Push to Expand Medicaid in Florida Postponed Until 2028

Over a million Floridians face a healthcare coverage gap
Sept. 28, 2025
2 min read

Key Highlights

  • Florida's Medicaid expansion efforts are postponed until 2028 due to new state laws and legal challenges.
  • The law limits the process for approving constitutional amendments by voters, affecting healthcare initiatives.
  • Over a million Floridians remain in a healthcare coverage gap, earning too much for Medicaid but unable to afford private insurance.
  • Florida is one of ten states that have not expanded Medicaid under the ACA, missing out on federal funding.
  • Legal battles are ongoing, with a federal court case challenging the new restrictions scheduled for January.

A campaign to expand Medicaid in Florida is postponing its efforts to place the issue on the ballot until 2028, due to a new state law that limits the process for approving constitutional amendments by voters, APNews’ Kate Payne reported last week.

“The group Florida Decides Healthcare had been working to get the measure on the 2026 ballot, while challenging the law in a federal court. That case is slated to go to trial in January,” Payne wrote.

Florida Decides Healthcare’s Executive Director, Mitch Emerson, stated that the new law was passed to sabotage efforts to bring proposed constitutional amendments before voters, according to Christine Sexton's report for Florida Phoenix.

Florida Decides Healthcare challenged many of the changes in federal court. Still, an appeals court earlier this month lifted an injunction against one of the restrictions that prevented groups from using non-citizens to gather initiative petitions, Sexton wrote.

“More than a million Floridians are in a healthcare coverage gap,” Tristan Wood reported for WFSU News. “They earn too much to qualify for Medicaid…but they cannot afford private health insurance.”

Florida is among the ten states that have not expanded Medicaid under the Affordable Care Act (ACA), resulting in billions of dollars in federal healthcare funding remaining unused, Wood wrote.

About the Author

Pietje Kobus

Pietje Kobus

Pietje Kobus has an international background and experience in content management and editing. She studied journalism in the Netherlands and Communications and Creative Nonfiction in the U.S. Pietje joined Healthcare Innovation in January 2024.

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