The Paterson administration has unveiled an austere New York state budget that would include 137 new or increased taxes and fees, loosened restrictions on gambling, and $9 billion worth of spending cuts. Medicaid spending would rise by about 1% under the plan, although the projected spending for hospitals, nursing homes and other healthcare providers would be cut by more than $1 billion. In a joint statement, George Gresham, the president of 1199 SEIU United Healthcare Workers East, and Kenneth E. Raske, president of the Greater New York Hospital Association, said, "Today is a dark day for healthcare in New York." They added "these are staggering cuts that would shatter New York’s healthcare infrastructure."