In early April, Aviles circulated a letter to HHC's employees and its community advisory board stating that due to decisions by Governor Paterson the cuts would be significantly deeper than those reported in March. The effect of the initial and additional funding cutbacks on the ability of HHC to deliver effective community care is unclear. The process by which the cuts were decided upon by Governor Paterson has not yet been reported. It is unclear whether the cutbacks will impact the efficacy in New York City of President Barack Obama's initiative to expand affordable access to healthcare, or how the cuts will affect New York City's ability to offer HHC's industry leading electronic health record system as a model for integrating modern information technology into the healthcare delivery system at the national level.