More state employees could be furloughed this coming week.
"For me, it couldn't have come at a worse time," said Tammy Turner-Lee, a 54-year-old supervisor in Oklahoma's disability determination office who is targeted to be furloughed on Friday. "My husband is going through chemotherapy right now. ... If we are in furlough status, that means I am going to have to go into credit card debt."
Medicaid, the biggest federally funded state program, has remained exempt from the cutbacks. But federal officials have said other big state-administered programs — like food aid for low-income families — may have only enough money to make it through October.
As Congress and President Barack Obama remain at odds over the federal budget, some states have started to prepare for widespread furloughs.
Arkansas already has laid off 673 employees and could furlough an additional 4,000 if the federal shutdown continues for another week.
"The state of Arkansas simply does not have the resources to continue to cover the costs of federal programs," Arkansas Gov. Mike Beebe wrote in a recent memo to agency directors.
Some states have avoided furloughs by tapping into accumulated federal funds while others are dipping into state coffers.
Maryland has continued to pay 11,000 employees because the Legislature set aside $100 million to plug holes created by federal budget battles. Kansas Gov. Sam Brownback dipped into cash reserves to avoid 119 furloughs and reinstate dozens of others in an office that handles unemployment benefits.
But Florida Gov. Rick Scott took the opposite approach, ordering agencies not to use state money to cover typical federal expenses.
Furloughs of state workers are slowly mounting. There have been 56 so far Maine, more than 100 in Illinois, 244 in Arizona, more than 300 in Virginia and over 400 in Washington.
The disability office in Oklahoma's Department of Rehabilitation Services, where Turner-Lee works, halted its outgoing mail to stretch its dwindling federal dollars. But furloughs could kick in by week's end for 289 full-time and 39 temporary state employees.
The Oklahoma shutdown would affect nearly 18,000 people waiting for word on whether they can get disability benefits.
The entire staff of the Maine disability determination office already has been furloughed, meaning people with disabilities "are going to incur additional financial hardship," said Sara Squires, the public affairs director at the nonprofit Disability Rights Center in Augusta, Maine.
Other states such as Pennsylvania, Missouri and Michigan still are bracing for a big hit from the federal shutdown.
About 200 maintenance employees of the Missouri National Guard already are furloughed, but the state has several thousand additional federally funded employees.