New York, Portland, Ore., Washington, D.C., and Seattle could lose funding for a wide swath of programs that serve their poorest, sickest residents after the president moved last month to restrict funding, escalating his political battle against liberal cities he’s sought to use as a campaign foil.

The Department of Health and Human Services has identified federal grants covering those services, which are among the nearly 200 health programs that could be in line for cuts as part of a sweeping government-wide directive the administration is advancing during the final weeks of the presidential campaign and amid an intensifying pandemic Trump has downplayed.

Trump in a Sept. 2 order called on federal agencies to curtail funding to jurisdictions that “disempower” police departments and promote “lawlessness.” The memo argued that the cities haven’t done enough to quash riots stemming from this summer’s protests over systemic racism and police violence.