Rick Scott’s decision to sue the feds over Medicaid gets mixed reactions

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Gov. Rick Scott‘s announcement that he will sue the federal government for withholding Low Income Pool dollars caused a firestorm on Thursday, rounding out what has been topsy turvy health care week in Tallahassee.

The announcement drew praise from conservatives such as Koch-brothers backed group Americans for Prosperity which issued a release saying, “the Obama Administration has proven once again to Florida taxpayers that Washington cannot be trusted to negotiate in good faith.

The move also was praised by House Speaker Steve Crisafulli who heads the chamber that has steadfastly opposed Medicaid expansion. Crisafulli acknowledged that the lawsuit, wouldn’t have an impact on current budget negotiations that have broken down and brought the session to a halt but said “I think it’s important that the point is made …. you can’t force the state to take on Medicaid expansions.”

Scott announced early Thursday he would sue the federal government for “coercing” the state into expanding Medicaid under the federal health care law in order to continue to receive supplemental Medicaid funding called Low Income Pool.

“It is appalling that President Obama would cut off federal healthcare dollars to Florida in an effort to force our state further into Obamacare,” Scott said in a press release announcing the lawsuit.

The decision to sue the federal government comes just two weeks after Scott switched his position on Medicaid expansion. In 2013 Scott said he supported expanding Medicaid and the governor reiterated that position while campaigning for governor last year.

Earlier in the week Department of Health and Human Services acting Secretary Vikki Wachino sent a letter to Medicaid Deputy Director Justin Senior noting that “coverage rather than uncompensated care pools is the best way to secure affordable access coverage to health care for low income individuals, and uncompensated care pool funding should not pay for costs that would be covered in a Medicaid expansion.”

Not everyone supported Scott’s actions, though. The Washington, DC-based group Doctors for America said  in its statement the governor was “ducking responsibility instead of acting in the best interest of Floridians.”

Senate Democratic Leader Arthenia Joyner said in a prepared statement the governor’s “grandstanding underscores his commitment to wasting Florida’d tax dollars to get what he wants at whatever cost.o

The health care advocacy group Florida Chain said in a statement that the move “is not only incredibly disappointing, it is a distraction from what needs to be done during a time of crisis for our hospitals and for struggling families who cannot access care.”

The hospitals–which are most impacted by the pending elimination of Low Income Pool–laid low following the announcement. The Florida Hospital Association issued a statement saying that its “focus is on a responsible state budget hat includes coverage and a replacement for the low income pool. Both are essential to ensure low-income, working Floridians have access to preventative care and critical services. “

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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