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.