It spends an additional $675 million on Medicaid services for the poor at city hospitals.

This fiscal year, the state's portion is roughly 34 percent of the $35 billion cost of Medicaid services in the state.

That system is the largest provider of Medicaid services in Suffolk.

New York now assists 311,000 households with relief payments of $350 a month and Medicaid services.

While Medicaid services are federally mandated, the federal government pays only 50 percent, with the state and county each picking up 25 percent.

Stony Brook is the second-largest provider of Medicaid services in the county.

But Assembly Democrats have traditionally been opposed to significant reductions in Medicaid services.

The large immigrant population is also a factor, as is New York's generous menu of Medicaid services.

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The Congressional Budget Office estimates that fully 80 percent would come from a decrease in the use of Medicaid services.