose nationally and especially in the South, Mississippi saw a one thousand percent increase — from 10 to 110 — in the number of newborn babies who were hospitalized after contracting the disease, known to cause developmental issues, intellectual disabilities, and even death.

So in 2023, the state Department of Health mandated that all medical practitioners screen for the disease in pregnant mothers, and it has been running advertisements to spread awareness.

Annual congenital syphilis cases in Mississippi rose from 62 in 2021 to 132 in 2023, according to state data. The number fell to 114 last year. There have been 33 cases so far this year.

That work won’t stop despite potential budget cuts, Dr. Daniel Edney, Mississippi’s state health officer, said in an interview. “We’re going to keep doing what we have to do, you know, to keep it under control.”

State by state, public health departments take a similar approach: They monitor, treat and try to stem preventable diseases, alongside their host of other duties. But in the coming year, health department officials — with their agencies already strapped for cash — fear they’ll find it much more difficult to do their jobs.

President Donald Trump’s budget proposal for fiscal year 2026 would cut the federal Centers for Disease Control and Prevention budget by more than half, from $9.3 billion to $4.2 billion. The proposal serves as a wish list from the administration, a blueprint for the Republican-controlled Congress as it works through upcoming spending legislation.

If lawmakers hew to Trump’s vision, then state and county public health departments would be hit hard. States contribute to their own health departments, but a lot of them rely heavily on federal funding.

And around half of local public health department funding comes from federal sources, primarily the CDC, as noted in a 2022 report from the National Association of County & City Health Officials.

Medicaid cuts are likely to worsen mental health care in rural America

“The federal government provides a lot of funding, but the actual implementation of public health programs happens at the state and local level,” said Josh Michaud, associate director of global health policy at KFF, a health policy research group. “Each state has its own approach, in many ways, to how public health programs are overseen, how they’re funded, how they are implemented.”

In announcing his department’s share of the proposed budget, U.S. Health and Human Services Secretary Robert F. Kennedy Jr. said Trump’s goals align with “new priorities in reversing the chronic disease epidemic.”

But many local health leaders point to the longtime mission of state public health departments in preventing the spread of disease.

“Local public health is on the front lines preventing communicable disease, operating programs to prevent chronic disease, ensuring our septic and well water systems are safe,” said Dr. Kelly Kimple, acting director of North Carolina’s Division of Public Health within the Department of Health and Human Services.

“I’m very concerned,” Kimple said, “especially given the magnitude of funding that we’re talking about, as we can’t keep doing more with less.”

Clawing back COVID-era grants

Other federal budget cuts also have states worried.

Many state public health departments grew alarmed when the Trump administration announced in March that it would be clawing back $11.4 billion in COVID-era funding for grants that were slated to extend into 2026.

Twenty-three states and the District of Columbia sued. A federal district court in Rhode Island temporarily blocked the cuts, and the case remains tied up in court.

The court’s preliminary injunction may not protect temporary staff or contractors, though. Public health departments have been laying off staff, cutting lab capacity and reducing immunization clinics, said Dr. Susan Kansagra, chief medical officer for the Association of State and Territorial Health Officials.

Historically, public health departments receive funding in “boom and bust” cycles, meaning they tend to get more federal support during emergencies, said Michaud, of KFF. But “since the Great Recession of 2008, there was a general decline in public health support funding until the COVID pandemic.”

For example, KHN and The Associated Press reported that between 2010 and 2019, spending on state public health departments declined by 16% per capita and spending for local health departments fell by 18%.

Nationally, syphilis cases reached historic lows in the 2000s, thanks to robust prevention efforts and education from public health officials. By 2022, however, cases reached their highest numbers nationally since the 1950s.

“In the wake of the COVID emergency, you’ve seen a sort of backlash to what people had been calling the overreach of public health and imposing vaccination requirements and lockdowns and other public health measures,” Michaud told Stateline.

Smallpox, cholera and typhoid

Public health departments and officials go back to the 19th century, when there was a greater emphasis on sanitation efforts to prevent spread of diseases such as smallpox, cholera and typhoid, which were rampant at the time.

By the end of the century, 40 states had established health departments, which to this day are responsible for water sanitation, tracking the spread of disease, administering vaccinations, furnishing health education, providing screenings for infants and some prenatal care for moms at local clinics, offering family planning services, and tracking and treating sexually transmitted infections, among other things.

Kimple pointed to measles as a current example of a disease that’s spreading fast. When North Carolina’s health department detected a case in the state, she said, the department “identified and contacted everyone who might have been exposed, helped people get tested, worked with doctors to make sure they knew how to respond.”

That’s the legacy of local public health, Michaud said.

“The federal government cannot decide, ‘This public health program will happen in this state, but not that state,’ that kind of thing. And cannot declare a national lockdown. The COVID pandemic tested a lot of those boundaries. It really is a state and local responsibility to protect public health. And that’s always been the case, since the beginning of our country,” Michaud said.

“And what we’re seeing now is a complete upheaval of the funding going into public health.”

A major cut in services

Kimple said she’s seen recent progress in her state in the support for funding public health.

“North Carolinians viewed our work as highly important to improving health and well-being in the state, and appreciated the local presence, the reliable information, the role in prevention and efforts to protect, in particular, vulnerable communities,” she said.

Similarly, Edney said that Mississippi state lawmakers were showing more support, despite some setbacks in 2016 and 2017. New federal cuts could throw a wrench in the health department’s economic plans and its ability to reach small communities.

“Now the federal rug is being pulled out from under us,” he said.

Edney said he expects the federal share of his department’s public health funding to fall from its current 65% to around 50%.

Edney said he’s been trying to strengthen Mississippi health department’s longevity by diversifying its revenue streams by, for example, accepting private donations.

The state will not stop doing its “core” work, he said, regardless of federal funding.

“We’re not going to cut back on services at the county health department, because what we do now is all mission critical,” Edney said.

Stateline reporter Shalina Chatlani can be reached at schatlani@stateline.org.

Stateline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Stateline maintains editorial independence. Contact Editor Scott S. Greenberger for questions: info@stateline.org.