Ashley Moody on Health Care: The Medicaid Cut Law, Blocking ACA Tax Credits, and Florida's Marketplace Losses

Florida Senator Ashley Moody cast one of the 50 votes for the One Big Beautiful Bill Act on July 1, 2025, a law KFF estimates will increase the number of uninsured people in Florida by 590,000. The bill passed 50 to 50 with the Vice President's vote.

Moody also voted twice against extending the enhanced Affordable Care Act premium tax credits, in June 2025 and in December 2025. After the credits expired, Florida had the nation's largest marketplace drop, with more than 440,000 Floridians leaving the ACA marketplace.

Earlier, as Florida attorney general, Moody kept the state in the lawsuit that sought to strike down the Affordable Care Act, the Florida Phoenix reported in 2020.

Ashley Moody's Votes on Medicaid, the ACA, and Hospitals

• Moody Voted for the Law Projected to Leave 590,000 More Floridians Uninsured in July 2025. On July 1, 2025, Ashley Moody voted yes on the One Big Beautiful Bill Act, which passed 50 to 50. KFF estimates the law cuts $911 billion in federal Medicaid spending over 10 years and will add 590,000 uninsured people in Florida.
• Moody Voted to Block a Three-Year Extension of ACA Tax Credits in December 2025. On December 11, 2025, Moody voted no on cloture on the motion to proceed to S. 3385, a bill to extend the enhanced premium tax credits; it failed 51 to 48 short of the 60 votes needed. Florida Politics reported that Florida has 4.7 million consumers, more than any other state, relying on those tax credits.
• Moody Voted Against Extending the Tax Credits in the Budget Bill in June 2025. On June 30, 2025, Moody voted no on a motion to extend the enhanced premium tax credits, which failed 47 to 53. KFF found average premium payments from marketplace enrollees increased by 58% in 2026.
• Moody Voted Against Protecting Rural Hospitals in June 2025. Moody voted no on Senator Ed Markey's motion to strip provisions that would make rural hospitals more likely to close or cut services; it failed 49 to 51, according to Markey’s office.
• Moody Voted to Confirm Mehmet Oz to Run Medicaid and the ACA Marketplace in April 2025. On April 3, 2025, Moody voted to confirm Mehmet Oz as administrator of the Centers for Medicare and Medicaid Services, the agency that runs the marketplace where Florida's enrollment fell by more than 440,000.
• As Florida Attorney General, Moody Kept Florida in the Lawsuit to Strike Down the ACA. Florida joined the lawsuit in 2018, and Moody continued the state's involvement; the Florida Phoenix reported that Florida groups asked her to withdraw and had not gotten any formal response.

What Ashley Moody's Health Care Votes Mean for Florida Families

• More than 440,000 Floridians dropped marketplace coverage after the credits expired. Florida had the nation’s largest drop in ACA enrollment, and those who kept coverage often settled for less coverage at a higher cost, Axios reported, which means higher deductibles before insurance pays for care.
• Florida's uninsured rate is projected to rise at least 5 points. KFF found that the budget law and the expired tax credits together put Florida among the states where the uninsured rate is expected to increase by at least 5 percentage points, leaving more Floridians without a regular doctor.

Frequently Asked Questions Ashley Moody on Health Care

Last updated: 2026-10-28

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