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.

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 TaxWatch’s 2025 Legislative Session Wrap-Up report provides a concise but comprehensive overview of the extraordinary budget impasse that extended this year’s session to June 6, 2025, the narrow scope of allowed legislation (including the General Appropriations Act, budget conforming bills, the House and Senate tax packages, and the Rural Renaissance bill), and the high-stakes negotiations that will resume on May 12 in conference committee.

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’s 2020 Census undercount has put billions of federal healthcare dollars at risk. With 750,000 residents uncounted, the state is projected to lose up to $21 billion in funding for Medicaid, CHIP, and other essential programs. This miscount impacts hospital planning, healthcare access, and federal funding formulas, costing Florida taxpayers $2.3 billion annually in lost Medicaid funds alone.