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Hospitals Say “No” to Profit Sharing

May 19th, 2015 by flanews

With a looming 2 billion dollar budget hole over healthcare money to be decided in a special session, the Governor is pushing hospitals to crunch their numbers and re-evaluate spending. But as Matt Galka tells us, hospitals are pushing back.

Florida is set to lose out on a 2 billion dollar healthcare program that helps hospitals serving the poor.  The expiring federal program threw the state’s budget into chaos.  In response, the Governor assembled a hospital funding commission and has thrown around the idea that hospitals can start profit sharing in order to cover costs.  But the Florida Hospital Association isn’t on board.

Warren Jones handles communications for Tallahassee Memorial Hospital. TMH is one of the more than 200 hospitals represented by the Florida Hospital Association. The group fired off a letter rejecting the idea and instead continuing to back the Senate’s Medicaid expansion plan.

“Profits that we do make go back into our healthcare system. They’re reinvested here, so we use those dollars to purchase new equipment, purchase new buildings, build new buildings,” said Jones.

The Governor’s commission tasked with analyzing hospital funding will meet for the first time Wednesday.

Eugene Lamb was one of the nine members of the commission appointed by the Governor.  His background is in education, not healthcare, but he doesn’t want to speculate what the group will find.

“I don’t know what to expect myself, I’m just looking forward to me and my other colleagues on the commission to see what our mission is,” said Lamb.

Both the Florida House and the Governor have rejected the idea of Medicaid expansion as a hospital funding solution. Supporters say it will help nearly one million working poor Floridians. The Governor has turned around and sued the feds for allegedly trying to link expansion to the low income program that is set to expire.

The Governor’s commission is made up of nine members from around the state. None of them are hospital executives.

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Tourism Shattering Records

May 18th, 2015 by flanews

If you think you’re seeing a lot more out of towners walking around the state, you’re not imagining things. As Matt Galka tells us, Florida tourism is shattering records, but experts say we can’t fall behind on basic needs if we want the visitors to keep coming back.

Ray Pettit and his wife Cindy were checking out the sights in Florida’s Capital Monday.  They keep coming back to Florida.

“Mainly the weather, and of course my wife likes the beach,” said Ray Pettit.

The couple from South Carolina has family in the state, but they’re not ruling out making it their home one day.

“The people are nice, everybody is great, I’ve never had any problem in Florida, it’s definitely a place if I ever make my move it’s going to be in Florida,” said Ray Pettit.

Now the Pettit’s are becoming a part of Florida’s history. The state is currently experiencing record breaking tourism numbers.  More than 28 million people visited the sunshine state from January through March of this year.  That’s a 6% increase over the same time period as last year.

Experts say while out of towners are great, the state has to make sure it can handle all of the visitors.

Robert Weissert with Florida TaxWatch says that infrastructure needs to be kept up with and properly funded.

“If they’re stuck in traffic on the highway, if they can’t catch a train, if their plane can’t land, or if they’re stuck forever in immigration naturalization services when they land, then they’re not going to have a good experience. So the key is keeping our infrastructure investment moving forward,” said Weissert.

The state’s goal is to have more than 100 million visitors this year. Florida fell just short in 2014, with an all time high of 98.9 million. While many say the brutal Northern winter contributed to an uptick in visitors, TaxWatch says the record breaking numbers can be contributed to an overall improving economy around the country.

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Budget Deadlock? Been there. Done that

May 15th, 2015 by Mike Vasilinda

The state budget only provides money until the end of June and state lawmakers remain deadlocked over health care spending. They will return to the Capitol in June, and as Mike Vasilinda tells us, state government hasn’t faced a shutdown over budget disputes since 1992.

Signs like this one appeared on state buildings on the last day of June 1992. And as the clock ran out at midnight June 30th…lawmakers still working jokingly turned out the lights, but the state was officially without a budget.

I don’t think the governor agrees with this program” said then State Senator Curt Kiser during an early morning in the Senate.

Kiser was a key negotiator at meetings during the wee hours of the morning.

Q:“Your advice to this legislature asJuly first gets closer every day?”

“They’ve really just need to sit down across the table and have some give and take, sometimes you do a fix for one year and you come back next year, and things will be better” says Kiser

Then Governor Lawton Chiles waited until the day before a shutdown to sign two executive orders to keep state government running.

State employees promised to keep coming to work without pay…but Mark Neimeiser of the American Federation of State, County, and Municipal employees wanted to make one thing clear: “Workers can come to work, and expect to be paid” said Neimeiser.

Today, Neimeiser still represents some state workers.m Q:”Were your worried they were going to lock you out?”

“Back in 1992? No. I felt annoyed because people kept trying to manufacture this crisis mentality. Come on, the way we solve things is to work through them.”

Governor Rick Scott is already being criticized for sending this letter to state agency heads, asking for a contingency plan if there is no budget July first.

Scott is being accused of feeding into a crisis mentality by sending the letter so early,  and for taking a shot at the state Senate, which could make compromise difficult.

The state budget was agreed up in the early morning hours of July first.  The 1992 lesson is that some state services can keep operating, but many routine offices would have to close without money appropriated to operate them.

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Cheers for Beers

May 15th, 2015 by flanews

Beer drinkers and makers have an extra reason to raise a glass this week, as Matt Galka tells us, the Governor’s signing of a bill benefiting brewers was the climax of a multi-year beer battle.

Say hello to the 64 ounce beer container called a growler.  The bottle which holds about four craft beers was illegal in the state until the Governor signed a beer bill Thursday.

Proof Brewing Company owner Byron Burroughs says the 64 ounce size is used almost everywhere else.

“I think it’s fantastic. It’s been a long time coming we’ve been trying to rectify the growler language and sell 64s like 47 other states which is the national standard,” he said.

 

The 64 ounce container had been banned in the state even though the 128 ounce and 32 ounce containers were both allowed.

Legalizing the growler was a bipartisan mission from legislators in 2015, but the bill that was signed was about more than bottles.

Burroughs says that the big names in the beer industry had fought to keep upstart breweries from cutting into profits.  The bill ended up cleaning up beer language in the state that allows breweries to sell directly to drinkers. Brewers also had to limit their vendor licenses to eight.

“If nothing else, what this does, this clears up a lot of things that allows us to be on more of an even footing. If a liquor distributor or wine distributor is able to do a sampling, a brewery should be able to do that same type of sampling,” said Burroughs.

Beer drinkers can officially start saying cheers on July 1st when the law takes effect. The growler jug itself can be sold right now, but customers will have to wait about another month and a half to start filling it up.

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Florida Prisons Face Lawsuit over Mental Health Care

May 14th, 2015 by Mike Vasilinda

The 2012 scalding death of a 50 year old mentally ill prisoner is one catalyst of a soon to be filed law suit aimed at changing the way Florida Prison officials treat the mentally ill. You’ll be surprised, as Mike Vasilinda tells us, at the extent of the problem.

Following the scalding death of 50 year old Darren Rainey in a prison mental health unit, lawmakers asked the head of the prison system how many of the states one hundred thousand inmates had a mental illness.

“I’m fairly certain, 30 to 40 percent, would be, would be, conservative” responded Corrections Secretary Julie Jones.

The number should have shocked lawmakers, but there was no sign of it.

“Our prison system is now the largest mentally ill care facility in the state” says Florida Legal Services Executive Director Ken Spuhler.

But the number did get the attention of Florida Legal Services, which is preparing a lawsuit to change how the prison system deals with the mentally ill.

“We just don’t treat them well. Guards aren’t trained to deal with mentally ill prisoners, so they wind up being abused” says Spuhler.

Reggie White is in his 27th year his life sentence. “I saw a guy jump on the fence, knowing they were gonna shoot him off. Hey man, that’s suicide” says White.

Such an incident would likely have brought isolation in solitary confinement, not treatment.

The yet to be filed lawsuit will seek real individual treatment for the mentally ill, better training for officers, and realistic punishment.

“So we are essentially trying to have the courts order them to totally reform” says Spuhler.

One reason for the lack of officers trained to deal with mental health outbursts is high turnover and the inability to fill positions.

At the time of the legislative hearing, the Department of Corrections had 500 vacancies for corrections officers. New data was not available today.

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Hobbyists Worry Drone Bill Could Ground Them

May 14th, 2015 by flanews

You may be seeing more of them flying around – the unmanned aerial vehicles or drones. As Matt Galka tells us, lawmakers tried to get a hold of regulations on the technology…with mixed reactions from users.

Drone technology is taking off around the state.

Gerald Tookes is an avid flyer. Sometimes he’ll use his drone to get different angles on photos he takes of his friends and family.

“Of course one of the cool things you can always do is a selfie,” he says with a smile.

But drone photos caused some lawmakers to worry in 2015. This past legislative session lawmakers said they didn’t want to stand in the way of technology, but they did have privacy concerns.

A bill currently awaiting action from the Governor will ban taking pictures of private properties or people without consent.

“There is a learning curve to get people to understand what it is because of privacy concerns, libertarian concerns, and always big brother watching,” said Sen. Garrett Richter (R-Naples) in April of 2015.

Drone enthusiast Rob Hall says the wording can put people like him at risk.

“If I go just go up in my backyard and I happen to be flying around testing my camera, and I point in the general direction of one of my neighbors, I could be held accountable for invading their privacy, even though I’m not invading their privacy and it’s just incidental,” he said.

Tookes says with state and federal regulation, it will come down to one thing for hobbyists.

“They can be a really cool tool to have for any kind of production, but as they always say just fly responsibly,” he says.

The law will take effect July 1st if it’s signed by the Governor.

The bill provides exemptions for law enforcement and other state licensed businesses or professions – however users will point out that there is currently no state licensing procedures for drones.

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Clock Ticking on Seminole Gaming Deal

May 13th, 2015 by Mike Vasilinda

The Seminole Tribe says it is exploring all of its options for card games at its Hard Rock Casinos in Florida. The Tribe’s deal runs out in July, and as Mike Vasilinda tells us lawmakers have been slow to act.

A June Special session on the budget is the last chance for lawmakers to approve a yet to be negotiated deal to keep the cards being dealt at Hard Rock Casinos across Florida. Barry Richard drafted the original deal for the tribe.

“The Tribe’s main concern is to not only preserve its legal rights but also to avoid having to fire thousands of people who are employed because of the card games” says Richard.

The Seminole deal could also be derailed by another lawsuit. Back in 2012 three counties voted to legalize slots. The state refused all o them a license. Now, a horse track in Gadsden County is challenging the states denial. If they win, it could violate the exclusivity deal with the Seminoles.

Attorney Marc Dunbar thinks otherwise, but says his case could impact the Seminole deal. “The clock is ticking. We have between now and October where they have to decide if they want to continue the exclusive black jack for the Seminole tribe. And a case like this only increases the pressure in those negotiations” says Dunbar.

And as the clock ticks, no legislative panel has been named to negotiate with the Seminoles. That increases the chances the deal with die. That doesn’t mean, though,  the games will stop right away.

There is precedent to keep the games running past the expiration of the compact. Weeks after the Seminoles started the card games in 2008, the Florida Supreme Court said the first compact was illegal. The cards kept flowing, and once there was a real deal, the Seminoles sent the state a check.”

But no deal does mean the money will stop..temporarily, or permanently if the deal goes bust.

Governor Rick Scott turned negotiations with the tribe over to state lawmakers after they failed to take up a deal he had negotiated in 2014. The Seminole Tribe predicts payments to the state could reach 450 million a year by 2030.

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Budget Impact

May 13th, 2015 by flanews

Lawmakers will be back at the Capitol in a little over two weeks to finish what they need to do and pass a state budget. But as Matt Galka tells us, a lot of people have been left hanging in the meantime.

Schools would typically be taking the time after legislative session to be crafting their own budgets for the next school year.  But the lack of state budget has left districts in limbo.

“The majority of schools are working on what you and I would probably call a continuation budget which means they’re starting assumption is “what if nothing changes” and “what if we have exactly the same budget that we had last year?” said Flordia School Boards Association Interim Executive Director Bill Graham.

If the assumption holds true, per pupil funding will be far from the record spending that was promised.

“It means that they probably start with less per student or their jargon per FTE because the enrollment increases during the current school year that ends June 30th actually exceeded original forecasts,” said Graham.

The lack of a budget has also left critical social service agencies hanging as well.

Mike Watkins with the Child Welfare agency Big Bend Community Based care says he expects critical services like his will be fine, but they’ll still be scrambling at the end of June.

 

“The cost is that we’re probably going to get a budget at the 11th hour and we will be working with the executive branch and the department of children and families to try to maximize the allocation the legislature passes. And we’re going to be doing this in the middle of the night,” he said.

Lawmakers start working on the budget on June 1st. The budget is expected to be completed on June 20th, That gives Governor Rick Scott 10 days to review it before the current year’s budget expires on July 1st.

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Legal Services for Poor and Middle Class Hard to Get

May 12th, 2015 by Mike Vasilinda

The availability of low cost or free legal services for the poor and middle class has never  been as  scarce as it is in  Florida today.The State’s Chief Justice has formed a commission to come up with solutions, but as Mike Vasilinda tells us, those in the trenches worry the answers won’t come soon enough.

Mary Lewis bought this modest home in 2009 so she could be near her now 98 year old mother. Then Mary was hospitalized, couldn’t pay her mortgage, and the bank started foreclosing.

“And I was trying to handle it myself” says Mary.

Mary got nowhere with the bank until she turned to Legal Services.

“And I was able to save my house. Even got the payments down a lot lower so that I could handle it” said Mary as she praised Legal Services of North Florida,

But thousands of other families aren’t so lucky. Funding for legal aid lawyers has dried up. The funding is tied to interest rates, Low rates mean fewer dollars.

“Totally, we’ve lost over 67 percent of our funding. This last cut was over 40 percent, and we lost half of our staff.”

The Chief Justice of the State Supreme Court has named 27 member Commission to find solutions. It meets again on Friday.

Here’s the problem. The court’s first report isn’t due until October, with a final report not due until next summer.

“The system doesn’t have two years. I mean its going to get close to being barely there” says Sphuler.

Meanwhile, Mary Lewis is happy to still have her home.

“Nobody should have to go through what I went through to try to save their home.”

But thousands like Mary are already finding legal help harder to find, with no solution in sight.

A case pending before the Florida Supreme Court would allow lawyers bar dues to climb by a hundred dollars a year to plug the legal services funding hole. The bar says the problem belongs to all of society and needs a broader solution.

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The Governor’s Commission

May 12th, 2015 by flanews

The Governor has named his team for the newly created Commission on Healthcare and Hospital Funding, but as Matt Galka tells us, critics are quick to point out the lack of hospital experience among them.

Rick Scott is in Washington, D.C. for the second time in two weeks.  He’s meeting with members of Congress as he continues to rail on the feds for their role in Florida’s budget meltdown.  Scott won’t expand Medicaid and there’s a 2 billion dollar hole in the state budget because there will be no more federal money for hospitals serving low income patients.  The Governor had strong words on Fox News Monday night.

“You ruined my budget. I went through my session, I don’t have a budget, I have to have a budget by the end of June through the House and Senate. We have a fight between the House and Senate on what to do, you have sat there and not done anything so your decision to not do anything for poor families is a “no,” Gov. Rick Scott told Greta Van Susteren on her show “On the Record.”

The D.C. trip comes in the wake of Scott naming 9 members to his Commission on Healthcare and Hospital funding.  Their mission: analyze hospital spending. But none of the nine names include any hospital executives. You’ll also find only one actual doctor.

Democrats were quick to slam the Governor’s choices for the commission.

“I think they have a banker, a builder, and a beef consultant. These aren’t the people who should be fixing Florida’s healthcare system,” said Democratic Party Spokesman Joshua Karp.

Agency for Healthcare Administration Secretary Liz Dudek and Florida’s Surgeon General John Armstrong will be co-executive directors of the commission. We reached out to both to see what they would like to accomplish with the commission – but we were told both were travelling on Tuesday.

The commission meets for the first time in Tallahassee on May 20th. The Governor would like them to provide recommendations for lawmakers as they take part in their special session from June 1st through June 20th.

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Second Chances

May 8th, 2015 by flanews

Lawmakers say they’re trying to keep kids out of jail by giving law enforcement more authority to issue citations, rather than throw minors behind bars. Matt Galka tells us about the new bill that passed expanding juvenile civil citation program.

Florida had more than 70,000 arrests involving minors last year.  While the number is trending downwards, lawmakers are hoping an expanded citation program will help even more.

A bill passed the legislature this year that would expand a police officer’s authority to issue a citation for a non-violent crime. Justice reform advocate Barney Bishop says the numbers make the case.

“Law enforcement officers would arrest those kids, it could be for something rather innocuous maybe an open container, maybe truancy from school, and while they’re on probation they get in trouble again and go deep into the juvenile justice system, and the statistics show that about half of all the kids that went deep in the JJ system would end up in the adult prison system,” said Bishop.

The original bill didn’t provide a cap for the amount of citations that could be issued, something that didn’t sit well with the Florida Retail Federation.

“We needed a message in the law that said there are consequences that said at some point, you have to learn your lesson and there is a stopping point,” said the FRF’s General Counsel Samantha Padgett.

The bill was amended to include a three strike limitation.  The Florida Retail Federation says that without it, a minor could repeatedly shoplift in organized crime rings with little penalty.

“Organized retail crime is a $2 billion dollar industry in the state of Florida, there are very sophisticated rings, that target items, they go into stores and steal them,” said Padgett.

The bill also doesn’t mandate an officer to give a citation. They have the discretion to increase a penalty as they see fit.

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Religious Scorecard

May 7th, 2015 by flanews

Church and state joined together at Florida’s Capitol Thursday on the National Day of Prayer. As Matt Galka tells us, religion played a major role this past legislative session.

Prayer and song filled Florida’s Capitol on Thursday. The 64th annual national day of prayer was a faith gathering at public buildings across the country. Florida Governor Rick Scott prayed with the group.

“We are very blessed to live in this unbelievable country. We’re blessed to live in the greatest state in the nation. You’ve blessed each of us to have the opportunity to live here,” said Gov. Scott.

Religion had a strong role in high profile bills during 2015’s legislative session. The legislature voted to repeal a ban on gay adoption that is no longer enforced. The bill is awaiting government approval. It also prompted the House to pass a religious freedom proposal that would have allowed private adoption agencies to refuse services to same sex couples based on religious beliefs. It never passed the Senate.

Advocates say faith should be the guiding force for legislators.

“All of us should let our faith guide us in everything that we do. Lawmakers do not have to check their faith at the door, we’re going to legislate somebody’s morality, aren’t we, in everything that we do in government. So I think it’s great that they do what’s right,” said Pam Olsen with the Florida Prayer Network.

A 24 hour abortion waiting period bill also cleared both chambers this year.  Pro-choice groups fought it every step of the way, but it cleared easily. The Governor hasn’t committed to vetoing or signing either bill.

The national day of prayer has been held at Florida’s capitol for the past two decades.

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Commission to Study Health Care Costs Take 2

May 6th, 2015 by Mike Vasilinda

In the middle of a fight between state lawmakers over health care dollars, Governor Rick Scott has created a Commission on Healthcare and Hospital funding. As Mike Vasilinda tells us, Scott has outlined 9 things he wants the yet to be named commission study.

Governor Rick Scott has outlined nine things he wants the Commission on Healthcare and Hospital funding to look at. Near the top of the list: political contributions.

“How do we make sure the dollars are spent well? How do we make sure the costs are as low as we can? How do we make sure citizens have good access to health care,

good outcomes from healthcare” that need to be considered says the Republican Governor.

Fueling the commission is an expected loss of 1 point two billion in federal matching money for hospitals. It covers the cost for people that can’t pay. The loss is triggering a civil in the legislature. Senate President Andy Gardiner  says the commission is inconsequential.

“They’re attacking hospitals, in general regarding what they make and don’t make. I think its a bit of a distraction. It really doesn’t address the uninsured problem here in the state of Florida.”

Serving on the Hospital Commission has become a big ticket ask for most of the states major business groups.

This is not the first time the former hospital executive has wanted to look at costs. Scott named a commission soon after taking office in 2011. Florida Democratic spokesman Joshua Karp was quick to criticize the latest commission.

“So he already tied this idea in 2011, so what viewers need to know is that this Governor has already tried this idea and it didn’t work” says Karp.

Scott says he wants the new Commission to make recommendations in time for a special session. That session needs to wrap up by the end of June, or  the state won’t have a budget.

Scott traveled to Washington D.C. today to meet with Federal officials and ask the loss in health care money be restored. He did not get an answer. A statement from the Florida Hospital Association reads in part “Florida hospitals welcome the discussion. Also important, is the need to increase access to health care coverage for uninsured Floridians, including disabled and low-income, working individuals

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Two More Prison Guards Arrested in Wake of Failed Reforms

May 6th, 2015 by flanews

Reports of a troubled prison system rocked the state’s department of corrections and it looked like there would be legislative changes made this year. But as Matt Galka tells us, that didn’t end up happening, and just this week, there were more prison guard arrests.

Donald Sims was one of two Columbia Correctional guards arrested Tuesday after allegedly beating inmate Shurick Lewis at Columbia Correction Institution.

It’s another mark against the state’s troubled prison system. Corrections Secretary Julie Jones faced tough questions during legislative session after multiple reports of prisoner abuse and deaths.

Legislative action looking to correct the problems failed this year after session turned chaotic and ended early. Measures including forming an oversight commission and increasing penalties for guards failed to clear both chambers.  Barney Bishop with the Florida Smart Justice Alliance thinks the relatively new secretary needs some time.

“She’s only been here for about 4 months now, we need to give her a chance and we’ve always given every new secretary of every agency a chance,” he said.

The Senator who was leading the charge on prison reform says they won’t stop trying to fix the department.

“Look how far we’ve come with just actually the Senate’s criminal justice committee diving in and finding the things involved,” said Sen. Greg Evers (R-Pensacola) before session ended.

Prison reform advocate Allison Defoor says at the very least, people are aware of the problems now.

“Everybody is serious about Florida’s governance, understands that this thing’s broken. Now we’re just talking solutions and a year or two ago that wasn’t the case.” he said.

Defoor says it took a while for the system to dig a hole this big and it will take a while to get out of it.

The arrests this week come about a month after three other corrections employees were arrested in connection with a prison inmate murder plot. Those employees were also linked to the Ku Klux Klan and the alleged victim was an African-American male.

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Governor to DC to see people he is suing

May 5th, 2015 by Mike Vasilinda

Governor Rick Scott is on his way to meet with Federal officials over funding for Hospitals know as the Low Income Pool, or LIP funding.  The Feds have said they will not continue the program and Florida is suing. As Mike Vasilinda tells us, the same funding is keeping lawmakers from balancing the state budget.

Federal officials have said they will not send more than a billion dollars to Florida unless the state agrees to increase Medicaid options for the working poor. It has promoted Attorney General Pam Bondi to file a lawsuit alleging cohesion.

“Because we’ve had it for nearly a decade and they said in writing that they would take it away if we did not expand Medicaid. If that’s not coercion I don’t know what is” says Bondi.

The money in question is used to reimburse hospitals who treat people who can’t pay.

What’s unusual here is that Low Income Pool or LIP funding is voluntary. The state doesn’t have to take it, the Federal Government doesn’t have to offer it.

On Tuesday Governor Rick Scott left for Washington to meet with federal officials to convince them to keep the money flowing,

“Today my goal is just focus again hoping to reconsider, the reason I’m doing this is that we’ve got to get a budget done”  Scott said in a response to a question about the law suit.

The battle for increased health care funding has created a civil war in the Florida legislature…it led to last weeks premature adjournment that the Supreme court has said was unconstitutional. The Senate wants to take federal money to expand health care. The House doesn’t. Scott is again siding with the House.

“There’s no support in the House, I’m not going to support it, it’s not a program that has worked” says Scott/In Washington, Scott says he will float the idea of a block grant, or lump sum of money to provide care on the state’s terms.

Governor Scott also today issued an Executive Order creating a yet to be named commission to study hospital profits.

 

 

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