The governor of Puerto Rico has asked Gov. Rick Scott for his help in addressing the nation’s healthcare crisis.
In a letter to Scott dated March 17, Gov. Ricardo Rossello said his administration is working hard to stabilize the current fiscal fiscal and economic crisis and to “put the island back on a path of fiscal responsibility and economic growth.” However, he said the so-called Medicaid cliff that will come into effect before the end of 2017 threatens to derail Puerto Rico’s fiscal and economic efforts.
“This could lead to a full-blown collapse of our healthcare system,” he wrote. “Moreover, if this issue is not addressed by Congress in the very near future the fallout will be felt not only in Puerto Rico but also in the states, because the already high rate of migration of the U.S. citizens moving from Puerto Rico to the states will likely increase significantly, affecting Florida in particular.”
More than 440,000 residents of Puerto Rico have moved stateside between 2006 and 2015, driven mostly by better economic opportunities. The loss in population, he wrote to Scott, is “devastating because it decreases our tax base, erodes our consumer base, and diminishes our workforce, which all make our economic recovery more difficult.”
Rossello said he developed a fiscal plan approved by the Financial Oversight and Management Board, created under PROMESA, that reduces spending and spurs economic growth. But federal legislators need to address the Medicaid cliff and “ensure the success of these reforms.”
He asked for Scott’s help in “activating Florida’s congressional delegation as a voice of reason in Congress on this avoidable issue.”
“We are willing to do our part to provide greater accountability, increased spending controls, and prosecute any fraud, waste and abuse tied to federal healthcare dollars,” he wrote. “However, Congress must find a way to include Medicaid funding for Puerto Rico at current levels until ACA replacement comes into effect and must also help Puerto Rico obtain more equitable and fiscally sustainable federal healthcare funding going forward.”