Make us your home page
Instagram

Today’s top headlines delivered to you daily.

(View our Privacy Policy)

Key house panel says no to Medicaid expansion, sets up legislative showdown

House Speaker Will Weatherford, R-Wesley Chapel, answers a reporter’s question Monday at the state Capitol. He praised a committee’s decision to oppose the expansion of Medicaid.

Associated Press

House Speaker Will Weatherford, R-Wesley Chapel, answers a reporter’s question Monday at the state Capitol. He praised a committee’s decision to oppose the expansion of Medicaid.

TALLAHASSEE — Top Republicans in the Florida House split from Gov. Rick Scott on Monday and said that they will oppose a plan to expand Medicaid to 900,000 or more poor Floridians, arguing that it would increase the federal deficit, diminish health care delivery to the elderly and drastically grow an already problem-laden program.

A key legislative committee that had been studying the health care law voted along party lines to reject the proposed Medicaid expansion and the billions of dollars in federal funding it would bring. In doing so, Republicans pledged to seek other options to address Florida's 4 million uninsured.

The decision, which was criticized by Democrats, further isolates Scott among Florida's Republican elected leaders, who largely have dug in their heels against the Medicaid provision. Scott still could find an ally in the Florida Senate, which has yet to make a recommendation.

Comparing the federal government's offer to pay 100 percent of the expansion costs for the first three years and at least 90 percent after that, Rep. Matt Hudson said Florida shouldn't be swayed by a "few pieces of silver" and ignore the long-term implications of adding 900,000 people to the Medicaid rolls.

"We know that it hasn't always worked out so well when people look at short-term gain instead of long-term vision," said Hudson, a Republican from Naples.

As they pledge to seek other options, Republicans said they were particularly intrigued by the agreement struck between the federal government and Arkansas. That state received permission to use Medicaid expansion dollars to pay for people to buy insurance policies through health exchanges.

"What Arkansas did, it wasn't even a concept; I didn't even think about it," said Rep. Richard Corcoran, the Lake O'Lakes Republican who chairs the House panel.

House Speaker Will Weatherford, R-Wesley Chapel, praised the committee's decision.

"We simply cannot count on the federal government to pay 100 percent of the cost for expansion," he said. "The facts show that health care costs will go up for many Floridians, while access to and quality of health care will go down."

Democratic Minority Leader Perry Thurston of Plantation called the decision "morally reprehensible," while Rep. Dwight Dudley of St. Petersburg said it showed a "lack of vision."

Dudley said Democrats shouldn't count on Republicans to find a better way to reduce the number of uninsured.

"You didn't hear any solutions, you didn't hear any alternative ideas or plans," Dudley said of the committee's rationale. "That's pretty appalling considering they are willing to kill this, something that is a plan, something real that people can access and have."

The more moderate Senate has seemed more open to expanding Medicaid, though its committee studying the issue decided to postpone a planned discussion on the topic Monday.

Sen. Joe Negron, R-Stuart, said if the House won't back away from its opposition, then an alternative must be sought.

"If we're going to say 'no' to Medicaid expansion, let's say 'yes' to something," Negron said.

But it's too early to say what that could be, Negron said.

Last month, Scott shocked many conservatives when he endorsed a plan to expand Medicaid after fighting so hard against the law. Scott called for an initial three-year expansion, but most Republicans said it would be impossible to undo health care insurance for the Floridians who would have been covered.

It's unclear, however, how much political capital Scott is prepared to expend pushing a possible expansion. He has said it is not among his top priorities and was not included in excerpts released Monday previewing his State of the State address this morning.

Others may have to pick up the cause. On Monday, a lobbyist for the business-backed Associated Industries of Florida said Florida should not just toss aside the billions of dollars of federal money.

"What we see is that we're already paying, the business community, is already paying for the uninsured, in the most costly setting possible, in the emergency rooms," Slater Bayliss said. "We encourage you to best leverage available federal funding to ensure that we provide coverage to Floridians in a manner that protects the state's financial health."

Around the same time, U.S. Rep. Kathy Castor, D-Tampa, held a press conference at Tampa General Hospital to urge Florida legislators to expand Medicaid.

"This is the best deal going in health care today," she said.

As a safety net hospital, Tampa General faces what Castor called "daunting challenges" paying for the care of uninsured patients. In 2011, TGH paid $41 million in charity care. Safety net hospitals aren't the only ones that bear the cost of uncompensated care. Castor pointed out that insured patients pick up those costs, too, through higher premiums and co-pays.

Staff writer Jodie Tillman contributed to this report. Contact Tia Mitchell at tmitchell@tampabay.com or (850) 224-7263.

Key house panel says no to Medicaid expansion, sets up legislative showdown 03/04/13 [Last modified: Monday, March 4, 2013 11:04pm]
Photo reprints | Article reprints

© 2017 Tampa Bay Times

    

Join the discussion: Click to view comments, add yours

Loading...
  1. Tampa Bay Times journalists wins 17 Green Eyeshade Awards

    Human Interest

    Tampa Bay Times journalists placed first in seven categories of the prestigious Green Eyeshade awards, which honors outstanding journalism in the Southeast.

  2. What you need to know for Tuesday, May 23

    News

    Catching you up on overnight happenings, and what you need to know today.

    A manatee swims near the entrance to Three Sisters Springs on Kings Bay, some of many springs that feed the Crystal River in Citrus County. The Southwest Florida Water Management District is considering a proposal that would allow a decrease to the amount of fresh water flowing in the Crystal River so that water can be diverted to fuel development. Critics say similar proposals around the state could threaten Florida's environmental health. [DOUGLAS R. CLIFFORD | Times (2014]
  3. Ailing Florida springs could be tapped further to fuel development

    Water

    BROOKSVILLE — Efforts by state officials to set a minimum flow for its iconic springs have stirred up a wave of public opposition. Opponents contend the state is willing to destroy its springs in order to justify continuing to provide water for new development.

    A manatee swims near the entrance to Three Sisters Springs on Kings Bay, one of many springs that feeds the Crystal River in Citrus County. The Southwest Florida Water Management District is considering a proposal to decrease the amount of fresh water flowing in Crystal River so that water can be diverted to fuel development. Critics say similar proposals around the state could threaten Florida's environmental health. [DOUGLAS R. CLIFFORD | Times (2014
  4. Canned by lawmakers, PTC staff say they are now forgotten

    Transportation

    TAMPA — After roughly 20 years in the Hillsborough County Sheriff's Office, Mike Gonzalez got another job with a uniform and badge when he was hired in 2015 as an inspector for the Public Transportation Commission.

    The badge that PTC inspectors carry while on duty. State lawmakers voted to abolish the agency this year leaving its remaining employees fearing for their future.
  5. Ferries from Florida not a priority for Cuban government

    Tourism

    Cruises and commercial flights now link Tampa and Havana, but before the U.S. government approved either for such journeys, ferries had the nod.

    Baja Ferries was among a handful of companies the U.S. government approved to service Cuba two years ago.
But Cuba's ambassador to the United States recently said the wait may be long. Ferries are not a high priority for Cuba.
This is an example of one of the overnight passenger ferries the  Baja Ferries wanted  to use to reach Cuba from Florida.


Photo Credit: Baja Ferries USA LLC