Florida has not expanded Medicaid, so the federal work requirement that takes effect January 1, 2027 does not apply to a state expansion population. This model counts no Florida adults as subject.
The requirement matters for Florida in a different way: if the state expanded Medicaid later, its expansion adults would report from day one. The American Community Survey counts about 2,340,390 uninsured Florida adults with household income at or below 138% of the poverty line, the population an expansion would cover and the requirement would then reach.
Key figures
| Measure | Florida |
|---|---|
| Expansion state | No |
| Subject to the requirement via waiver | No |
| Expansion pool (adults 19 to 64) | 0 |
| Adults subject, strict definition | 0 |
| Adults subject, permissive definition | 0 |
| Share of expansion pool subject | 0.0% |
| Projected coverage loss by 2034 | 0 |
| Hardship exception status | Non expansion |
| Early implementer | No |
| Ex parte capability score (0 to 100) | n/a |
Counties in Florida: uninsured adults below 138% of poverty
Miami-Dade County (305,024), Broward County (214,587), and Orange County (169,909) hold the most uninsured low-income adults in Florida.
| County | Uninsured adults at or below 138% FPL | Poverty rate | Working-age population |
|---|---|---|---|
| Miami-Dade County | 305,024 | 15.0% | 1,694,579 |
| Broward County | 214,587 | 12.0% | 1,192,151 |
| Orange County | 169,909 | 14.0% | 943,939 |
| Hillsborough County | 169,885 | 14.0% | 943,806 |
| Palm Beach County | 152,478 | 11.0% | 847,100 |
| Duval County | 112,560 | 14.0% | 625,334 |
| Pinellas County | 99,476 | 11.0% | 552,645 |
| Polk County | 81,468 | 15.0% | 452,598 |
| Lee County | 77,775 | 12.0% | 432,084 |
| Brevard County | 64,309 | 10.0% | 357,270 |
| Pasco County | 62,481 | 12.0% | 347,116 |
| Volusia County | 58,475 | 12.0% | 324,863 |
| Seminole County | 53,544 | 10.0% | 297,466 |
| Osceola County | 47,290 | 13.0% | 262,722 |
| Manatee County | 41,119 | 10.0% | 228,438 |
| Lake County | 39,755 | 10.0% | 220,859 |
| Sarasota County | 39,476 | 8.0% | 219,314 |
| Marion County | 37,215 | 14.0% | 206,748 |
| St. Lucie County | 35,557 | 12.0% | 197,536 |
| Collier County | 35,115 | 10.0% | 195,081 |
| Escambia County | 34,920 | 15.0% | 193,998 |
| Leon County | 33,978 | 19.0% | 188,766 |
| Alachua County | 32,794 | 20.0% | 182,187 |
| St. Johns County | 31,102 | 7.0% | 172,788 |
| Clay County | 24,125 | 9.0% | 134,028 |
| Okaloosa County | 23,332 | 10.0% | 129,621 |
| Santa Rosa County | 21,611 | 9.0% | 120,058 |
| Hernando County | 20,193 | 12.0% | 112,184 |
| Bay County | 20,035 | 12.0% | 111,304 |
| Charlotte County | 16,989 | 10.0% | 94,386 |
| Martin County | 14,844 | 11.0% | 82,466 |
| Indian River County | 14,809 | 11.0% | 82,274 |
| Citrus County | 14,056 | 15.0% | 78,089 |
| Flagler County | 11,785 | 10.0% | 65,472 |
| Nassau County | 9,852 | 9.0% | 54,732 |
| Sumter County | 8,969 | 9.0% | 49,830 |
| Highlands County | 8,856 | 16.0% | 49,202 |
| Walton County | 8,681 | 11.0% | 48,228 |
| Monroe County | 8,672 | 12.0% | 48,180 |
| Putnam County | 7,309 | 23.0% | 40,608 |
| Columbia County | 7,300 | 16.0% | 40,558 |
| Jackson County | 5,131 | 19.0% | 28,506 |
| Suwannee County | 4,597 | 14.0% | 25,538 |
| Hendry County | 4,563 | 22.0% | 25,352 |
| Gadsden County | 4,488 | 26.0% | 24,934 |
| Levy County | 4,463 | 16.0% | 24,792 |
| Okeechobee County | 4,208 | 19.0% | 23,375 |
| Wakulla County | 3,941 | 6.0% | 21,892 |
| DeSoto County | 3,648 | 26.0% | 20,264 |
| Baker County | 3,043 | 14.0% | 16,908 |
| Bradford County | 3,029 | 18.0% | 16,830 |
| Washington County | 2,763 | 23.0% | 15,348 |
| Hardee County | 2,690 | 28.0% | 14,947 |
| Taylor County | 2,215 | 15.0% | 12,308 |
| Holmes County | 2,022 | 17.0% | 11,236 |
| Gilchrist County | 1,983 | 12.0% | 11,019 |
| Madison County | 1,877 | 22.0% | 10,426 |
| Dixie County | 1,751 | 16.0% | 9,727 |
| Union County | 1,717 | 16.0% | 9,538 |
| Gulf County | 1,646 | 12.0% | 9,147 |
| Jefferson County | 1,563 | 18.0% | 8,681 |
| Calhoun County | 1,471 | 20.0% | 8,170 |
| Hamilton County | 1,438 | 26.0% | 7,991 |
| Glades County | 1,355 | 22.0% | 7,528 |
| Franklin County | 1,292 | 22.0% | 7,176 |
| Liberty County | 908 | 22.0% | 5,047 |
| Lafayette County | 878 | 19.0% | 4,880 |
State brief and methodology
Estimates, not counts. The model rakes to CBO's national subject total and allocates by ACS microdata; state agencies hold the administrative data that would replace these figures.