House Speaker Steve Crisafulli wrote an op-ed column exclusively for the Tampa Bay Times explaining why the Florida House opposes Medicaid expansion. An excerpt:
We oppose expanding Medicaid because it is a broken system with poor health outcomes, high inflation, unseverable federal strings, and no incentive for personal responsibility for those who are able to provide for themselves. Under current law, Florida provides for our most vulnerable: low-income children, pregnant women, the elderly and disabled people.
Under federal law, other low-income Floridians have access to health care subsidies to buy private insurance for less than the average cost of a wireless phone bill. In fact, if we choose Obamacare expansion, 600,000 will lose eligibility for their subsidies, of which 257,000 would be forced into Medicaid.
Those who claim we should expand Medicaid to get Florida's money back should note that we already receive over $15 billion more each year than we send to Washington. It's deficit spending. The national debt burden today is $145,000 per household. Medicaid expansion would not be financed with the hard-earned dollars we have already sent to Washington — it would be financed by mortgaging our children's and grandchildren's future.
The Florida Senate disagrees and has unfortunately partnered with the Obama administration to demand Medicaid expansion. They suggest existing safety net funding (the Low Income Pool, or LIP) and our state budget are tied to federal health care policy goals.