Protecting Healthcare, Food Security, and the Right to Vote in FL-20

Medicaid

149,700 people are on Medicaid in FL-20, including 84,587 children under 19 and 21,981 seniors.
Two
in five births in Florida are covered by Medicaid.
71% of Florida’s Medicaid funding comes from the federal government, with the state government
contributing only 29%.

On July 4th, President Trump signed the One Big Ugly Bill (H.R. 1) into law.
This bill kicks 10,000 FL-20 residents off Medicaid, a disproportionate number of whom are women, children, and seniors.
Our district is now on track to lose upwards of $2.3 billion in Medicaid funding as a result of H.R. 1.

Institutes work requirements for Medicaid, entailing large amounts of paperwork that delve into personal
finances.
Requires Medicaid beneficiaries to frequently re-verify their eligibility, including disabled Americans who
may not meet the rigid work requirements.
Lowers the amount of money states can raise from Medicaid provider taxes to support struggling
providers.
Reduces the home equity limit for determining eligibility for long-term care services under Medicaid by
$300,000.
Reduces Medicaid reimbursement to states that provide emergency care to non-citizens.

July 4th, 2025: Repeals nursing home and long-term care minimum staffing requirements
January 1, 2026: Medicaid expansion financing incentive ends.
January 22, 2026: Medicare is cut by ~$500 billion due to budget rules
October 1, 2026: Ends Medicaid eligibility for certain lawfully present immigrants (e.g. refugees, asylees, and
humanitarian parolees).
December 31, 2026: Medicaid work reporting requirements begin.
December 31, 2026: States to redetermine eligibility for Medicaid expansion enrollees every six months instead of
annually.
January 1, 2027: Prohibits individuals denied Medicaid due to work reporting requirements from qualifying for
Affordable Care Act (ACA) premium tax credits.
January 1, 2027: Reduces retroactive Medicaid coverage from 90 days prior to application to one month prior to
application for expansion enrollees and two months prior to application for coverage for traditional enrollees.
October 1, 2027: Medicaid provider tax moratorium goes into effect.
October 1, 2028: Requires states to impose cost-sharing requirements of up to $35 per service for Medicaid
expansion enrollees with incomes above 100% of the federal poverty line.

50,958 households rely on SNAP in FL-20.
4th highest percentage of people relying on SNAP out of all 28 congressional districts in Florida.
47% of FL-20 households participating in SNAP have a child.
51.3% of FL-20 households participating in SNAP have a person over the age of 60.
44.7% of FL-20 households participating in SNAP have a person with a disability.

Because of H.R. 1’s severe cuts to SNAP, roughly 11 million Americans are at risk of losing all or some of their
SNAP benefits, including 33,000 people in FL-20.

Expands burdensome work requirements to include adults between 55–64 years of age, including adults
with children aged 14–17.
Restricts future updates to the Thrifty Food Plan, which is used to calculate the cost of a nutritious diet for a
family on SNAP.
Requires states to pay a portion of SNAP administrative costs, which could cause some states to exit the
program entirely.

Trump recently claimed that states are “merely an agent” of the federal government in counting votes and
suggested they must follow federal directives. While this is unconstitutional, it also threatens voting rights
in our communities. He has announced plans to sign an executive order aimed at eliminating vote-by-mail
and voting machines—an action that would severely restrict how millions of Americans, including many in
our district, are able to cast their ballots.
Since losing the 2020 election, Trump has repeatedly attacked the integrity of our elections, spreading false
claims of inaccuracy and attempting to sway states with allegations of cheating. These actions have
contributed to efforts in some states to make it harder for people to cast their votes. His most recent
statement continues this dangerous pattern.
In Florida’s 20th District, many elderly residents rely on mail-in ballots to safely and securely participate in
elections. In 2024, early in-person voting in Broward County saw 283,624 ballots cast, but roughly 42% of
voters still used mail-in ballots. Undermining this option would disproportionately harm those who depend
on it.