Nursing home operators are sounding the alarm after President Donald Trump released a fiscal year 2021 budget proposal that would severely reduce spending for the Medicaid and Medicare programs.

LeadingAge noted that the proposal would cut post-acute care and hospice services’ Medicare spending by more than $100 billion over the next 10 years. This “would in fact be crippling not only for providers of aging services but also to the older adults who depend on Medicare benefits to meet their care needs as they age and at the end of life,” the organization said.

The budget proposal, which was released in early February, also calls for about $920 billion in cuts to Medicaid over the next decade. The American Health Care Association said it is “concerned about any changes to Medicaid that would threaten funding and access to long-term care.”