Anna Paulina Luna's July 3, 2025 yea on the final One Big Beautiful Bill Act imposed Medicaid work rules that, from 2027, reach expansion adults whose mental illness is not judged disabling, absent some other exemption, and the law takes $13.6 billion from Florida's federal Medicaid funding, the program through which 30,896 Florida adults with an opioid use disorder diagnosis were covered in 2021, and 18,325 got medication for it.
Luna's decisive budget yeas in February and April 2025 set the $880 billion target for Medicaid's committee, and KFF warns that the cuts and a tighter fiscal climate for states put the treatment states have built through Medicaid at risk.
Anna Paulina Luna's Votes on Medicaid Coverage for Mental Health and Addiction Care
- Luna's July 2025 Yea Put Medicaid Work Rules on the Main Coverage Path for People With Mental Illness and Addiction. When the House approved the final H.R. 1 by 218 to 214 on July 3, 2025, Anna Paulina Luna voted yea; in May her yea had been one of the 215 that passed the House draft by a single vote. Starting in 2027 the law's work rules fall on expansion Medicaid, which KFF calls "the primary coverage pathway for people with mental health or substance use disorders," and they exempt people "with a substance use disorder," people "with a disabling mental disorder" and people in a drug or alcohol treatment program. A diagnosed substance use disorder is enough for an exemption, the Commonwealth Fund explains, but a mental illness must be "disabling" to qualify, so an enrollee whose illness falls short of that and who fits no other exemption has to log the hours; it warns many who lose coverage "will remain eligible for Medicaid but who did not successfully complete the paperwork." When one state tried a work requirement earlier, the result was "over 18,000 people losing coverage," KFF found.
- Luna's Decisive Budget Yeas Gave the Committee Over Medicaid an $880 Billion Savings Target. Anna Paulina Luna voted yea on February 25, 2025, when H.Con.Res. 14 passed 217 to 215, and on April 10, 2025, when the final version passed 216 to 214, and on both her switch alone would have meant a tie and a failed resolution. Its instruction to the Medicaid committee was to "reduce the deficit by not less than $880,000,000,000." KFF warned that the law's cuts and "a more tenuous fiscal climate for states may make those gains harder to sustain," meaning the mental health and addiction care states have widened through Medicaid, which nationally covers "over half (56%) of those receiving medication" for opioid use disorder.
What Anna Paulina Luna's Medicaid Votes Cost Floridians in Addiction and Mental Health Treatment
- 30,896 Florida adults with opioid addiction were on Medicaid, which loses $13.6 billion in Florida under the law. KFF data show 30,896 Medicaid-enrolled adults in Florida had a diagnosis of opioid use disorder in 2021, and 18,325 of them got medication treatment through Medicaid. That treatment is paid for by a Florida program losing $13.6 billion in federal funding over ten years, so less federal money stands behind each prescription and counseling visit.
- 108,800 people in Luna's district are on the Medicaid program that covers most people getting opioid addiction medication. In Florida's 13th District, 108,800 people were on Medicaid in 2025, KFF's district data show. Nationally, Medicaid covers 56% of the people receiving medication for opioid use disorder, so district residents in recovery depend on the program the law cuts.
- 590,000 more uninsured Floridians will pay out of pocket for counseling and treatment. KFF projects that the law alone adds 590,000 Floridians to the uninsured in 2034. For a Floridian in treatment who loses coverage, therapy visits and addiction medication become bills paid out of pocket.
Frequently Asked Questions About Anna Paulina Luna on Mental health and addiction
What is Anna Paulina Luna's record on mental health and addiction under Trump?
Anna Paulina Luna was one of the 218 yeas that sent H.R. 1 to become law on July 3, 2025, and from 2027 its Medicaid work rules apply to expansion enrollees with a mental illness short of disabling who qualify for no other exemption, while the same law pulls $13.6 billion of federal Medicaid money out of Florida in a decade. Her yea on May 22, 2025 was one the House draft needed, and her decisive budget yeas handed Medicaid's committee an $880 billion savings goal.
Why does Anna Paulina Luna's Medicaid vote matter for mental health care in Florida?
Anna Paulina Luna voted for a law that cuts Medicaid, and Medicaid covers "nearly one-third of all adults with mental health disorders and one-fifth of all adults with substance use disorders" nationally, KFF reports. In Florida the law's Medicaid cut is $13.6 billion over ten years, money that pays for therapy, psychiatric care and addiction treatment for enrollees.
Did Anna Paulina Luna vote for the budget plan behind the Medicaid cuts?
Yes, Anna Paulina Luna cast decisive yeas for the budget resolution, H.Con.Res. 14, on February 25 and April 10, 2025, each time by a margin her switch would have erased. It ordered Medicaid's committee to find at least $880 billion, and KFF says Medicaid covers "47% of all nonelderly adults with OUD," the opioid use disorder that 30,896 Florida Medicaid adults were diagnosed with in 2021.
Last updated: 2026-10-27