Anna Paulina Luna and the One Big Beautiful Bill Act: Every House Roll Call She Cast on It From Budget Plan to Final Passage, and $13.6 Billion Out of Florida Medicaid

Florida's ledger on the One Big Beautiful Bill Act opens with a $13.6 billion hole in federal Medicaid funding over a decade and a pair of new SNAP charges to the state budget. Anna Paulina Luna's yea tipped the outcome on seven roll calls as the bill moved: the two budget-blueprint votes, in February and April 2025, and the April 9 rule that brought up the final blueprint; the May 22 previous question on the House bill's rule and the 215-214 House passage that day; and the two July 2 votes that put the Senate text on the floor, before her July 3, 2025 yea on final passage.

After the bill became Public Law 119-21, Luna voted yea in April 2026 on H.Res. 1156, a resolution praising the law. Closer to home, the 13th District counted 108,800 Medicaid enrollees in 2025 and 218,765 Social Security beneficiaries at the end of 2024, and 35,000 of its children come up short of the full child tax credit.

Anna Paulina Luna's Votes on the One Big Beautiful Bill Act, From Budget Plan to Final Passage

• February 2025: Luna's Tie-Preventing Yea Adopted a Blueprint Demanding $880 Billion From the Medicaid Committee and $230 Billion From the SNAP Committee. Three roll calls on February 25, 2025 carried the yea of Anna Paulina Luna: the previous question on H.Res. 161, the rule for the budget resolution, 216 to 210; the rule, 217 to 211; and H.Con.Res. 14 itself, 217 to 215, a count her nay would have turned into a dead 216-216 tie. Written into the House-adopted text: Energy and Commerce, which writes Medicaid law, must "reduce the deficit by not less than $880,000,000,000"; Agriculture, which writes SNAP law, owes at least $230 billion; and Ways and Means may run deficits up by $4.5 trillion.
• April 2025: Luna's Yeas Decided Both the Rule and the Concurrence on the Final Budget Blueprint. April 9, 2025 brought roll call 93, on whether to order the previous question for H.Res. 313 (217 yeas, 212 nays), and roll call 94, the rule itself, 216 to 215, with Luna a yea on each; on April 10, roll call 100, the House concurrence in the Senate's blueprint, went 216 to 214 with her yea. A switch by her would have sunk the rule outright and deadlocked the blueprint. Every House committee instruction survived the Senate's edits, and the final law Luna voted for on July 3 cuts federal Medicaid spending by $911 billion across ten years, by the Congressional Budget Office estimate KFF reports.
• May 22, 2025: Luna Cast Six Votes on H.R. 1, and Two of Her Yeas Were Decisive. Six roll calls on H.R. 1 carried Luna's vote on May 22, 2025: a yea twice on considering H.Res. 436, its rule (217 to 211, then 216 to 211), a yea on the previous question, 213 to 211, where her vote was needed, and a yea on adopting the rule, 217 to 212. Next, Luna voted against the motion to recommit; that motion lost, 212 to 216. She was then a yea on passage, 215 to 214 with one present, again a margin that needed her. Once the Senate finished with it, the bill became a law whose Medicaid sections by themselves add 7.5 million uninsured people in 2034, by the Congressional Budget Office figure KFF cites, and that halted Planned Parenthood's Medicaid payments for a "1-year period".
• July 2025: Two Decisive Yeas Put the Senate Text Before the House, Then Luna Voted for Final Passage. Roll calls 186 and 187 on July 2, 2025 opened floor action on the Senate's version: consideration of H.Res. 566 passed 212 to 211 and the previous question 214 to 212, each needing Luna's yea. She was also an aye on the Foxx amendment to the rule, 220 to 212, a yea on the amended rule on July 3, 219 to 213, and an aye on the concurrence motion that served as final passage, 218 to 214. Enactment followed on July 4, 2025. Its national toll, per the Congressional Budget Office estimate KFF relays, is 10 million more uninsured people in 2034. Its SNAP toll, per CBPP: "The megabill cuts SNAP by $187 billion or about 20 percent by 2034."
• April 2026: Luna's Yea for H.Res. 1156 Hailed the Law as Tax Relief for Working Families. 219 members, Luna among them, adopted H.Res. 1156 against 207 on April 16, 2026, in roll call 121; the resolution dubs the law the "Working Families Tax Cuts" and credits it with a "15 percent tax cut" for the bottom 40 percent. ITEP's numbers for 2026 run the other way at the bottom: "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase," and the top 1 percent average tax cuts above $70,000.

What the One Big Beautiful Bill Act Costs Florida and the 13th District, Topic by Topic, After Anna Paulina Luna's Votes

• Medicaid: Florida's federal funding drops $13.6 billion, and 108,800 district residents use the program. Ten years of the law cost Florida $13.574 billion in federal Medicaid money, 5% of its expected share, by KFF's allocation; in Florida's 13th District the program enrolled 108,800 people in 2025. Luna's Medicaid votes are laid out on her health care page.
• Hospitals: $394 million a year in Florida payments exceed the caps, and rural areas lose $613 million. KFF puts $394 million a year of federal money for Florida hospital services above the law's state-directed payment ceilings; separately, rural Florida's ten-year federal Medicaid loss is $613 million, and the rural fund's first-year award to Florida was $210 million. Hospital effects are on the same health care page.
• Coverage: 590,000 more Floridians uninsured in 2034. KFF's projection of the law's own effect is 590,000 more Floridians without insurance in 2034, people who will pay for care themselves or go without. Luna's health care page carries the coverage figures too.
• Medicare: 5,133,537 Florida beneficiaries, a hospital fund running short a quarter sooner, and $8.8 billion more for orphan drugs. Florida's Medicare rolls numbered 5,133,537 in 2024; their hospital trust fund now depletes in 2033, a quarter early, primarily because of the law's tax changes, and orphan-drug exemptions add $8.8 billion to Medicare spending. Details are on Luna's Medicare page.
• Nursing homes: 58% of Florida's 74,768 residents have Medicaid as primary payer. With 74,768 residents in 2025 and Medicaid paying first for 58% of them, Florida's nursing facilities rely on the provider taxes and state-directed payments the law limits. Luna's elder care page has the votes.
• Home care: 77,123 Floridians wait for Medicaid services at home. KFF counted 77,123 people waiting in 2026 for Florida's Medicaid home and community-based services, an optional benefit the Bipartisan Policy Center calls more vulnerable when budgets tighten. More is on Luna's disability rights page.
• Addiction care: 30,896 Florida Medicaid adults had opioid use disorder. Florida Medicaid's 2021 count of adults with diagnosed opioid use disorder was 30,896, with 18,325 receiving medication, KFF data show, care that now draws on smaller federal funding. Luna's mental health and addiction page goes further.
• State budget: $50 million more to run SNAP, and a possible $900 million toward benefits in fiscal 2028. Tallahassee needs an additional $50 million for SNAP administration after the state's share rose by 25%, and under the benefit cost share that begins in fiscal 2028, CBPP estimates Florida could owe near $900 million that first year at its 2025 error rate. The SNAP votes are on Luna's food assistance page.
• SNAP work rules: 113,000 older Floridians and 51,000 parents at risk in CBPP's June 2025 estimate, 181,217 current recipients exposed. Working from the Senate Agriculture Committee's proposal, which expanded the time limit as the law later did, CBPP estimated in June 2025 that 113,000 Floridians aged 55 to 64 and 51,000 parents of teens were at risk, and the Florida Policy Institute found roughly 181,217 people already on SNAP exposed. Luna's homelessness and poverty page continues the story.
• Child tax credit: 35,000 children in Luna's district, and 1,201,000 statewide, fall short. Columbia's poverty center finds 35,000 children in Florida's 13th District, a third of them, and 1,201,000 statewide, 29%, too poor for the full credit; the votes are on Luna's child care and families page.
• Social Security: 218,765 beneficiaries in the district, and a $496 monthly cut for 4.6 million Floridians at depletion. The district's 218,765 beneficiaries draw on trust funds whose net costs the law raises $168.6 billion, and CRFB figures the automatic 24% cut at the retirement fund's depletion averages $496 a month across 4.6 million Floridians. Luna's Social Security page has the votes.
• Student loans: $1,559 more a year for Florida borrowers leaving SAVE. Florida borrowers forced from SAVE onto the Repayment Assistance Plan face $1,559 more a year on average, CAP's state data show; Luna's student debt page explains where the plan came from.
• Veterans: Florida's 99,000 veterans in SNAP households include working-age adults who lost their time-limit exemption. Some 99,000 Florida veterans live in SNAP households, CBPP estimates, and section 10102 ended the exemption that kept veterans out of the three-month limit. Luna's veterans page has more.
• Energy bills: the average Florida household could pay about $430 more a year by 2035. By Energy Innovation's projection, which CNBC published, the energy provisions in the law could add about $430 a year, on average, to a Florida household's energy costs by 2035; the budget votes behind the law are on Luna's taxes and deficit page.

Frequently Asked Questions About Anna Paulina Luna on One Big Beautiful Bill

Last updated: 2026-10-27

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