Florida TaxWatch is pleased to present taxpayers with a guide to the FY2022-23 state budget, which went into effect July 1, 2022. The report includes all appropriations for the new fiscal year— the General Appropriations Act (GAA), “back-of-bill” spending, and general bills—net of the Governor’s vetoes.
The 2022 legislative session is over, even if it ran a little long. Florida TaxWatch and the state’s taxpayers had a number of successes. Many bills and budget issues supported by our research and recommendations passed. Our research and input that raised concerns with legislation, helped to improve them or fail passage, including changes to the tax audit system and a very costly approach to improving data privacy
One of the fundamental responsibilities of government is to ensure the safety and welfare of those in its care. This includes our most vulnerable populations, such as children and families.
Similar to demographic trends across the U.S., Florida will encounter a rapid increase in the number of elderly residents requiring long-term care and services. Florida’s 65 and older population is anticipated to grow by 52.1 percent over the next two decades from 4.4 to 6.7 million elderly residents. A variety of continuum of care options exists to accommodate the impending rise in long-term healthcare utilization, ranging from nursing homes to home and community-based settings. Not only do these options differ in their public costs and quality outcomes, but the COVID-19 pandemic has spotlighted the importance of physical risk and exposure to infection when considering what long-term settings exist. Due to the projected growth in Florida’s elderly population over the coming decades, it will be critical to expand resources across the state’s entire continuum of care.
With more than 8,400 miles of coastline and a flat, low-lying coastal topography, Florida is especially vulnerable to the effects of sea level rise. Tens of thousands of Florida homes and businesses are at increased risk from sea level rise. Much of Florida’s critical infrastructure is at low elevations, designed and built with little consideration of future sea level rise. The physical effect of changing climate translates into real economic impacts.
Medicaid is a joint federal-state health insurance program that provides medical coverage to more than four million low-income Floridians. Administered by the state Agency for Health Care Administration, Medicaid is jointly funded through a federal cost-sharing agreement. During fiscal year 2020-21, Florida’s appropriated budget for Medicaid is $29.7 billion.
Even as the economic recovery begins to take form in Florida, the challenges confronting the state’s Medicaid system will remain a forefront issue. For this reason, it is important to understand how Florida’s Medicaid program has fared during the public health emergency and what economic challenges lie ahead as the state goes forward in recovery.
Telehealth is being practiced in Florida every day pursuant to the standards of practice for telehealth adopted by the Board of Medicine and the Board of Osteopathic Medicine. These standards require a Florida license and provide that the standards of care shall remain the same regardless of whether healthcare services are provided in person or by telehealth. There is no shortage of licensed physicians willing to provide telehealth in Florida. Florida statute 456.47, enacted in 2019, is the governing language for the practice of telehealth in Florida. Currently, health insurance companies are not required to pay or reimburse telehealth services, they do so on a voluntary basis pursuant to Florida statutes
Florida TaxWatch has undertaken an independent review to assess the impacts of certain key changes proposed by MFAR that would have a far-reaching and dramatic impact on Florida’s Medicaid program, Florida’s safety-net providers, the 3.8 million Medicaid-eligible Floridians, and Florida taxpayers. Florida TaxWatch is pleased to present this summary report and its recommendations, and we look forward to a continued discussion with Florida lawmakers and policymakers.
As of 2010, there were 2.5 million Floridians in their 50s, 2.1 million Floridians in their 60s, 1.4 million Floridians in their 70s and almost 1 million Floridians in their 80s and above. There is every reason to believe that these numbers will continue to rise. Recent estimates predict that Florida’s 65 and older population will represent 24.1 percent of Florida’s overall population by the year 2030. As Florida’s population continues to age, the elderly population will require vastly different and more costly forms of health care, such as long-term care for chronic conditions, more frequent examinations and follow-ups, and services and care for cognitive and mental impairments.
This report, part of a series of TaxWatch research reports on long-term care, focuses on the benefits of palliative care and opportunities to increase use of these services in Florida. From our research, it is clear that community-based palliative care warrants special attention as a distinct and promising healthcare service.
Point-of-care tests are simple medical tests that can be conducted at or near the point of care. Point-of-care tests bring the test immediately and conveniently to the patient. Legislation has been proposed that would permit pharmacists to diagnose and treat influenza and strep at community pharmacies, using point-of-care tests that have approved by the U.S. Food and Drug Administration. TaxWatch undertakes this independent analysis of point-of-care testing and treatment of influenza and strep at the at the request of Representative Rene Plasencia, the sponsor of the proposed House legislation.
In this research report, TaxWatch looks at the success of the IMR program in California in an attempt to answer the question “what if IMR was in use in Florida?” TaxWatch is pleased to present policymakers and stakeholders with an independent analysis of a program we think may be helpful in keeping the costs of workers’ compensation insurance down while helping to ensure that injured workers receive appropriate treatment.
In Florida, the expansion of hospice programs and other health care facilities and services is guided by the “Certificate of Need” (“CON”) process. Since the CON approval requires that providers enroll all eligible individuals seeking care within their assigned service area, hospices in Florida see relatively high utilization rates. In this report, Florida TaxWatch recommends the CON process be retained, and that hospice regulators continue to identify ways that Florida hospice providers can better control hospice costs, improve the quality of hospice care, and direct investments into medically-needy areas.
The Constitution Revision Commission is considering a proposal (P88) that, if approved by the voters, would create a new section in the Constitution to establish a “bill of rights” that expands litigation for residents of nursing homes and assisted living facilities in Florida. Florida TaxWatch has undertaken an analysis of P88 to guide Commission members in their deliberations regarding P88 and its committee substitute (CS/P88), and to educate the voters should the Commission recommend CS/P88 be placed on the ballot for the November 2018 General Election.
Previous legislation to expand nursing programs and alleviate Florida's nursing shortage has had unintended consequences, finds the latest Economic Commentary.
Good nutrition is an important part of leading a healthy lifestyle. This report looks at the effect of food deserts on Floridians' health and life expectancy.
This Economic Commentary looks at the potential impact on taxpayers from the rise of antibiotic-resistant bacteria.
Florida’s state government agencies have requested $77.835 billion in funding from the Legislature for
FY2016-17, which is $1.2 billion (1.6 percent) more than these agencies are expected to spend in the current year. The total request is made up of $29.481 billion in general revenue (GR) and $48.354 billion in trust funds. The GR request is an increase of $854.5 million (3.0 percent). The latest revenue estimates forecast $31.653 billion in GR will be available for FY2016-17 meaning that the agency requests would leave GR reserves of $2 billion.
Despite advances in delivery methods, new medical schools, and its emergence as a global medical destination, Florida’s healthcare system is facing a significant challenge, as the demand for doctors in the state of Florida is outpacing the current supply. This issue affects not only Florida’s healthcare system, it can also have repercussions on the economy.
This report, the third in the last two years on the subject from TaxWatch, looks at the next steps for policy changes in Florida, and compares Florida's policies with those of California, Texas, and New York.
A more than $4 billion dollar difference between the House and Senate budget proposals is detailed in this annual analysis of the initial budgets, which shows that the largest point of contention between the chambers is in funding the health and human services portion of the budget.
Florida delivers substance abuse and mental health services to the indigent and uninsured through a regional model managed by Behavioral Health Managing Entities (BHMEs). This report finds that this BHME model is a good behavioral healthcare system that provides a framework for future success.
Florida lawmakers need to act quickly to connect patients with higher quality, timely care by using telehealth to bring the state's health policies into the 21st century, according to recommendations from this report, which notes that policymakers should immediately pursue incremental adoption of telehealth policies during the 2015 session.
Already a capital of global tourism, Florida has an opportunity to bring even more tourists and more revenue to the state by investing in medical tourism, according to this report, which finds that patients visiting Florida from around the United States and the world for planned medical procedures could have a significant impact on the state economy and while improving residents' health care options.