A $32.6 billion, ten-year drop in Ohio's federal Medicaid dollars follows from the One Big Beautiful Bill Act, a bill Mike Turner of the 10th District kept alive in the House on May 22, 2025, when it passed with no vote to spare, and then voted to make law on July 3, 2025.
Months earlier, Turner's yes votes decided the fate of the 2025 budget resolution in February and again in April; it handed the Medicaid committee a savings target of at least $880 billion, and the final law Turner voted for in July squeezes hospital payments starting in 2028. Some 215,000 residents of Ohio's 10th District, more than one in four, were on Medicaid in 2025.
Mike Turner's House Votes on Medicaid and Health Coverage
- Ohio Loses $32.6 Billion in Medicaid Funding Under a Law Turner Voted For in July 2025, After His Vote Passed Its House Version by One in May. On May 22, 2025, Mike Turner was one of the 215 members who approved H.R. 1 against 214, with one answering present, so a no from him alone would have defeated it. Turner voted yes a second time when the final text came back on July 3, 2025 and passed 218 to 214. Across a decade, the Congressional Budget Office projects, the law subtracts $911 billion from what Washington spends on Medicaid, and by 2034 it adds 10 million people to the uninsured. Ohio absorbs $32.6 billion of the reduction in KFF's state-by-state split, a 13% bite out of the federal Medicaid funding the state had been counting on.
- Turner's Deciding Budget Votes Set the $880 Billion Medicaid-Committee Target, and the Law He Voted For Cuts Hospital Payments From 2028. Two budget votes turned on Turner's yes. On February 25, 2025, H.Con.Res. 14 won 217 to 215; on April 10, 2025, its final version won 216 to 214. Turner voted yes both times, so his switch alone would have produced a tie, which kills a resolution. Its instruction to Energy and Commerce, the committee in charge of Medicaid law, was to "reduce the deficit by not less than $880,000,000,000". On May 22 Turner also voted for the rule governing debate on H.R. 1. Under the final law, which had Turner's July 3, 2025 vote, a new ceiling on provider taxes, the levies on hospitals and nursing homes that states use to raise their share of the program, costs Medicaid $191 billion in federal funds over ten years by the Congressional Budget Office's score, and stricter caps on state-directed payments mean "payment rates for hospital services will decrease in at least 37 states," KFF warns. KFF figures that Ohio's federal spending on hospital services exceeds the new caps by roughly $2.16 billion a year.
What Mike Turner's Medicaid Votes Cost Ohio's 10th District and the State
- Medicaid, which the law shrinks, covers 215,000 people in Turner's district. Of the 215,000 Medicaid enrollees KFF tallies in Ohio's 10th District for 2025, equal to 27% of residents, 76,600 are children, 49,400 qualified through Ohio's expansion of Medicaid, 26,300 have disabilities and 20,300 are seniors. A shrinking federal share for Ohio is what pays, in part, for their pediatric visits, insulin and emergency-room care.
- A Xenia hospital in Turner's district is flagged as at risk as Medicaid money shrinks. Public Citizen's hospital data mark Greene Memorial Hospital in Xenia, a Kettering Health hospital in Ohio's 10th District, as at risk: it serves a large share of Medicaid, CHIP and low-income patients and runs a negative net margin. Statewide, the Ohio Hospital Association told legislators that half of the state's hospitals, and 72% of its rural ones, have lost money on operations since 2022, so a smaller Medicaid stream leaves them less room to keep beds and services open.
- The law by itself leaves 340,000 additional Ohioans without coverage in 2034. KFF's projection for 2034 has the law alone pushing Ohio's uninsured count up 340,000, somewhere between 250,000 and 420,000, a 3-point rise in the uninsured rate. Without coverage, a child's ear infection or a parent's blood-pressure pills turn into cash costs, or into care that waits.
- Rural Ohio loses $5.62 billion in federal Medicaid over ten years. Rural Ohio forfeits $5.62 billion in federal Medicaid over ten years, according to KFF. That loss lands on small-town hospitals and clinics whose patients are often on Medicaid.
Frequently Asked Questions About Mike Turner on Health Care
What is Mike Turner's record on health care under Trump?
Mike Turner voted twice in 2025 for the One Big Beautiful Bill Act: on May 22, when the House version passed by one vote, and on July 3, for the final law that trims $911 billion from federal Medicaid spending over a decade. By KFF's allocation, Ohio's portion of that cut is $32.6 billion. Before the bill existed, Turner's votes in February and April 2025 were each decisive for the budget resolution that set the Medicaid committee's $880 billion target.
Will Ohio Medicaid patients have to work to keep coverage because of Mike Turner's vote?
Many will, since Mike Turner said yes on July 3, 2025 to a law conditioning coverage for Medicaid expansion adults, a group Ohio covers, on 80 hours a month of work or another approved activity, with states required to start "no later than January 1, 2027." Turner's own 10th District had 49,400 expansion enrollees in 2025. In the Urban Institute's projection, up to 356,000 Ohioans, half of the expansion population, could be off Medicaid by 2028 if the state offers enrollees little help.
What happens to Medicaid for refugees in Ohio under the law Mike Turner voted for?
Mike Turner voted for the law that removes Medicaid eligibility from many lawfully present immigrants who lack green cards, and Spectrum News reported that the change would reach Ohio on October 1, 2026, ending coverage for lawful immigrants without permanent residence, including refugees and asylees, though some refugee groups stay eligible. The Center for Community Solutions estimates Ohio Medicaid enrollment will fall by about 337,000 in the first year of the law's new restrictions.
Last updated: 2026-10-27