Florida's price for the One Big Beautiful Bill Act's Medicaid cuts is about $13.6 billion in lost federal dollars over a decade, KFF figures, and Anna Paulina Luna's yea on May 22, 2025 sat inside the bill's one-vote House margin of 215 to 214, and she was a yea once more as the final law cleared in July.
Before that, Luna's votes in February and April 2025 decided the fate of the budget blueprint that handed Medicaid's committee an $880 billion savings target. The final law she voted for caps state-directed payments, and KFF puts roughly $394 million a year of federal money for Florida hospital services above those caps. Medicaid covered 108,800 residents of Florida's 13th District, or 14%, in 2025.
Anna Paulina Luna's Votes That Cut Florida's Medicaid Funding
- Luna Voted for H.R. 1 in May and July 2025, and the Final Law Takes $13.6 Billion in Federal Medicaid Money From Florida. H.R. 1 first cleared the House on May 22, 2025 by 215 yeas to 214 nays, with a lone member answering present; Anna Paulina Luna's yea counted among the 215, and had she flipped, it would have lost. Six weeks later, on July 3, 2025, she was a yea on the Senate-amended bill, which passed 218 to 214 and became the law. Nationally, the Congressional Budget Office scores the law's Medicaid reductions at $911 billion over ten years and its coverage effect at 10 million additional uninsured Americans in 2034. Florida's slice, by KFF's state-by-state allocation, is $13.574 billion, anywhere from $10.181 billion to $16.968 billion, equal to 5% of the federal Medicaid funding Florida would have received.
- Two Decisive Luna Budget Votes Gave Energy and Commerce, Which Writes Medicaid Law, an $880 Billion Savings Goal. On February 25, 2025 the House adopted the budget blueprint, H.Con.Res. 14, by 217 to 215, and on April 10, 2025 it accepted the Senate's rewrite by 216 to 214. Anna Paulina Luna voted yea on both, and a flip by her would have produced a 216-216 or 215-215 tie, which kills a resolution. The blueprint instructed Energy and Commerce, the committee that writes Medicaid law, to "reduce the deficit by not less than $880,000,000,000". She was also a yea for H.Res. 436, the rule governing the May 2025 floor debate on H.R. 1. The final law Luna voted for on July 3, 2025 limits the provider taxes states use to raise their share, a change the Congressional Budget Office prices at $191 billion over ten years, and squeezes state-directed payments, so that "payment rates for hospital services will decrease in at least 37 states" once the limits begin in 2028, KFF found. Florida's exposure, by KFF's estimate, is about $394 million a year in federal hospital-services spending above the new ceilings.
What Anna Paulina Luna's Medicaid Votes Cost Florida Hospitals and the 13th District
- One in seven residents of Luna's district relies on the Medicaid program losing $13.6 billion in Florida. Medicaid had 108,800 people enrolled in Florida's 13th District in 2025, KFF's district figures show, which is 14% of everyone living there, 21,200 seniors and 27,100 adults among them. Their checkups, prescriptions and hospital care are billed to a Florida program that is short $13.6 billion in federal money across the next ten years because of the law.
- Florida hospitals have $394 million a year in payments above the law's new caps. Of the roughly $421 million a year in federal state-directed payments for Florida hospital services, about $394 million is above the caps that start in 2028, KFF calculates, and payments on that amount are scheduled to come down. Public Citizen, a progressive watchdog group, marks Lakeside Medical Center in Belle Glade, Homestead Hospital and Miami Jewish Health as at-risk Florida hospitals under the law, a label it gives hospitals with heavy Medicaid and low-income caseloads that already run at a loss.
- Rural Florida's federal Medicaid funding drops $613 million over ten years. KFF estimates the law takes $613 million in federal Medicaid spending from rural Florida over ten years, a reduction that small-town clinics and hospitals with Medicaid patients absorb. Separately, the rural fund the law created awarded Florida $210 million for its first year, about $199 per rural resident.
- 590,000 more Floridians go without health coverage by 2034, and Medicaid stops paying older medical bills. KFF projects the law by itself adds 590,000 Floridians, somewhere between 440,000 and 730,000, to the uninsured in 2034, two points on the state's uninsured rate. KFF's list of Medicaid changes Florida must put in place includes tighter eligibility for lawfully present immigrants, from October 1, 2026, and a shorter look-back for coverage: from January 1, 2027, traditional enrollees get two months of retroactive coverage instead of 90 days, so a bill from the third month before applying is no longer Medicaid's to pay.
Frequently Asked Questions About Anna Paulina Luna on Health Care
What is Anna Paulina Luna's record on health care under Trump?
In 2025 Anna Paulina Luna cast two yeas on the One Big Beautiful Bill Act: a yea on May 22 that the House version could not have passed without, and a yea on July 3 for the final law, whose Medicaid cuts the Congressional Budget Office sets at $911 billion over ten years. KFF's estimate of Florida's portion is $13.6 billion. Her yeas on both versions of the budget blueprint, each decisive, gave Medicaid's committee its $880 billion target.
What does Anna Paulina Luna's vote cost Florida hospitals?
Florida hospitals face the caps on state-directed payments in the July 3, 2025 law Anna Paulina Luna voted for, caps that leave about $394 million a year in federal money for Florida hospital services above the limits, KFF figures; her decisive budget votes in 2025 had set the Medicaid committee's savings target. KFF's state data also flag Florida as barred from new or increased provider taxes, which hospitals and other providers pay and which help fund Florida's share of Medicaid.
Will Floridians on Medicaid be left with older medical bills because of Anna Paulina Luna's vote?
Some will, because the July 3, 2025 law Anna Paulina Luna voted for shortens how far back Medicaid pays for traditional enrollees to two months before the application month, from 90 days, beginning January 1, 2027, and KFF lists it among the changes Florida has to adopt. The Congressional Budget Office estimates the cutback takes $4 billion out of federal Medicaid spending over ten years and leaves 100,000 more people uninsured in 2034.
Last updated: 2026-10-27