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Many programs affecting low-income Americans — like food stamps, Medicaid and Temporary Assistance for Needy Families — are exempt from across-the-board spending cuts set to go into effect March 1.

But many other programs are not, and that has service providers scrambling to figure out how the budget stalemate in Washington might affect those who rely on government aid.

Kathy Yowell is sitting in a wheelchair in the middle of her living room, waiting for her daily delivery from Meals on Wheels of Takoma Park, Md. Today she's getting fish, green beans and spinach, along with a chicken sandwich, fruit, salad, juice and a bagel.

Yowell, 82, says the service is a lifeline, especially after she had spinal surgery last August. Without the help, she says, "I wouldn't be back in my house. I'd be in assisted living, and I don't think I would last very long in a place like that."

That's the case for many of the millions of seniors who are served by Meals on Wheels nationwide. Jill Feasley, who runs the Takoma Park program, says most of her clients are homebound and alone. They need both food and someone to check in on them.

But if automatic spending cuts go into effect this Friday, the Obama administration warns, seniors could get 4 million fewer meals this year alone.

Still, Feasley says her program "wouldn't feel the cuts immediately." Federal funds cover only about one-quarter of her costs, she says, so she has a little flexibility.

"I can dance a lot of dances," Feasley says. "I can try and raise more money from private donations. I can try and serve more hamburger." Anything, she says, to avoid cutting actual meals.

Feasley does worry what the budget impasse will mean for her ability to raise funds in this Washington, D.C., suburb. Many of her donors are government workers and are facing potential furloughs if the sequester kicks in.

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