On July 3rd, the Republicans in the U.S. House voted for the biggest cuts to health care since the inception of Medicaid and the Affordable Care Act. This cut passed by a four-vote margin with a final vote count of 218 to 214—with all seven New York Republicans voting for the bill.

New Yorkers make up more than 10 percent (1.7 million) of the 16 million Americans that will lose their current health coverage due to federal cuts to Medicaid and the ACA. The University of Pennsylvania estimates these cuts will lead to over 42,000 excess deaths annually.

Use this dashboard below to see how these federal cuts will devastate New York’s health care system, budget, and economy. Click on a district to get started: