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Bill Day’s latest: The widening budget gap over Medicaid expansion

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Both the Florida House and Senate released spending plans for the upcoming fiscal year, providing funding for everything from education and transportation to the newly passed Amendment 1 land-conservation measure. Beyond that, however, the two budgets could not be further apart; almost $5 billion, to be exact. Bill Day’s latest takes aim at this fiscal chasm, which rests on a single issue – Medicaid expansion. The Senate proposal includes a portion of the $50 billion in federal money for expanding…

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Senate unveils alternative LIP model that increases base rates for all hospitals

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The Senate on Thursday will propose an alternative “Low Income Pool” model that would use supplemental Medicaid dollars to increase the base rates all hospitals are paid to treat the poor, elderly disabled, uninsured and underinsured. The new modified LIP plan would still give the major local contributors to the LIP program a healthy return on investment because the plan also calls on modifying Diagnostic Related Group payments for inpatient care to critical Medicaid providers, or those with trauma centers, neurological…

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Five minutes with Tom Lee — Talk of playing cards while building a budget

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The Senate Appropriations chairman is drawing a line in the sand. State Sen. Tom Lee wants clarity on healthcare spending before moving forward on building a budget and both state Sens. Aaron Bean and Renee Garcia are looking for the money to help him produce a balanced spending plan. The federal Low Income Pool program expires in June and the more than billion dollars it funnels to safety net hospitals evaporates. Lee said that’s an “untenable proposition” for the Senate,…

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Medicaid expansion and LIP alternative both in Senate budget, says Tom Lee

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The Senate budget will include nearly $3 billion in Medicaid dollars to expand coverage to roughly 800,000 people as well as an alternative plan to draw down supplemental Medicaid dollars to help pay hospitals and other providers for treating uninsured patients. That means the Senate and House budgets could be billions apart – a fact that could drag out the negotiations that usually occur between the two chambers. Sen Tom Lee said it would be “untenable” for the Senate to pass…

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House releases health care budget with no supplemental funds and deep staff cuts at Dept. of Health

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The House released a health care budget on March 17 that contains no supplemental Medicaid dollars traditionally used to help pay hospitals, federally qualified health centers, graduate medical education and even prepaid health plans. House Health Care Appropriations Subcommittee Chairman Rep. Matt Hudson said it would be “premature” for the House to include supplemental, or Low Income Pool, dollars in the budget given the fact the federal government has not approved the continuation of the program beyond June 30. Nevertheless,…

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State Medicaid chief wants to have tentative agreement with feds by mid April

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Florida’s top Medicaid official said on Tuesday he wants to have a tentative agreement with the federal government on how much Florida can expect to receive in supplemental Medicaid dollars by early to mid April. Deputy Secretary for Medicaid Justin Senior told Florida Politics that the plan is to have a letter of agreement outlining broad principles — such as the amount of supplemental funding and how long the funding will be in effect for — so the House and Senate can…

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Legislature struggles to build budget without clear direction on LIP funding

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Florida’s GOP legislative leaders remain at odds over how to solve the state’s $2 billion problem with its program to help out hospitals. But as the House and Senate prepare to roll out competing versions of a new state budget  there’s no clear signs of how the two chambers plan to deal with the potential loss of federal aid that helps fund the low-income pool program. The House is taking the first steps. On Tuesday a budget committee will take…

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