The Consequences of a Census Undercount on Florida’s Healthcare Funding

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Florida’s 2020 Census undercount has far-reaching consequences—especially in healthcare. With an estimated 750,000 people uncounted, the state is projected to lose between $11 billion and $21 billion in federal funding for critical programs like Medicaid, CHIP, and SNAP by the end of the decade. These losses not only impact Florida’s healthcare infrastructure but also limit access to essential services for millions of residents.

This Florida TaxWatch report examines how inaccurate census data leads to misallocated healthcare resources, gaps in medical services, and billions in lost funding that Florida taxpayers must make up. It also highlights how the undercount affects federal funding formulas, potentially reducing Florida’s Medicaid matching rate and costing the state $2.3 billion in lost federal healthcare funds annually.

As Florida prepares for the 2030 Census, ensuring a full and accurate count is critical to securing the healthcare funding the state deserves. Read our full analysis to understand the financial and policy implications of the census undercount—and what must be done to correct course before the next count.

Meet the Authors:

Meg Cannan
Meg Cannan
Senior Research Analyst
LinkedIn

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OH, SNAP! Federal Policy Changes Threaten the Stability of Florida's Supplemental Nutrition Assistance Program

OH, SNAP! Federal Policy Changes Threaten the Stability of Florida's Supplemental Nutrition Assistance Program

Administered by the United States Department of Agriculture’s (USDA)’s Food and Nutrition Service (FNS), the Supplemental Nutrition Assistance Program (SNAP) provides funds to help low-income households afford low-cost, nutritious meals. In July 2025, President Trump signed the One Big Beautiful Bill Act of 2025 (the OBBB Act), tightening SNAP policies that determine eligibility, benefits, and program administration. Florida TaxWatch undertakes this independent research project to better understand how the upcoming changes in SNAP requirements will impact Florida’s budget and its ability to provide much needed food assistance to needy Floridians.

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