The final One Big Beautiful Bill Act, which Anna Paulina Luna voted for on July 3, 2025, takes $13.6 billion in federal Medicaid funds from Florida over ten years and, starting in 2027, puts expansion adults under work rules unless they fit an exemption, such as being "blind or disabled," rules federal officials expect to cut national Medicaid enrollment by 2.3 million in fiscal 2027.
Luna's yeas on the budget blueprint in February and April 2025 were each decisive and set Medicaid's committee an $880 billion savings target, and optional home care is the kind of benefit most exposed to cuts. Florida's waiting lists for that care held 77,123 people in 2026, KFF reports.
Anna Paulina Luna's Votes on Medicaid Rules and Home Care for People With Disabilities
- Luna's July 2025 Yea Imposed Medicaid Work Rules That Leave Expansion Adults With Disabilities at Risk Over Paperwork, Rules Projected to Cut 2.3 Million From Medicaid. Anna Paulina Luna voted yea on July 3, 2025, as the final H.R. 1 passed 218 to 214, after her yea on May 22 had given the House draft its 215-to-214 majority. Starting in 2027, adults in the Medicaid expansion group must show 80 hours a month of qualifying activity unless an exemption applies; the exemptions include people who are "blind or disabled" and people "with a physical, intellectual or developmental disability that significantly impairs their ability to perform 1 or more activities of daily living," and states are to confirm them from data they already hold where possible. CMS, in its rule carrying out the requirement nationwide, states that "enrollment would be reduced by 2.3 million individuals in FY 2027," and the Commonwealth Fund warns many who lose coverage "will remain eligible for Medicaid but who did not successfully complete the paperwork."
- Luna's Decisive 2025 Budget Yeas Handed Medicaid's Committee Its $880 Billion Savings Goal, Leaving Optional Home Care Exposed. Twice in spring 2025 the budget blueprint, H.Con.Res. 14, survived by two votes each time (217 to 215 in February, 216 to 214 in April), and Anna Paulina Luna was a yea both times; had she flipped alone, either tally would have ended level, and a tied resolution fails. It ordered the committee responsible for Medicaid law to "reduce the deficit by not less than $880,000,000,000" over ten years. Home and community-based services, the care many people with disabilities use to stay out of institutions, are "largely an optional Medicaid benefit," and the Bipartisan Policy Center notes that leaves them "more vulnerable to reductions during periods of state or federal budget constraints"; the experts it cites expect the law Luna voted for on July 3 to "slow or reverse recent HCBS expansion efforts" in the states.
What Anna Paulina Luna's Votes Cost Floridians With Disabilities Who Need Care at Home
- Florida's home care waiting list stands at 77,123 as the law pulls $13.6 billion from Florida Medicaid. KFF's 2026 tally of Floridians waiting for a Medicaid home and community-based services slot is 77,123, and Florida does not screen them for eligibility. Every month on a list is a month without paid help at home for someone trying to stay out of an institution, and the law reduces the federal Medicaid money Florida could use to shorten those lists by $13.6 billion over ten years.
- When home care is out of reach, Florida's alternative is a nursing facility Medicaid mostly pays for. Medicaid is the primary payer for 58% of the residents of Florida's certified nursing facilities, KFF reports, and those facilities housed 74,768 people in 2025. The same law that squeezes optional home care also caps provider taxes and state-directed payments, the money that helps pay for that institutional care.
Frequently Asked Questions About Anna Paulina Luna on Disability rights
What is Anna Paulina Luna's record on disability rights under Trump?
Anna Paulina Luna voted yea on July 3, 2025 for the law that enacted Medicaid work rules, starting in 2027, for expansion adults who do not fit an exemption such as disability, and federal officials project 2.3 million fewer enrollees nationally in fiscal 2027. Her budget yeas that February and April, both decisive, handed the Medicaid committee its savings goal, putting optional home care at risk. Florida's share of the law's Medicaid cut is $13.6 billion.
Does the law Anna Paulina Luna voted for make it harder for people with disabilities to keep Medicaid?
For expansion adults, yes: the law Anna Paulina Luna voted for exempts people who are "blind or disabled" and others with serious conditions, but anyone who does not qualify for an exemption must show 80 hours of qualifying activity each month. Coverage can then hinge on paperwork, and the Commonwealth Fund expects many people who lose Medicaid this way to be people who still qualify.
How many people in Anna Paulina Luna's Pinellas County district rely on Medicaid?
Anna Paulina Luna's district, Florida's 13th, had 108,800 Medicaid enrollees in 2025, 14% of its residents, KFF reports. Every one of them is covered by a Florida program that loses $13.6 billion in federal funding over ten years under the law she voted for.
Last updated: 2026-10-27