In an about-face, Gov. Rick Scott announcedthat he would support a massive Medicaid expansion, providing health care coverage to an additional million Floridians thanks to billions of federal dollars. Back in 2010, the Republican governor ran on a platform of calling Obamacare a "job-killer."
Scott’s decision led to criticism from fellow Republicans, including Agriculture Commissioner Adam Putnam.
"The expansion of Medicaid in FL does not create jobs or strengthen our infrastructure," wrote Putnam on Twitter on Feb. 21. "And it will cost Florida $5B over the next 10 years."
Typically when we hear about a massive influx of federal dollars into a state -- whether to build light rail, improve schools or, in this case, sign up one million poor people for health insurance -- folks start salivating over job creation predictions.
We wanted to explore Putnam’s claim that the federally funded Medicaid expansion won’t create jobs in Florida. The evidence we found suggests Putnam is wrong, but it's far from certain. Health care is a complicated field, and the way the a Medicaid expansion will play out on the state level in Florida increases the uncertainty.
Instead of a Truth-O-Meter rating, PolitiFact provided an overview of the research we found and what experts had to say.
NEW YORK — Florida Sen. Marco Rubio is moving swiftly behind the
scenes to lock down some of Wall Street’s biggest donors ahead of the
2016 presidential race.
In recent weeks, the rising GOP star and
possible 2016 hopeful has quietly met with some of the most powerful GOP
backers in the world of high finance. The roster includes Blackstone
Group Chief Executive Officer Stephen Schwarzman, Kohlberg Kravis
Roberts & Co. CEO Henry Kravis and senior executives at Goldman
Sachs and Barclays Capital, among others.
Rubio has gotten backing from big Wall Street titans before, notably
hedge fund manager and billionaire Paul Singer. But the fresh round of
private meetings with top names has Wall Street buzzing about Rubio’s
From U.S. Rep. Ileana Ros-Lehtinen, R-Miami, one of about 75 leading
Republicans now supporting marriage equality for gay and lesbian
“I have joined many other Republicans in signing a legal brief
demonstrating that the right to marry should be constitutionally
supported for all Americans. It isn’t correct to unfairly restrict the
rights of equality and justice upon which our great nation was founded.
We’re calling on the Supreme Court to correct this injustice and to
bestow constitutional freedoms for all. We have taken a historic stride
toward equality with the repeal of ‘Don’t Ask, Don’t Tell’. I have also
supported other pro-equality legislation such as the Employment
Non-Discrimination Act, the Student Non-Discrimination Act, and the
Every Child Deserves a Family Act. It should not be constitutional that
we continue to deny to LGBT Americans rights enjoyed by others. We must
act now to ensure the rights guaranteed by the U.S. Constitution are
applied to all Americans.”
A chorus of opposition is starting to take hold in the Florida Cabinet to Gov.
Rick Scott’s stunning support for expanding Medicaid, with Attorney General Pam
Bondi saying she objects to the idea.
“I am opposed to this dramatic
expansion of Medicaid, because of the ultimate cost to Florida's taxpayers and
because I don't think our state should surrender even more control over health
care to the federal government,” Bondi said in an email Tuesday.
who helped lead a legal challenge to the constitutionality of the federal
Affordable Care Act, has joined Agriculture Commissioner Adam Putnam in forming
a potentially persuasive bloc as the Medicaid expansion issue moves before
Scott drew national headlines last week when he announced
support for expanding Medicaid eligibility under the Affordable Care Act. The
governor, who has been a longtime critic of the federal law better known as
Obamacare, said he would support the expansion for three years and then require
that it be revisited.
Bondi backed Putnam’s contention that once Medicaid
is expanded to include residents up to 138 percent of the federal poverty line,
the state would be unable to back away from that position after three years.
Opponents worry that could eventually create a massive fiscal burden to
As more Republican governors say expanding Medicaid is the right decision for their states, count U.S. Sen. Marco Rubio among those who disagree. Today New Jersey Gov.Chris Christie became the eight GOP governor to say he would support accepting federal dollars to reduce the number of uninsured people in his state. Gov. Rick Scott was No. 7 after making a similar announcement last week.
Rubio believes the long-term costs of Medicaid expansion should gives these governor's pause, according to spokesman Alex Conant. Despite the law being upheld by the U.S. Supreme Court and Democrats retaining control of the U.S. Senate and White House after November's election, Rubio is still is holding out hope for a repeal of the Patient Protection and Affordable Care Act.
"Specifically, Senator Rubio is concerned that without future reforms, the decision will leave the state of Florida on the hook for billions of dollars of unfunded mandates in the future," Conant said via email. "Senator Rubio remains committed to repealing Obamacare and reforming Medicaid.”
The Times/Herald has obtained yet another poll gauging Floridians' support of Medicaid expansion, this time conducted by left-leaning Public Policy Polling.
According to PPP, 62 percent of 551 Florida voters polled support Medicaid expansion. This result is similar to two other polls conducted on behalf of non-profit groups urging the state to accept federal dollars to reduce the number of uninsured residents.
Here is how the question was framed: "You may have heard some things in the news
recently about extending Medicaid. By
investing $1.7 billion of state funds to extend
health care coverage to at least one million,
low-income Floridians who are children or
working adults, Florida will receive nearly $28
billion from the federal government, while
creating 56,000 new jobs in Florida. Do you
support or oppose this approach to extending
health insurance coverage?"
So far, only one poll has concluded that a majority of Floridians oppose Medicaid expansion. That survey by conservative James Madison Institute posed the question differently than the others, focusing instead on the long-term costs of expanding Medicaid.
The PPP poll was conducted February 22 through 24. It has a margin of error of +/- 4 percent.
A Miami-Dade company that received a large tax incentive
deal from the state of Florida
folded last week, casting another black eye on the state’s job recruitment
Banah International Group, a sugar company, was approved for
a “qualified target industry” tax credit worth $437,000.
Adding insult to injury: News that Banah’s chairman had been convicted of cocaine trafficking five years
before the company was approved for inventives.
which does much of the vetting in Florida’s
multimillion-dollar business incentives program, has been under heightened scrutiny in
recent weeks as lawmakers have questioned the practice of doling out tax breaks
and cash to companies promising to create jobs. EFI said that Banah did not
disclose the criminal past of its chairman.
The organization pointed out, in all capital letters, that
Banah did not receive any tax money from the state because it failed to create the
jobs it promised.
“IF A COMPANY CANNOT MEET ITS CONTRACTUAL OBLIGATION, IT
RECEIVES NO REFUND, AND WILL BE REMOVED FROM THE PROGRAM,” an Enterprise Florida
Gov. Rick Scott is asking the Legislature to approve nearly
$300 million in incentives funding this year, a massive increase from about $111 million
Lawmakers are skeptical about the funding request,
especially after at least three companies have gone bust in the last year after
accepting incentives deals.
Groups like Integrity Florida and the Koch-brothers
sponsored Americans for Prosperity have slammed Enterprise Florida’s incentive
program, saying it picks “winners and losers” in the marketplace. When a
company goes bust after accepting government funds—as was the case with
Solyndra and Florida’s
own Digital Domain—critics blame the government for picking a loser.
EFI has countered that narrative by stating it is using the
taxpayer funds to recruit companies that create high-paying jobs in Florida.
Most of the deals that it approves go on to fulfill—and often
surpass—their requirements, EFI has said.
In the case of Banah, EFI was surprised by the bankruptcy.
“There were no concerns regarding the financial viability of
Banah,” EFI said.
Hoping to convince lawmakers to make significant reforms on
the politically thorny issue of property insurance, a business group has
released an interactive map showing legislators how many of their constituents
are covered by Citizens Property Insurance.
The idea is to get lawmakers to realize that, in most cases,
the majority of their constituents get coverage in the private market, not from
government-run Citizens. That realization would theoretically make it easier for lawmakers to back legislation raising rates at Citizens.
“This is the first time we’ve looked at the data this way
and it’s very telling. More than two-thirds of residents in a majority of Senate and House districts
don’t have Citizens as their property insurer,” said Associated Industries of
Florida president Tom Feeney in a statement.
AIF is pushing for major reforms, many of which will lead to
higher insurance rates for property owners covered by Citizens, and potentially for those covered by private insurers as well. AIF says the threat of those "hurricane taxes" is bad for business. Citizens, the largest insurer in the state
with 1.3 million policies, covers about 23 percent of the market.
If the company—which is running a record surplus—ever runs
out of money after a massive monster hurricane, it might have to levy “assessments”
on Florida consumers to make up the shortfall. Federal and state taxpayers may
also pick up some of the tab, as has happened in the past after devastating
Property insurance has been a tough political football
because of the pocketbook impact it has on homeowners. In places like South Florida, where Citizens dominates the market, the
typical family spends about 5 percent of its income on property insurance,
much higher than state and national averages.
Those homeowners are very vocal come election time, so
Republicans in South Florida and other high-cost
coastal regions have been wary of voting for business-backed insurance bills in
the past. Democrats have joined those wary Republicans to kill bills that the insurance
industry wants and this year the minority party has made keeping insurance costs down part of its platform.
A federal appeals court upheld the temporary ban on Florida’s drug-testing
for welfare recipients Tuesday, saying that a lawsuit against the state had a
good chance of succeeding.
The 11th Circuit Court of Appeals in Atlanta sided with a lower court decision, stating that Florida failed to show that
the drug testing plan was so critical that the Fourth Amendment, which bars unreasonable
searches by the government, should be suspended.
The decision—which did not weigh in on the ultimate
constitutionality question—is the latest development in Gov. Rick Scott's controversial drug testing push. In 2011,Scott and the Florida Legislature instituted a
program for drug-testing all recipients of Temporary Assistance for Needy
Families. Luis Lebron, a single-father and TANF applicant who refused to take
the test on constitutional grounds, filed a lawsuit with help from the American Civil Liberties Union.
In authoring the court’s opinion, Circuit Judge Rosemary
Barkett said that Florida
had not proven that its drug-testing program serves a “special” or “immediate” need,
or that it even protected children in families with substance abuse.
“There is nothing so special or immediate about the
government’s interest in ensuring that TANF recipients are drug free so as to warrant
suspension of the Fourth Amendment,” Barkett wrote. “The only known and shared
characteristic of the individuals who would be subjected to Florida’s mandatory drug testing program is
that they are financially needy families with children.”
Scott vowed to appeal the decision and take his fight to the Supreme Court.
“The court’s ruling today is disturbing," he said in a statement. "Welfare is 100 percent about helping children. Welfare is taxpayer money to help people looking for jobs who have children. Drug use by anyone with children looking for a job is totally destructive. This is fundamentally about protecting the wellbeing of Florida families. We will protect children and families in our state, and this decision will be appealed to the Supreme Court.”
The court relied on a similar case in Georgia, which
struck down the state’s program for requiring all political candidates to take
drug tests. That case found that Georgia did not show that there was
a drug problem among elected officials, and the law was mostly “symbolic.”
In the rejecting Florida’s
appeal to the lower court's preliminary injunction, Barkett took a similar position.
“The State has presented no evidence that simply because an
applicant for TANF benefits is having financial problems, he is also drug
addicted or prone to fraudulent and neglectful behavior,” she wrote.
The ACLU's associate legal director Maria Kayanan said the ruling was a vindication for struggling families who apply for government assistance.
"The state of Florida can’t treat an entire segment of our community like suspected criminals simply because they are poor and are trying to get temporary assistance from the government to support their families,” said Kayanan, who was lead counsel on the case.
also passed a law last year requiring drug testing for all state workers, but
that issue is also tangled in constitutional challenges and litigation.
Florida Polytechnic University's Board of Trustees might be having a change of heart about its decision to ask the Legislature for $25 million. In recent weeks, lawmakers and the state Board of Governors have expressed concern about why the newly created university would be asking for additional dollars so soon.
Now, Poly's chief operating officer Ava Parker is recommending that the school back track from the request, the Lakeland Ledger reports. She said that recommendation was based on additional information about the school's finances and projections, but we wonder if the expected dressing down at the next Board of Governors meeting and indications that the Legislature might not be willing to write Poly another check might also have something to do with Poly Trustees' about-face.