Nick LaLota voted for a law that KFF says strips New York of $102.2 billion in federal Medicaid funds across a decade. His May 22, 2025 vote was one of 215 that carried the House bill against 214. On July 3, 2025, he voted yes again on the final law.
His votes also decided the 2025 budget resolution, twice. It ordered the committee over Medicaid to find at least $880 billion. The law that followed squeezes hospital payments from 2028. In New York's 1st District, 149,400 people had Medicaid in 2025.
Nick LaLota's Votes for the Medicaid Cuts
- LaLota Cast the Deciding May Vote for the Medicaid Cuts, Then Voted for the Final Law in July. On May 22, 2025, the House took up H.R. 1, and Nick LaLota voted yes. The count was 215 to 214, with one member voting present. Without LaLota, the bill fails. His July 3, 2025 yes vote went to the final law, which won 218 to 214. The Congressional Budget Office puts the law's federal Medicaid cut at $911 billion over ten years. It expects 10 million more people without insurance in 2034. KFF assigns New York $102.2 billion of that cut. That equals 16% of the federal Medicaid money New York was due, KFF says.
- LaLota's Deciding Budget Votes Set an $880 Billion Target for Medicaid's Committee. The budget resolution, H.Con.Res. 14, came first, on February 25, 2025, and LaLota was a yes. It was adopted 217 to 215. He voted for its final form on April 10, 2025. That vote was 216 to 214. Had LaLota switched, either vote ends in a tie, and a tie loses. The resolution told the Energy and Commerce Committee, which handles Medicaid, to "reduce the deficit by not less than $880,000,000,000". LaLota also voted for the May 22 rule for H.R. 1. Federal Medicaid spending then fell under the final law, which got LaLota's aye on July 3, 2025. A cap on provider taxes, which states levy to fund their part of Medicaid, is worth $191 billion across ten years in the Congressional Budget Office's scoring. A second provision limits state-directed payments to hospitals. Under it, KFF found, "payment rates for hospital services will decrease in at least 37 states" from January 1, 2028.
What Nick LaLota's Medicaid Votes Cost New York's 1st District and the State
- 149,400 people in New York's 1st District depend on the Medicaid the law cuts. In 2025, Medicaid covered 149,400 people in New York's 1st District, KFF data show. That is 19% of the district. Children make up 38,400 of them. Seniors number 20,300, and 11,700 have disabilities. Expansion adults number 44,100. Federal dollars the law withdraws help pay for their care.
- New York hospitals have $2.43 billion a year above the law's payment limits. KFF finds New York hospital services draw about $2.43 billion a year in federal spending above the new caps on state-directed payments. KFF also expects the law to shrink New York's hospital provider tax. Both mean less money for nurses, beds and emergency rooms.
- 860,000 more New Yorkers are projected to be uninsured in 2034 because of the law. In 2034, KFF projects, the law by itself costs 860,000 more New Yorkers their insurance. The state's uninsured rate climbs 4 points, by the same estimate. Without coverage, a checkup or a refill is paid in full or skipped.
- Rural New York loses $5.67 billion in federal Medicaid funds over ten years. KFF puts the ten-year federal Medicaid cut in rural New York at $5.67 billion. Rural hospitals and clinics that rely on Medicaid patients keep less to stay open.
Frequently Asked Questions About Nick LaLota on Health Care
What is Nick LaLota's record on health care under Trump?
Nick LaLota's May 22, 2025 vote decided House passage of the One Big Beautiful Bill Act. On July 3 he voted for the final law too. The Congressional Budget Office puts the Medicaid reduction at $911 billion. KFF puts New York's share at $102.2 billion. LaLota's votes also decided the budget resolution that set the savings target for the committee over Medicaid.
Did Nick LaLota vote to make Medicaid enrollees prove they work?
Yes. Nick LaLota's July 3, 2025 vote helped enact a rule that expansion adults log 80 hours a month of work, school or other approved activity. States must begin "no later than January 1, 2027." That rule by itself adds 5.3 million uninsured people in 2034, in the Congressional Budget Office's estimate. In New York's 1st District, 44,100 people had Medicaid through the expansion in 2025.
Will Long Island Medicaid patients have to renew their coverage more often because of Nick LaLota's vote?
Yes. Under the law Nick LaLota voted for, states recheck expansion adults every 6 months instead of every 12. It applies to renewals due on or after December 31, 2026, KFF notes. That alone means 700,000 more uninsured people in 2034, the Congressional Budget Office estimates. Each extra round of paperwork is another chance to be dropped from coverage in New York.
Did Nick LaLota vote to cut Medicaid's coverage of past medical bills?
Yes. Nick LaLota voted for a law that shrinks Medicaid's look-back for bills run up before a person applies. The old window was 90 days. From January 1, 2027, expansion adults get one month back and other enrollees get two. A New Yorker hit with a hospital bill before signing up will cover more of it alone.
Last updated: 2026-10-27