Interdisciplinary Pain Management As a Means to Help Address Solvency of the State Employees' Health Insurance Trust Fund

/ Categories: Research, Cost Savings, Health Care, Insurance

With the Trust Fund projected to face a nearly $1.7 billion shortfall by FY 2029-30 without action, Florida TaxWatch outlines a pragmatic path that reduces costs by treating pain more effectively—not just shifting them to employees.

Government Efficiency Should Not Be Something We Do Every Four Years

/ Categories: Research, Budget/Approps, Cost Savings, Local Government

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.

Hospice and Palliative Care

Florida is a National Leader Among the States Looked to for Best Practices in Compassionate Care

Florida's aging population is driving sustained demand for cost-effective, patient-centered care across the continuum. Palliative care—non-curative, interdisciplinary support for patients with serious but often nonterminal conditions—improves quality of life and can lower overall costs when introduced early in the disease course. Hospice provides end-of-life care once a clinician certifies a terminal prognosis; in Florida, hospice providers operate under a Certificate of Need (CON) program that authorizes new entrants only when unmet need is demonstrated through twice-yearly batching cycles.

Enhancing Lives, Ensuring Accountability: The Value of Florida’s Behavioral Health Managing Entities

Tenth Year Review

/ Categories: Research, Cost Savings, Health Care

Florida’s Behavioral Health Managing Entities (BHMEs) are at the heart of an innovative, community-based network delivering critical mental health and substance use services across the state. This report’s summary reveals how BHMEs efficiently coordinate a vast network of providers with minimal overhead—ensuring accessible, continuous care for vulnerable populations—while highlighting the risk that stagnant operational funding poses to their long-term sustainability. It ultimately recommends boosting operational funding from 3% to 5% to maintain the system’s effectiveness and guide future policy decisions.

Solvency of the State Employees' Health Insurance Trust Fund

/ Categories: Research, Cost Savings, Economic Development, Health Care

Florida TaxWatch’s latest report examines the financial solvency of the State Employees' Health Insurance Trust Fund, which faces rising costs and potential deficits in the coming years. Despite a projected $652.7 million cash balance for FY 2024-25, increasing healthcare expenses could lead to a $1.5 billion deficit by FY 2028-29. The report recommends increasing employee contributions to align with those of other large employers, potentially saving the state $446 million annually. Proactive policy changes are urged to ensure the fund’s sustainability amid future budget challenges.

Teaching Every Child to Swim Saves Thousands of Lives from Needless Drownings and Taxpayers Millions

/ Categories: Research, Cost Savings, Education, Energy & Environment, Every Child a Swimmer

This Florida TaxWatch report highlights drowning as a leading cause of death for children in the U.S., particularly in Florida. It stresses the importance of teaching children water safety, noting that swimming lessons can reduce drowning risk by 88%. Despite recent legislative efforts, more actions are needed, such as offering drowning prevention videos to new parents in hospitals and increasing safety measures for at-risk children, including those with autism. The report calls for continued policy efforts to prevent drowning-related tragedies and save lives.

An Analysis of the Tax Treatment of Credit Unions: Value of Florida Credit Unions’ Exemption Is Now $259 Million

/ Categories: Research, Budget/Approps, Cost Savings, Economic Development, Taxes, Local Government

Originally designed to serve specific community segments, credit unions have since expanded their reach and service offerings, making their tax exemptions increasingly valuable. From 1997's exemption value of $89.1 million, the exemption's worth has risen to $259 million in 2023. This report sheds light on the industry's transformations, recent trends like mergers and acquisitions, and reevaluates the rationale behind the tax exemptions. It aims to fuel informed discussions on credit union taxation and their exemption status.

An Update on Student Loan Forgiveness

/ Categories: Research, Cost Savings, Economic Development, Education

Over the past few years, with college tuition growing much faster than income after graduation, the mountain of pending student loan debt is growing. This affects the younger generation’s spending capacity, risk-taking willingness, and retirement savings. Recent debates focus on whether student loan debt should be forgiven, how much should be forgiven, the method of forgiveness, and the impact it would have on the future spending of taxpayers.

Statement by Florida TaxWatch President and CEO Dominic M. Calabro on Gov. DeSantis Signing Tax Relief Package, Upcoming Sales Tax Holidays

/ Categories: Cost Savings, Taxes, Releases

Tallahassee, Fla. – The statement below, to be attributed to Florida TaxWatch President and CEO Dominic M. Calabro, pertains to Gov. Ron DeSantis’ signage of HB 7063: Taxation, the state’s tax relief package, and the two upcoming sales tax holidays that will now be implemented on Sat., May 27 (Disaster Preparedness) and Mon., May 29 (Freedom Summer). To learn more and/or schedule an interview with President and CEO Calabro, please contact Aly Coleman Raschid at aly@on3pr.com or 850.391.5040.

Commentary: An Inappropriate Cost of Doing Business: Paying the Interchange Fee on Sales Tax for Credit Card Purchases

/ Categories: Research, Cost Savings

Credit cards provide a convenience for consumers and merchants when shopping, both in-person or online. This convenience comes at a cost for merchants since credit card companies charge them an interchange fee (or “swipe fee”) on each credit card purchase. Throughout the last decade, credit card utilization and popularity have increased drastically for a brick-and-mortar businesses and e-commerce businesses. 

A Closer Look at Florida’s Sales Tax Exemptions

/ Categories: Research, Budget/Approps, Cost Savings, Taxes

The six percent sales and use tax is Florida state government’s largest revenue sourceby far, currently bringing in approximately $36 billion annually. When the almost $6 billion in local option sales tax collections is included with the state tax, the $42 billion total collections make the sales tax the number one tax source for all Florida governments, topping the $40 billion local property tax.

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Interdisciplinary Pain Management As a Means to Help Address Solvency of the State Employees' Health Insurance Trust Fund

Interdisciplinary Pain Management As a Means to Help Address Solvency of the State Employees' Health Insurance Trust Fund

With the Trust Fund projected to face a nearly $1.7 billion shortfall by FY 2029-30 without action, Florida TaxWatch outlines a pragmatic path that reduces costs by treating pain more effectively—not just shifting them to employees.

Read more
1
Could Florida Experience a Significant Water Shortage?

Could Florida Experience a Significant Water Shortage?

New EDR projections show a widening state funding gap—more than $50 million in FY 2025-26—with total demand still trending upward through 2045.

Read more
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New Labor Data Shows Weaker Labor Market Than Previously Expected

New Labor Data Shows Weaker Labor Market Than Previously Expected

Since January 2025, the federal interest rate has remained unchanged at 4.25 to 4.5 percent. The rates have been steady in hopes of curbing inflation and bringing it down to two percent, as unemployment numbers were not concerning until now. The latest revision data, however, will likely push the Federal Reserve to cut rates in their next meeting this month to 4.00 to 4.25 percent.

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2025 Florida TaxWatch Annual Report

2025 Florida TaxWatch Annual Report

The 2025 Florida TaxWatch Annual Report captures a milestone year: the culmination of Dominic M. Calabro’s decades of leadership and the announced transition to Lt. Governor Jeff Kottkamp as incoming President & CEO on January 1, 2026.

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