The Lee Memorial Health System in Lee County estimates $6.5 million will be cut annually from Medicare reimbursement for treating the elderly. Over a 10-year period, the loss would be $65 million.
The effect on hospitals and physicians -- a loss of 2 percent of reimbursement -- could lead to a reduction of services and longer waits for patients.
Public health officials in Collier and Lee counties said they haven't been told yet by the Florida Department of Health in Tallahassee what cuts they will face.
Federal authorities say the state will lose $1.8 million for public health to respond to public disasters and the state will lose $5 million in grants for substance abuse treatment, which means 4,500 fewer admissions for treatment programs.
The state also will lose $1.4 million for HIV testing and 7,450 fewer children will receive immunizations.