If the state and federal government can't reach an agreement on Florida's Low Income Pool program, Gov. Rick Scott won't backfill with program with state dollars, he said Wednesday.
"Florida taxpayers fund our federal government and deserve to get a return on their investment," Scott wrote in a letter to President Barack Obama. "Moreover, we have worked hard to turn Florida's economy around and cannot afford to fund programs started by the federal government."
The Low Income Pool is key to Florida's budget.
The $2 billion program, which reimburses hospitals that treat large numbers of poor and uninsured patients, is scheduled to expire on June 30. The state Agency for Health Care Administration is hoping to reach a deal with the federal government to keep the federal portion of the funding in place.
The U.S. Centers for Medicare & Medicaid Services, or CMS, has made it clear that the program will not continue without significant changes.
Scott is open to restructuring LIP.
"In our current discussions with CMS, Florida is not proposing to continue the LIP waiver in its present form, but to maximize the value of our tax dollars to further the same goals for the Medicaid program that we have shared with CMS over the last four years," he wrote in the letter.
If the program were to end, Scott added, it would "hamper future efforts to improve health care services for low-income individuals."
"As with previous negotiations, we are optimistic that you will not terminate LIP and we will be able to reach an agreement on how best to structure this program in a way that protects both our state's most vulnerable residents as well as state and federal taxpayers," he wrote.