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.