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.
Pre-Budget Edition
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.
Tenth Year Review
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.
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.