At least 20 states, including New York, were reportedly locked out of their Medicaid reimbursement systems after President Donald Trump's administration announced a federal funding freeze on Tuesday.

The challenge comes amid uncertainly over funding for city agencies and nonprofit organization, and as states, including New York, are already reporting funding issues.

The pause has raised concerns among health officials and state leaders, as the vague wording leaves billions in Medicaid funding at risk, potentially disrupting coverage for millions of Americans.

The Trump administration’s freeze on federal grants sparked chaos and confusion at state Medicaid agencies on Tuesday.

After declining to name Medicaid as a program safe from the Trump administration's woke "freeze," press secretary Karoline Leavitt said the sites should be back up shortly.

Medicaid reimbursement portals were down in all 50 states on the heels of a funding freeze ordered by the Trump administration of federal grants and loans, Sen. Ron Wyden, D-Ore., said. The shutdown in access to the Medicaid system came a day after the acting Office of Management and Budget Director Matthew Vaeth issued a memo ordering a "Temporary Pause of Agency Grant,

A funding freeze ordered by the Trump administration has sparked widespread confusion about its effects on government programs such as Medicaid.