BUFFALO, N.Y. -- County leaders from across the country converged on the nation's Capitol this week.

New York State Association of Counties Executive Director Stephen Acquario says they got few answers on the Trump administration's implementation of new executive orders and budget directives.

"The benefit of attending a conference like this is really to express concerns. I'm not looking to get takeaway from a president and an administration that's only been there for three months," Acquario said.

He said across the country, the future of Medicaid is a big concern, but especially to his members where one in four New Yorkers are enrolled in Medicaid programs and the counties pay directly for much of it.

"The amount of money that New York counties combined, say the 62 counties combined pay $7 billion, that's more than 3,000 counties across the United States pay. That's a pretty powerful figure.," Acquario said.

Erie County Executive Mark Poloncarz said his county pays more than $300 million into general Medicaid and anywhere from $40 million to $70 million toward the hospital. He came away from the meeting expecting federal cuts and unsure how his administration or the state can make up the difference.

"We're kind of in a no-win situation here. We're expecting cuts to come," Poloncarz said. "The [state] Assembly and the Senate doesn't look like it wants to cut the Medicaid program. If anything, it wants to grow it but they're not going to be able to grow it and they're going to have significant shortfalls statewide if they continue the program as is."

Poloncarz is also on the Intergovernmental Disaster Reform Task Force. He believes the administration is considering disbanding the Federal Emergency Management Agency and most top officials have already been laid off or quit.

Meanwhile, he said FEMA still owes Erie County $5 million from the 2022 blizzard.

"We're not certain we're ever going to see that money because number one, there's no one to even confirm or talk to with the issue on FEMA and number two, there's definitely an attempt to reduce expenditures and costs," Poloncarz said.

New York counties are also concerned about whether the administration will specifically withhold more funding if they continue with Diversity Equity and Inclusion programs in large part mandated by the state.

"This is a real front and center problem right now," Acquario said.