by Christine Sexton, Florida Phoenix
June 23, 2025
Florida Medicaid enrollment continues to drop, information posted by the state Agency for Health Care Administration shows.
There were 4,155,487 Florida residents enrolled in the program as of May 30, the latest available data. That’s 68,110 fewer people since December 2024 and 643,662 fewer people than in January 2024.
Florida’s Medicaid caseload was at an all-time high in state fiscal year 2022-23, when total caseload for the safety net program was 5,575,548. The following year, the total caseload dropped by 13.3% to 4,836,670. Economists predicted there would be 4,226,199 enrolled in the program for state fiscal year 2025-26, which starts July 1 and ends June 30, 2026.
Legislators relied on those estimates when drafting the FY 25-26 Medicaid budget. That budget earmarks $36.53 billion to the state Agency for Health Care Administration, the agency that houses Florida’s Medicaid program.
Florida requires most of its Medicaid beneficiaries to enroll in managed care plans. As such, a breakout of Medicaid enrollment data shows that about 72% of the beneficiaries belong to a Medicaid managed care plan, or 3,006,980 as of May. Enrollment in managed care plans is down by 7,682 from January and 453,638 people from January 2024.
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