Healthcare Policy
Florida Healthcare Policy 2026
Medicaid expansion status, ACA coverage, uninsured rates, and how healthcare shapes the 2026 elections in Florida.
No
Medicaid Expanded
13.1%
Uninsured Rate
3,500,000
ACA Marketplace Enrollees
Federal
Exchange Type
Key Healthcare Provisions
| Medicaid Expansion (ACA) | No |
| Reproductive Healthcare | Limited (6-week ban) |
| Mental Health Parity | Limited parity |
| Drug Pricing Policy | Some drug importation laws |
Healthcare System Overview
Florida has the most marketplace enrollees in the nation (3.5 million) despite not expanding Medicaid. Over 1 million Floridians are in the coverage gap. Florida leads all states in ACA marketplace sign-ups due to its large population and lack of employer-based coverage.
2026 Political Impact
Florida is the biggest Medicaid expansion holdout. Hospitals have long lobbied for expansion. A 2023 ballot initiative to expand Medicaid (Amendment 4 type) is being organized for the future.