Court rejects Rick Scott’s request for mediation on LIP funding

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A move to require the federal government to enter mediation with Florida over the future of the Low Income Pool was shot down by a federal court in Pensacola on Wednesday.

Gov. Rick Scott issued a statement saying his administration will “continue to fight for this important funding for low income families any and every way we can.”

The governor said it is “disappointing” that the Obama Administration “keeps delaying their decision on funding the Low Income Pool in Florida.”

Attorneys for the Scott Administration on Monday filed a motion to require the federal government to enter mediation with the state over continued LIP funding. The judge ordered the federal government to respond to the order.

The court has scheduled a hearing on the underlying case on June 19.

Scott sued the federal government in federal court in Pensacola alleging that the Obama Administration violated the U.S. Constitution by threatening to withhold Low Income Pool funding if Florida did not expand Medicaid under the federal healthcare law.

Scott, Attorney General Pam Bondi and the Agency for Health Care Administration are the plaintiffs in the 22-page lawsuit. Secretary of the U.S. Department of Health and Human Services Sylvia Burwell and Andy Slavitt, acting administrator of the Centers for Medicare and Medicaid Services, are the defendants.

The Low Income Pool program is a supplemental Medicaid financing program that is made possible under a 1115 Medicaid waiver. The federal government approved the waiver for a three- year extension but the Centers for Medicare and Medicaid Services announced in April 2014 that it would not extend the Low Income Pool beyond June 30, 2015.

The Florida Legislature was unable to pass a budget during the 2015 Regular Legislative Session because of discord over whether LIP funding should be included in the budget and, if so, what amount, as well as Medicaid expansion. When the Session ended, the Senate budget was $4 billion more than the House budget because the Senate included both LIP and Medicaid expansion but the House didn’t include either in its budget.

The federal government subsequently advised Florida that it can expect to receive $1 billion in LIP funding for the 2015-16 year and $600,000 in the 2016-17 year. Scott, though, has claimed that the Legislature does not have a final approval figure and that the delay is preventing lawmakers from completing the budget.

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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