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

Updated Report Cover

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

Documents to download

Previous Article Solvency of the State Employees' Health Insurance Trust Fund
Next Article Florida Economic Forecast: Q3 2024
Print
1874
0Upvote 0Downvote
«September 2025»
MonTueWedThuFriSatSun
25262728
Government Efficiency Should Not Be Something We Do Every Four Years

Government Efficiency Should Not Be Something We Do Every Four Years

Florida has proven ideas, demonstrated wins, and active tools; now it needs permanence. By embedding efficiency into the annual budget cycle—backed by transparent tracking and regular reporting—the state can convert sporadic initiatives into sustained savings and better service delivery for taxpayers.

Read more
293031
12
Apportionment Changes Amid Policy Proposals

Apportionment Changes Amid Policy Proposals

Apportionment Changes Amid Policy Proposals explains how Florida’s 2020 Census undercount—about 750,000 residents (3.48%)—reduced the state’s political representation and likely cost billions of dollars in federal funding over the decade. The report examines what Florida stood to gain if the count had been accurate and how proposed changes to who is counted could affect future apportionment.

Read more
34
The Taxpayer's Guide to Florida's FY2025-26 State Budget

The Taxpayer's Guide to Florida's FY2025-26 State Budget

Florida TaxWatch’s The Taxpayers’ Guide to Florida’s FY2025-26 State Budget explains the Legislature’s $114.8 billion spending plan (after $376 million in line-item vetoes)—a 3.2% decrease from FY2024-25—while maintaining $12.6 billion in reserves. General Revenue (GR) spending rises by $556 million, and the recurring GR base increases by $1.9 billion, even as total positions fall to 111,886 (-1,871).

Read more
567
891011121314
15161718192021
22232425262728
293012345

Archive