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.

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.

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.

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.

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.