People with development disabilities, their family members, caregivers and local human service agencies joined Tuesday in Buffalo to protest Gov. Andrew M. Cuomo’s proposal to cut $240 million from their programs in next year’s budget.

They contend that the cuts will lead to reductions in programs and services, staff shortages, and risks to health and safety.

The proposed cuts are the result of a dispute between the federal government in Washington and the state government in Albany over Medicaid reimbursement rates, the Developmental Disabilities Alliance of Western New York reports.

The state already has cut $350 million from similar programming and services during the past four years, the alliance said.

“There are too many families who simply cannot provide the around-the-clock care that is required for so many thousands of people with developmental disabilities,” said Stephen R. Anderson, chief executive officer of Summit Educational Services and a member of the disabilities alliance board. “We are already in crisis, and cuts of this magnitude put us all in an untenable situation.”