This report examines the social determinants of health (SDOH), underscoring that environmental and social factors are the primary determinants of health outcomes. Significant barriers to healthcare access include high insurance costs and a large uninsured population, contributing to Florida's low national ranking in healthcare access. Challenges are particularly acute in rural and low-income areas, with a notable dependence on emergency services by uninsured individuals, imposing considerable economic strains.

To address these issues, the report suggests expanding Medicaid eligibility to enhance access and reduce costs, promoting telehealth to connect urban and rural communities, increasing autonomy for nurse practitioners and physician assistants to alleviate physician shortages, and implementing the "Live Healthy Agenda" to elevate healthcare quality and access throughout Florida. These recommendations aim to catalyze systemic changes for a healthier, economically stable state.

The 2024 Florida Legislative Session Wrap-Up offers a concise yet thorough review of the session's key outcomes. With a $117.5 billion budget, over $1 billion in tax relief, and nearly $10 billion in reserves, the Legislature addressed crucial issues in healthcare, education, insurance, and the environment. The report provides an insightful overview of the bills and budget items that passed, as well as notable legislation that failed to advance, making it an essential resource for understanding the current state of Florida policy and its implications for residents and taxpayers.

This paper addresses the growing issue of physician shortages in Florida. This shortage is primarily driven by an increasing and aging population, coupled with a high rate of physician retirements. The report evaluates the gap between healthcare demand and the supply of physicians, emphasizing the need for more medical students and improved healthcare policies. It discusses strategies like expanding Graduate Medical Education, utilizing telehealth, and leveraging Advanced Practice Registered Nurses to mitigate this shortage. The paper also considers legal and business aspects of practicing medicine in Florida, suggesting improvements to attract and retain healthcare professionals.

There are numerous federal programs administered by states that provide assistance to low-income and needy families. During periods of economic downturn, like the recent COVID-19 pandemic, more Florida families turn to these government programs for assistance. One such safety net program is Medicaid, the joint federal-state health insurance program that provides medical coverage to more than five million low-income, elderly, disabled Floridians and children. Signed into federal law in 1965, Medicaid was created to improve the health of those individuals who might otherwise go without medical care for themselves and their children.

A fast-growing and aging U.S. population is posing concerns for physicians’ ability to meet patient demand in the future. Current and future population estimates from the U.S. Census Bureau indicate a projected growth of 34.8 million people from 2019 to 2034. An estimated 66% of this growth is attributed to people aged 65 or older. As such, physician shortages are especially concerning in the hospice and palliative care sector. As the population ages, the need for a higher volume of care and more specialized expertise will grow.

The development of hospice programs in Florida is regulated by a Certificate of Need (CON) program. Certificate of Need programs allow the entry of new service providers if the local community has a demonstrated need. Florida is one of 13 states and the District of Columbia that continues to utilize a CON program for the development of hospice services. As Florida’s population increases and ages, it will become more critical to facilitate the growth of hospice services in the way that best serves hospice patients and protects the interests of Florida taxpayers.

Florida’s economy is strong. If Florida were a country, its gross domestic product (GDP) would rank 14th among economies worldwide, and its ambitions do not stop there. Florida aims to be within the top ten economies by 2030. By this time, two in three jobs are expected to require specialized training, a credential, or a degree. To achieve its economic goal, Florida will need to continue developing its specialized workforce. With 120,000 students completing Florida College System (FCS) programs each year, the FCS plays a critical role in providing the talent pipeline necessary to reach Florida’s economic goal and does so at a very affordable cost to students and Florida taxpayers alike.

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.