Federal changes to SNAP and Medicaid could hit Monroe County hard — we’re talking an extra $100 million in costs over the next few years. Local leaders warn that some tough decisions are coming. Jeremy Moule outlines the additional responsibilities and burdens the county faces due to the new federal work requirements for SNAP and Medicaid. and also the uncertainties around how the county will close the fiscal gap and how residents who use the programs will be affected. | WXXI News