Mike Turner and the One Big Beautiful Bill Act: Four Stages Where His Vote Was the Margin, His Final-Passage Yes, and a $32.6 Billion Hole in Ohio's Medicaid Funding

Ohio's $32.6 billion, ten-year loss of federal Medicaid money traces to a law Mike Turner voted for at four close stages in the House in 2025, six roll calls in all that his switch alone could have reversed: the budget resolution in February and in April, the previous question and House passage on May 22, and the two July 2 votes to take up the final version, before his yes at final passage on July 3.

Signed July 4, 2025 as Public Law 119-21, the law also strips food aid from an estimated 98,000 Ohioans and adds 340,000 to Ohio's uninsured in 2034. Turner returned to it on April 16, 2026, voting for a House resolution that praised its tax policies.

Mike Turner's House Votes on the One Big Beautiful Bill Act, From Budget Plan to Final Passage

• A Budget Plan Demanding $880 Billion in Savings From the Medicaid Committee Passed by Two Votes, Turner's Among Them, in February 2025. Turner's record for February 25, 2025 reads yes, yes, yes. H.Res. 161, the rule governing debate on the budget plan, had its previous question carried 216 to 210; adoption of that rule, 217 to 211; and, decisively, the resolution itself, H.Con.Res. 14, by 217 votes to 215, a two-vote margin his reversal alone would have erased. In the resolution's text, Energy and Commerce, which writes Medicaid law, must "reduce the deficit by not less than $880,000,000,000" over a decade; Agriculture, the SNAP committee, must find at least $230 billion; and tax-writers at Ways and Means may raise deficits by up to $4.5 trillion.
• Turner's Deciding April 2025 Vote Adopted the Final Budget Plan, Keeping Its $880 Billion Medicaid-Committee Target. First came the April 9, 2025 previous-question vote on H.Res. 313, the rule to consider the Senate-amended budget resolution, where Turner's yes was one of 217 against 212. Then, on April 10, the House concurred in the Senate text 216 to 214 with Turner in favor, close enough that his vote alone decided it. Its committee instructions stayed the same in the final text. Counting the Medicaid cuts in the final law, which drew Turner's yes on July 3, 2025, KFF reports a Congressional Budget Office score of $911 billion over ten years.
• On May 22, 2025, H.R. 1 Cleared the House by One Vote, and Turner's Was One the Bill Could Not Lose. Turner's May 22, 2025 votes, in order: yes on two questions of consideration for H.Res. 436, H.R. 1's rule (217 to 211, then 216 to 211); yes on its previous question (213 to 211); yes on the rule (adopted); against the motion to recommit, which lost 212 to 216; and, last, yes on H.R. 1, passed 215 to 214 with one present. Had Turner alone voted the other way, the previous question and House passage would both have failed. After Senate changes the bill came back as the law Turner voted for in July; KFF reports the Congressional Budget Office expects its Medicaid changes to add 7.5 million people to the uninsured in 2034, and the law halted Planned Parenthood's Medicaid payments for a "1-year period".
• The Final Version Reached the Floor on Turner's Deciding Rule Votes in July 2025, Followed by His Final-Passage Yes. On July 2, 2025, two procedural tallies on H.Res. 566, which set terms for debating the Senate-passed bill, passed by one vote and by two: 212 to 211 on the question of consideration and 214 to 212 on the previous question. Both had Turner's yes; had he alone flipped, the first would have lost and the second would have tied, and a tie fails. He then voted for the Foxx change to that rule (220 to 212), for the rule itself on July 3 (219 to 213) and for the motion to concur, which passed the bill 218 to 214; the President's signature made it Public Law 119-21 on July 4, 2025. As a result, 10 million more people will be uninsured in 2034, according to a Congressional Budget Office figure KFF cites, and in CBPP's analysis, "The megabill cuts SNAP by $187 billion or about 20 percent by 2034."
• Turner Voted For a 2026 Resolution Hailing the Law as Tax Relief for Working Families While the Poorest Face a Tax Increase. H.Res. 1156 had Turner's yes when the House adopted it 219 to 207 on April 16, 2026; it labels the law the "Working Families Tax Cuts" and asserts it "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." ITEP's 2026 estimates say otherwise: "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase," while the top 1 percent average more than $70,000 in savings.

Ohio's Losses Under the Law Mike Turner Helped Pass, Issue by Issue

• Ohio gives up $32.6 billion in federal Medicaid money over ten years. Ohio's federal Medicaid funding shrinks by $32.6 billion across ten years in KFF's state split of the CBO estimate, 13% below what the state was due, money that would have paid for hospital stays, nursing-home beds and pediatric care. The votes are on Turner's health care page.
• The law adds 340,000 Ohioans to the uninsured in 2034. KFF's 2034 projection: 340,000 more uninsured Ohioans because of the law alone. In Turner's 10th District, 215,000 residents relied on Medicaid in 2025. Turner's health care page has more on coverage.
• A $5.62 billion, ten-year Medicaid loss falls on rural Ohio. Rural parts of Ohio stand to lose $5.62 billion in federal Medicaid dollars over ten years, KFF estimates, money that reaches small-town hospitals and clinics through their Medicaid patients. Rural hospitals and clinics are covered on Turner's health care page.
• Medicare's hospital fund, covering 2.5 million Ohioans, is projected to run short one quarter sooner within 2033. There were 2,535,073 Ohioans on Medicare in 2024, KFF counts, all depending on a hospital trust fund whose projected shortfall the law's tax changes moved one quarter earlier within 2033. Turner's Medicare page covers the rest.
• Two-thirds of Ohio nursing-home residents rely on the Medicaid funding the law cuts. In Ohio's certified nursing facilities, home to 67,366 people, Medicaid is the main payer for 65% of residents, and the law keeps the federal staffing standard on ice until 2034. Turner's elder care page has the details.
• Ohio Medicaid is projected to lose 305,000 enrollees to the work requirement. Work requirements are projected to cut Ohio Medicaid enrollment by 305,000, or 10%, by 2028, in a Manatt estimate published by the Health Policy Institute of Ohio, a loss that falls on adults in the expansion group the rule covers. Turner's disability rights page explains.
• 265,840 Ohio expansion adults with a mental illness are in the group the work rule covers. Among Ohio's 2021 expansion enrollees, KFF data count 265,840 with a mental illness and 146,562 with a substance use disorder, all in the expansion group the work rule covers, where anyone without one of its exemptions must report hours. See Turner's mental health and addiction page.
• 98,000 Ohioans lose food aid, and Ohio's fiscal 2028 share of SNAP benefits comes to about $150 million. Spectrum News reported CBPP's estimate that 98,000 Ohioans will be dropped from SNAP; on top of that, CBPP puts Ohio's share of benefits in fiscal year 2028, which begins in October 2027, at about $150 million. Turner's food assistance page has the votes.
• Low wages shut 53,000 children in Turner's district out of the full child tax credit. By Columbia's count, 33% of children in Ohio's 10th District, 53,000, have parents whose low earnings keep them from the whole credit. Turner's child care and families page has more.
• 2.2 million Ohioans face an average $487 monthly cut when Social Security's fund runs short. Social Security's retirement fund was projected in August 2025 to run short in late 2032, sooner because of the law, and CRFB, the Committee for a Responsible Federal Budget, estimates that a 24% across-the-board cut would then average $487 a month for 2.2 million Ohioans. See Turner's Social Security page.
• SAVE borrowers in Ohio face $1,982 more a year in payments. For Ohio borrowers switched off SAVE into the new repayment plan, the average yearly increase is $1,982 by CAP's state estimate. Turner's student debt page has the votes.
• Energy costs for an average Ohio household could climb about $190 a year by 2035. Because the law rolls back clean-energy credits, Ohio's average household energy bill could rise by about $190 a year by 2035, CNBC reported from an Energy Innovation projection. Turner's taxes and deficit page covers the tax changes.
• Ohio veterans in SNAP households have lost their time-limit exemption. With veterans' SNAP time-limit exemption gone, veterans ages 18 to 64 with no disability or other exemption, among the 45,000 Ohio veterans CBPP counts in SNAP households, must meet the work rule to keep benefits past three months. See Turner's veterans page.
• Planned Parenthood closed a Columbus health center after the law's Medicaid cutoff. With fewer patients coming in once their Medicaid no longer covered care there, Planned Parenthood of Greater Ohio cut 17 staff, WYSO reported, and closed its Franklinton health center in Columbus on Nov. 28, 2025, according to the Ohio Capital Journal. Franklinton's walk-in emergency contraception, STD testing and birth control ended there, and patients were sent to North Columbus.

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Last updated: 2026-10-27

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