Health care bill OK’d, Senate ready to work on budget through weekend

florida capitol - looking up

With the drama over health care playing out according to the expected script, the Republican-controlled Florida Legislature is finally ready to pivot to passing a new state budget.

The Senate on Wednesday passed its health care coverage bill and sent it over to the House, where it is anticipated that chamber will vote down the legislation.

Despite the bitter debate over the health care bill, the two chambers must begin work on the must-pass bill of the year: the General Appropriations Act.

Senate President Andy Gardiner told members that the chamber plans on having budget conferences beginning Friday and lasting through the weekend.

But that work can’t start until Gardiner and House Speaker Steve Crisafulli reach a deal on “allocations” or the amounts of state tax revenue that will be given to the various spending areas, such as education, health care and general government. The nearly $31 billion of state money, or general revenue, available this year can be recurring or nonrecurring and both types are allocated to appropriations subcommittees to spend.

A factor that plays into the allocations is how much money the chambers will divert from other parts of the budget and agree to spend on “backfilling” the loss of Low Income Pool funding. Florida now has a $2.2 billion Low Income Pool program, but the federal government notified Florida two weeks ago that it could expect a $1 billion program in the 2015-16 fiscal year. In 2016-17 the LIP program will be in the $600,000 area.

Senate budget chief Tom Lee told reporters on Wednesday that the Senate knows how much general revenue it needs to ensure Florida’s hospitals can continue to operate, but he would not disclose the figure nor would he offer whether the Senate will request that all the general revenue be recurring.

Lee did reiterate to reporters, though, that the Senate is not moving ahead with an 11th hour proposal by Gov. Rick Scott to plow the money into hospital rates. Scott floated the proposal after the feds told Florida its LIP pool would be $1 billion and floated the proposal again on Tuesday during the grilling of Deputy  Secretary for Medicaid Justin Senior.

During the regular 2015 session the House made two offers to increase general revenue funding in the health care budget. The first offer was $200 million, the second offer $600 million.

Crisafulli said on the opening day of Special Session that the $600 million figure is no longer on the table. Gardiner downplayed Crisafulli’s comments noting that the $600 million was offered only if the Senate would back off its insistence that Low Income Pool funding be included in the budget and only if the Senate immediately accepted the offer.

Christine Jordan Sexton

Tallahassee-based health care reporter who focuses on health care policy and the politics behind it. Medicaid, health insurance, workers’ compensation, and business and professional regulation are just a few of the things that keep me busy.



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