Florida health administrators have agreed to settle a long-simmering lawsuit that claims the state’s Medicaid insurance program for needy children is so poorly funded and managed that impoverished youngsters are consigned to a second-rate healthcare system where long waits for access and substandard care are the norm.
A federal court judge in Miami sided with needy children and their doctors in a 153-page ruling in December 2014, saying state lawmakers had so starved the Florida Medicaid program of funding that it was operating in violation of federal law.
In the ensuing months, health administrators — at the urging of U.S. Circuit Judge Adalberto Jordan, who presided over the trial — mediated the dispute with lawyers for the children and the state Pediatric Society. The negotiations yielded a settlement with the heads of the state Department of Health, the Agency for Health Care Administration and the Department of Children & Families, all of whom were parties to the litigation.
Though state leaders had continued the battle even after Jordan’s stunning ruling, healthcare for needy children had become a public relations nightmare for the state. Administrators at the Department of Health last year purged 13,000 children from one of the premier Medicaid plans for youngsters, Children’s Medical Services, and had shuttered CMS offices, including clinics for children with disfigured faces and other disabilities. Public outrage over the cutbacks, and other agency moves, may have cost the health department’s secretary, John Armstrong, Senate confirmation.