If federal benefits on this scale are withdrawn from Hawaiʻi’s economy, there would be predictable ripple effects to local businesses and workers. Withdrawal of SNAP funding means a reduction in spending in grocery stores and supermarkets. When families lose health insurance, hospitals and doctors lose income. And spending would be reduced in other areas as families struggle to pay food and health costs. FPI’s mid-level estimate shows a potential loss of $127 million in Hawaiʻi due to the ripple effects of this lost spending.