KFF's count: $102.2 billion in federal Medicaid money leaves New York over ten years under the law Nick LaLota voted for. On May 22, 2025, the House version passed 215 to 214, so his yea was needed. July 3, 2025 brought his aye on the final law.
LaLota's vote also decided both 2025 budget resolution votes and two July procedural votes. SNAP loses $187 billion under the law. KFF expects 860,000 more uninsured New Yorkers in 2034. Nine months after passage, LaLota voted to praise it.
Nick LaLota's House Votes on the One Big Beautiful Bill Act, in Order
- Feb. 2025: $880 Billion Target Set for the Committee Over Medicaid, LaLota Supplying a Deciding Vote. February 25, 2025 brought three LaLota yeas. Roll call 46, previous question, budget-plan rule H.Res. 161: 216 to 210. Roll call 47 adopted that rule: 217 to 211. Roll call 50 adopted H.Con.Res. 14 itself: 217 to 215. Had LaLota switched on roll call 50, the tie would have killed it. That plan gave Energy and Commerce, which oversees Medicaid, an order to "reduce the deficit by not less than $880,000,000,000". Agriculture, which oversees SNAP, got a $230 billion floor. Ways and Means got leave to add as much as $4.5 trillion to deficits.
- April 2025: Final Budget Plan Clears With Two Deciding LaLota Votes. Two days in April brought three more LaLota yeas. Roll call 93, April 9, 2025, previous question, H.Res. 313: 217 to 212. Roll call 94 adopted that rule, which took up the Senate's budget text: 216 to 215. On April 10, roll call 100 concurred in that text: 216 to 214. A LaLota switch defeats roll call 94 and leaves roll call 100 tied, so both votes turned on him. The House committee instructions survived in the final text. The law that followed cut federal Medicaid spending by $911 billion across a decade, KFF reports, citing CBO.
- May 2025: One-Vote House Passage, LaLota Among the 215. May 22, 2025 meant six LaLota votes on H.R. 1. On the two questions of consideration for its rule, H.Res. 436, he said yes: 217 to 211 and 216 to 211. Previous question: yes, 213 to 211. The rule: yes, 217 to 212. The motion to recommit: he voted against it, and it failed 212 to 216. Passage: yes, 215 to 214, one present. A switch by him ties the previous question and defeats passage. After Senate changes, its Medicaid provisions alone leave 7.5 million more people uninsured in 2034, per CBO figures KFF reports. Planned Parenthood's Medicaid payments stopped too, for a "1-year period".
- July 2025: LaLota Decides Two Procedural Votes, Then Votes for Final Passage. The Senate version's rule, H.Res. 566, reached the floor July 2, 2025. LaLota said yes on the question of consideration, 212 to 211, and yes on the previous question, 214 to 212. His switch defeats the first and ties the second. The Foxx amendment to the rule, 220 to 212, also had his vote. On July 3 came his yes on the rule, 219 to 213, and his aye on final passage, 218 to 214. It became Public Law 119-21 with the president's signature on July 4, 2025. CBO estimates, KFF reports, that the law leaves 10 million more Americans uninsured in 2034. In CBPP's words, "The megabill cuts SNAP by $187 billion or about 20 percent by 2034."
- April 2026: LaLota Votes for a Resolution Branding the Law a Working-Family Tax Cut. April 16, 2026: LaLota yes on H.Res. 1156, which carried 219 to 207. The resolution brands the law the "Working Families Tax Cuts" and claims it "will result in a 15 percent tax cut for Americans whose income is in the bottom 40 percent." ITEP's 2026 numbers: "For the poorest fifth of Americans, the average tax change from OBBBA is a small tax increase." Meanwhile the richest 1 percent see an average cut above $70,000.
What the One Big Beautiful Bill Act Nick LaLota Voted For Costs New York, Topic by Topic
- New York's 1st District has 149,400 people on the Medicaid the law cuts. That is 19% of district residents, by KFF's 2025 count. Across New York, $102.2 billion in federal Medicaid funding disappears over ten years. Nick LaLota's health care page has the full record.
- New York hospital payments run $2.43 billion a year over the law's new caps, and rural New York loses $5.67 billion. Federal spending on New York hospital services runs about $2.43 billion a year over the law's new caps, KFF estimates. Rural areas lose $5.67 billion in federal Medicaid funds across ten years. Hospital details sit on the health care page.
- A sooner Medicare hospital-fund shortfall threatens care for 3.9 million New Yorkers. In 2024, 3,912,348 New Yorkers had Medicare. KFF reports the law's tax changes are the main reason the hospital fund's projected depletion moved up by one quarter, into the second quarter of 2033. More is on Nick LaLota's Medicare page.
- Federal staffing rule shelved until 2034 in homes where Medicaid pays for 65% of residents. New York's certified nursing homes had 99,192 residents, and Medicaid was primary payer for 65%. The 2024 federal staffing rule cannot be enforced there until late 2034 under the law. See the elder care page.
- 11,700 disabled Medicaid enrollees in New York's 1st District depend on federal funds the law cuts. KFF lists 11,700 people with disabilities on Medicaid in New York's 1st District. Statewide, 465 people already wait for Medicaid home care. Work-rule exemptions are covered on Nick LaLota's disability rights page.
- The work rule targets the group covering 67% of New York Medicaid adults with opioid use disorder. In KFF's 2021 data, 116,380 New York Medicaid adults had opioid use disorder, 77,687 of them through expansion. The mental health and addiction page explains the exemption.
- CBPP's June 2025 estimate put 125,000 older New Yorkers and 80,000 parents of teens at risk of losing SNAP. Those are CBPP's June 2025 at-risk counts for adults 55 to 64 and for parents whose youngest is 14 or older; CBPP ran them on a Senate Agriculture Committee proposal that expanded the time limit to both groups, as the law later did. The food assistance page lists the votes.
- The poorest tenth lose $1,200 a year while 860,000 more New Yorkers are projected to be uninsured. CBO puts the bottom tenth's annual loss at $1,200. From the law alone, KFF projects 860,000 more uninsured New Yorkers in 2034. See the homelessness and poverty page.
- 15% of children in New York's 1st District miss part of the child tax credit. Columbia's estimate is 22,000 children in New York's 1st District. Why is on the child care and families page.
- 171,527 people in New York's 1st District draw on a weakened Social Security fund. SSA's December 2024 count was 171,527 beneficiaries in the district. The chief actuary says the law raises program costs $168.6 billion. More is on the Social Security page.
- Leaving SAVE costs New York borrowers $2,483 a year. That is CAP's average increase for New York borrowers moved to the Repayment Assistance Plan. See Nick LaLota's student debt page.
- SNAP's time limit now reaches working-age New York veterans with no other exemption; 56,000 veterans live in SNAP homes. About 56,000 New York veterans live where SNAP helps buy groceries, CBPP estimates. The law ended veterans' time-limit exemption; the limit reaches veterans 18 to 64 who lack a disability or another exemption. The veterans page has details.
- New York Medicaid money helps fund a $13,600 yearly gain for the top tenth. CBO puts the richest tenth's gain at $13,600 a year. New York gives up 16% of its expected federal Medicaid money. The taxes and deficit page has the votes.
- By 2035, energy for a typical New York home could cost about $170 more a year. Energy Innovation, in figures CNBC published, finds the law could add about $170 a year by 2035 to a New York household's energy costs.
Frequently Asked Questions About Nick LaLota on One Big Beautiful Bill
What is Nick LaLota's record on the One Big Beautiful Bill Act under Trump?
Nick LaLota voted for the February 2025 budget resolution behind the One Big Beautiful Bill Act, for House passage on May 22 and for final passage on July 3, 2025. Seven roll calls on the bill turned on his vote, among them House passage and two July procedural votes. He voted for a resolution in April 2026 praising the law. New York's Medicaid loss is $102.2 billion, per KFF.
Was Nick LaLota the deciding vote for the Big Beautiful Bill?
On May 22, 2025, yes: Nick LaLota's yea was one of 215 to 214 on House passage. The July 3 final vote was 218 to 214. A day earlier, though, the vote to take up the final rule passed 212 to 211, and his switch would have defeated it.
Which parts of the law Nick LaLota voted for hit New Yorkers in 2027?
Several. Under the law Nick LaLota voted for, Medicaid work rules must begin by January 1, 2027, the same day retroactive coverage narrows. Six-month eligibility checks for expansion adults apply to renewals due from December 31, 2026. February 1, 2027 is when CMS proposes that some lawfully present immigrants lose Medicare. New York's hospital provider tax ceiling begins dropping October 1, 2027.
Last updated: 2026-10-27