Supporters, including Byron Donalds, frame the bill as meaningful Medicaid reform, while Florida Watch and the American Medical Association warn that funding cuts could raise costs, reduce coverage, and strain the healthcare system.

Florida Medicaid enrollment fell by about 129,348 from June 2025 to April 2026, dropping from 3,529,355 to 3,400,007 according to KFF.

The Congressional Budget Office projects that H.R. 1 would cut federal Medicaid spending by roughly $1 trillion over ten years.

The report relies on KFF data for enrollment figures and cites a October 2025 Florida AHCA presentation detailing the funding impact of caps on state-directed hospital payments.

Officials estimate caps on state-directed hospital payments could reduce Florida’s federal Medicaid funding by about $3.8 billion through 2035.

The decline in enrollment and funding follows the enactment of H.R. 1, passed by Congress in July 2025 and signed into law on July 4, 2025, which included Medicaid funding reductions.

The rollout features a spectrum of voices, including supporters, critics, and industry groups, reflecting a national and state debate over Medicaid funding and eligibility under the new law.

Politically, Florida’s Republican delegation backs the bill, Democrats oppose it, and Republicans argue it delivers spending reform while critics warn about reduced coverage and access to care.