The “Big Beautiful Bill," as Trump has called it, includes a $1 trillion reduction in spending over the next decade for Medicaid, the government insurance program for low-income Americans. Trump signed the bill on July 4.

Florida did not expand Medicaid as most states did, so the impact may be lesser than other places, but reductions loom.

State officials warn 360,000 elderly, disabled and working poor residents will lose $3.6 billion in Medicaid coverage as cuts take effect.