Florida's nursing homes run largely on Medicaid, the first payer for 58% of their residents, KFF reports, and Anna Paulina Luna's July 3, 2025 yea went to the final One Big Beautiful Bill Act, which cuts $340 billion in federal Medicaid spending over ten years by limiting provider taxes and state-directed payments, funding that also reaches hospitals and other providers.
The law also freezes federal enforcement of the 2024 staffing floor for nursing homes through September 30, 2034. Luna's earlier yeas were decisive: on February 25, 2025 for the budget blueprint giving Medicaid's committee its $880 billion savings goal, and on May 22, 2025 for the House draft that would have paused two Medicaid enrollment rules, one of them for the Medicare Savings Programs. The final law kept that pause, and for the law as enacted it means $122 billion less in federal Medicaid spending, KFF reports.
Anna Paulina Luna's Votes on Nursing Homes, Home Care and Help for Low-Income Seniors
- Luna's July 2025 Yea Cut $340 Billion From Two Funding Streams Behind Hospitals and Nursing Homes and Shelved the Staffing Floor. The House passed the final H.R. 1 on July 3, 2025 by 218 to 214, Anna Paulina Luna voting yea. Its Medicaid cuts "could affect the 22 million people ages 50 and older with coverage under the Medicaid program," KFF says, and it puts the 2024 staffing minimums for nursing homes beyond federal enforcement until September 30, 2034, a delay KFF says keeps in place a federal judge's decision against central parts of the rule. By KFF's estimate, setting the rule aside lowers federal Medicaid outlays by $23 billion over a decade, while The Consumer Voice, a residents' advocacy group, says "The minimum staffing rule was estimated to save 13,000 lives annually." Another $340 billion in ten-year federal cuts comes from capping provider taxes and state-directed payments, money that pays hospitals and other providers as well as nursing homes.
- Luna's Decisive May 2025 Yea Advanced a Pause on Two Medicaid Enrollment Rules That the Final Law Kept. Anna Paulina Luna's May 22, 2025 yea on the House draft of H.R. 1 was part of a 215-to-214 majority that would have vanished without her, and she voted for the final law on July 3. The draft carried, and the law kept, a pause on most of two rules, the first simplifying sign-ups for the Medicare Savings Programs, which pick up premiums and copays, and the second simplifying Medicaid enrollment generally. For the law as enacted, the two pauses are "collectively estimated to reduce federal Medicaid spending by $122 billion," KFF reports; for a low-income senior who loses the help, Medicare premiums alone can run $185 a month, roughly a fifth of income.
- Luna's Yea Kept the February 2025 Budget Blueprint From a Tie and Gave the Medicaid Committee an $880 Billion Savings Target. H.Con.Res. 14 drew 217 yeas and 215 nays on February 25, 2025; Anna Paulina Luna was a yea, and a switch by her would have left it tied at 216-216, and a tie fails. It instructed Energy and Commerce to "reduce the deficit by not less than $880,000,000,000". Home care is exposed when Medicaid shrinks: "Medicaid pays for almost 70% of all home care spending in the U.S., nearly all of which is provided through optional services," KFF reports, and the Bipartisan Policy Center says optional services are "more vulnerable to reductions during periods of state or federal budget constraints."
What Anna Paulina Luna's Votes Cost Florida Nursing-Home Residents and Floridians Waiting for Medicaid Home Care
- 21,200 seniors in Luna's district are enrolled in a Medicaid program losing federal money. Of everyone on Medicaid in Florida's 13th District in 2025, 21,200 were seniors, according to KFF. For older Floridians Medicaid pays for long nursing-home stays and much of the help they get at home, so the $13.6 billion the law takes from Florida's federal Medicaid funding comes out of the program those seniors use.
- Most of the 74,768 people in Florida nursing homes count on Medicaid, and the law caps the money behind it. KFF's count of residents in Florida's certified nursing facilities was 74,768 in 2025, and 58% of them had Medicaid as primary payer, against 19% with Medicare. These are the homes the shelved staffing standard was meant to cover, financed partly through the provider taxes and state-directed payments the law caps.
- 77,123 Floridians are already waiting for Medicaid home care the law makes harder to pay for. In 2026 Florida's waiting lists for Medicaid home and community-based services held 77,123 people, KFF found, and Florida does not screen those on the lists for eligibility. Home care is an optional Medicaid benefit, the kind of service the Bipartisan Policy Center calls more exposed to cuts when budgets tighten, and the law shrinks the federal dollars in Florida's Medicaid budget while those Floridians wait for help at home.
Frequently Asked Questions About Anna Paulina Luna on Elder care
What is Anna Paulina Luna's record on elder care under Trump?
Anna Paulina Luna voted yea on July 3, 2025 for the final One Big Beautiful Bill Act, which shelved the 2024 nursing-home staffing rule until 2034 and cut $340 billion over ten years by capping two funding streams that hospitals and nursing homes depend on. The House draft she voted for on May 22, 2025, which could not have passed without her, carried a pause on two Medicaid enrollment rules that the final law kept, and her February 2025 yea decided the budget blueprint that gave Medicaid's committee its savings target. In Florida, Medicaid pays first for 58% of the people living in nursing homes.
Did Anna Paulina Luna vote to delay nursing-home staffing requirements?
Yes: the final law, which Anna Paulina Luna voted for on July 3, 2025, keeps Washington from enforcing the staffing minimums federal regulators set for nursing homes in 2024 until September 30, 2034. KFF counts the federal Medicaid savings from that delay at $23 billion over ten years. Florida's certified nursing facilities, the homes the standard would have covered, had 74,768 residents in 2025.
What does Anna Paulina Luna's budget vote mean for Floridians waiting for Medicaid home care?
Anna Paulina Luna's deciding February 25, 2025 vote adopted the budget resolution that set the $880 billion savings target for Medicaid's committee, and KFF reports Medicaid pays for almost 70% of home care spending nationally, nearly all of it optional. In Florida, where the waiting list for Medicaid home care already held 77,123 people in 2026, that is the care most exposed as the federal cuts phase in.
Last updated: 2026-10-27