The World Trade Center Health Program, created for people who developed illnesses related to the 9/11 terrorist attack in 2001, faces an uncertain future as the Trump administration has overhauled it, reports NBC News.

“These cuts are going to potentially delay treatment, delay diagnosis and early detection of their cancers, and it’s going to cost lives,” said Todd Cleckley, a nurse medical specialist at Barasch & McGarry, a law firm representing 9/11 responders and survivors.

“The health program already operated on a very slim staffing margin,” he added. “We’re only beginning to see what those negative impacts will be.”

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