Maria Elvira Salazar and the One Big Beautiful Bill Act: Her Yes Decided House Passage, She Voted for the Final Law, and Florida Gives Up $13.6 Billion in Medicaid

Public Law 119-21, the One Big Beautiful Bill Act, finances tax cuts in large part by shrinking federal payments to states for Medicaid and SNAP. Maria Elvira Salazar of Florida's 27th District was one of the 215 on May 22, 2025 when the House approved it over 214, and she voted for the final text on July 3; by KFF's state allocation, Florida's Medicaid program gives up $13.6 billion in federal money across the decade.

At five other points her vote was decisive: both 2025 budget resolutions, in February and April, which handed committees their savings targets, the April 9 rule that took up the second, and the two July 2 procedural votes that let the Senate's version reach the floor. In April 2026 she added her yes to H.Res. 1156, commending the law. KFF expects 590,000 additional uninsured Floridians in 2034 as a result.

Maria Elvira Salazar's House Votes on the One Big Beautiful Bill Act, in the Order the Bill Moved

• February 2025: Salazar Provided the Two-Vote Margin for a Budget Plan Ordering the Medicaid Committee to Save $880 Billion and the SNAP Committee $230 Billion. Three February 25, 2025 roll calls carried the House budget resolution, and Maria Elvira Salazar voted yes on each: a procedural motion on H.Res. 161 that closed debate on the rule; the rule's adoption; and, on H.Con.Res. 14 itself, a 217-to-215 adoption that would have deadlocked, and failed, had she alone flipped. Its instructions were floors, not ceilings: Energy and Commerce, home of Medicaid, had to find at least $880 billion; Agriculture, home of SNAP, at least $230 billion; Ways and Means could write tax cuts that raise deficits by as much as $4.5 trillion.
• Spring 2025 Budget Endgame: Salazar's Votes Decided the April Rule and the Final Resolution. The Senate's amended resolution came back in April. On the 9th, Salazar voted to end debate on H.Res. 313, the rule for that version, and then the rule, which survived 216 to 215; on the 10th, the House concurred 216 to 214 with her vote. The rule and the concurrence each passed by a margin that her switch alone would have wiped out. The committee orders carried over unchanged. When the law itself cleared the House on July 3, its Medicaid reductions stood at $911 billion for the decade, a Congressional Budget Office score KFF reported.
• May 2025: Salazar Was One of the 215 in the House's One-Vote Passage of H.R. 1. May 22, 2025 brought five recorded Salazar votes on H.R. 1 itself and its rule, H.Res. 436: yes on taking up the rule twice (217 to 211 and 216 to 211), yes on adopting it (217 to 212), and she voted against the motion to recommit, which the House turned down, 212 to 216. Passage itself succeeded 215 to 214, one member voting present, so a no from Salazar would have killed the bill. Rewritten by the Senate, the measure became a law whose Medicaid sections alone, by the budget office's estimate, mean 7.5 million more Americans without insurance in 2034, and which froze Planned Parenthood's Medicaid payments for a "1-year period".
• July 2025: Two Procedural Roll Calls Turned on Salazar's Vote Before Her Final-Passage Yes. To reach the Senate's text, the House first had to agree to consider its rule, H.Res. 566, which it did 212 to 211 on July 2, 2025, and then order the previous question, 214 to 212. Salazar voted yes both times, and either would have failed had she alone switched. She then voted for an amendment to the rule offered by Rep. Foxx, for the amended rule on July 3, and, that same day, for the concurrence on the Senate amendment that served as the final House approval, carried 218 to 214; a day later it was signed into law as Public Law 119-21. The finished law leaves 10 million more people uninsured in 2034, the Congressional Budget Office estimates in figures KFF reports; on food aid, the Center on Budget and Policy Priorities' summary is blunt: "The megabill cuts SNAP by $187 billion or about 20 percent by 2034."
• April 2026: Salazar Voted for H.Res. 1156's Claim of a 15 Percent Tax Cut for the Bottom 40 Percent. Nine months after enactment, Salazar voted for H.Res. 1156, approved 219 to 207 on April 16, 2026, whose text claims the law "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." The tax side alone tells a different story at the bottom: "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase," according to the Institute on Taxation and Economic Policy, against more than $70,000 for the average top-1-percent household this year.

How the One Big Beautiful Bill Act Maria Elvira Salazar Voted For Reaches Florida, Topic by Topic

• Florida loses $13.6 billion in federal Medicaid money, which covers 153,100 people in the 27th District. Across ten years, the Medicaid cut costs Florida $13.6 billion, 5% of its expected federal share, by KFF's allocation, in a program that had 153,100 enrollees in Florida's 27th District in 2025. Salazar's health care page walks through the votes.
• Florida hospitals have $394 million a year in Medicaid payments above the new cap, and rural Florida loses $613 million. Some $394 million a year of federal directed payments for Florida hospital care lands above the law's new cap, KFF finds, while rural parts of the state lose roughly $613 million in federal Medicaid dollars over a decade. Hospital caps on the health care page.
• Refugees and asylees lose Medicare, and 5.1 million Floridians rely on a hospital fund set to run short a quarter sooner. Medicare eligibility now excludes refugees and asylees who lack green cards, and for those already identified, coverage ends February 1, 2027 under CMS's proposed timeline. Florida had 5,133,537 people on Medicare in 2024, all counting on a Part A trust fund whose 2033 depletion now arrives one quarter earlier, primarily because of the law. Salazar's Medicare page has the rest.
• Medicaid pays for 58% of Florida nursing-home residents, and the staffing standard is blocked until 2034. Of the 74,768 people in Florida nursing facilities, Medicaid is the main source of payment for 58%; the law leaves the national staffing floor unenforced until 2034 and trims facility financing. The elder care page has details.
• 77,123 Floridians wait for Medicaid home care that the law's cuts put under pressure. Florida's lines for Medicaid home and community-based care held 77,123 people, and as an optional service, home care is what a state pares first when federal Medicaid money tightens. See the disability rights page.
• 18,325 Florida Medicaid adults on opioid treatment medication rely on a program the law cuts. Florida Medicaid covered opioid use disorder medication for 18,325 adults in 2021, treatment financed by the program the law shrinks in the state. The mental health and addiction page explains how.
• CBPP put 164,000 Floridians at risk of losing SNAP in a June 2025 estimate, and the state's rolls fell by more than 600,000. Adults aged 55 to 64 and parents of teens were pulled into SNAP's time limit, as in the Senate Agriculture Committee plan for which CBPP put 113,000 and 51,000 Floridians, respectively, at risk in June 2025; statewide participation slid from 2,849,239 to 2,219,639 over the year that ended in July 2026. The food assistance page has the votes.
• The law's coverage losses leave 590,000 additional Floridians uninsured by 2034. KFF puts the law's own toll on Florida coverage at 590,000 people by 2034, and the budget office calculates that the poorest households nationwide come out $1,200 a year behind. On the homelessness and poverty page.
• An earnings-based phase-in shortchanges 29,000 children in Florida's 27th District on the child tax credit. Since the credit scales with earnings, Columbia researchers count 29,000 children in the 27th District, and 1,201,000 across Florida, left short of the full amount. Read more on the child care and families page.
• 135,717 Social Security beneficiaries in the 27th District, and a $496 monthly cut ahead for Floridians. The 27th District had 135,717 Social Security beneficiaries at the close of 2024, and the law's tax change on benefits brings closer the insolvency date at which Florida's average cut would be $496 a month. Salazar's Social Security page covers it.
• Florida borrowers moved from SAVE pay $1,559 more a year. A Florida borrower pushed off SAVE onto the new repayment plan pays $1,559 a year more on average, per the Center for American Progress. The student debt page lists the votes.
• Florida's budget takes on $50 million in SNAP administration and could owe about $900 million in benefits. Florida's budget picks up $50 million more in SNAP administrative costs, and in fiscal 2028 it could owe roughly $900 million toward benefits if its 2025 error rate holds. More on the taxes and deficit page.
• Florida veterans 18 to 64 in SNAP households lose the exemption that kept them off the work-hour rule. The law ended the time-limit exemption veterans had. A Florida veteran between 18 and 64 who lives without children under 14 and has no other exemption now has to document work hours or lose food aid after three months, and 99,000 Florida veterans live in SNAP households. The veterans page has details.
• Repealed clean-energy credits could cost the average Florida household $430 more a year by 2035. Energy provisions in the law could lift an average Florida household's energy costs by $430 a year by 2035, according to Energy Innovation figures CNBC published.

Frequently Asked Questions About Maria Elvira Salazar on One Big Beautiful Bill

Last updated: 2026-10-27

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