TALLAHASSEE -- A Senate panel on Wednesday passed two very different proposals to expand health insurance for low-income Floridians under the federal health law, leaving billions of federal dollars at stake.
With less than three weeks left in the Legislative session, lawmakers in the House and Senate are still worlds apart on whether to accept an estimated $55 billion dollars from the feds over the next decade to offer health coverage to roughly 1.1 million residents or to rely on state funds to cover only about 115,000 residents.
House leaders have adamantly spoken out against accepting federal money tied to the Affordable Care Act, leaving Senate lawmakers scrambling to craft a proposal they will agree to. Both chambers voted against a straight Medicaid expansion early in the session.
But, so far, instead of endorsing just one plan, the Senate is keeping alive two different options depending on how negotiations go in the final days of the session. That irritated some senators.
"I’m concerned we may send a mixed message if we send two bills out of here. It’s like trying to take two dates to the prom...I think we need to be very careful that we don’t show any reluctance with that and we need a total resolve to move forward with that plan....and I’d hate to send the wrong message that we might be having second thoughts," said Sen. Bill Montford, D-Tallahassee.
But Sen. Aaron Bean, whose less comprehensive plan would pass up federal dollars, urged committee members to support both proposals to give lawmakers options, arguing his bill may be the only path the House is willing to consider.
"There’s another body across the way that also has a say in what we do. They haven’t shown an interest in taking federal funds," said Bean, R-Fernandina Beach.
A plan by Sen. Joe Negron unanimously passed the committee and received rare support from the business community, labor advocates and healthcare providers during public testimony.
The plan “meets the goals that our board has set, which is providing additional access, availability, affordability and quality care to Floridians, as well as at least alleviating those additional costs on our businesses,” said Tammy Perdue, general counsel for the influential business lobby Associated Industries of Florida.
Gov. Rick Scott has also expressed support for Negron’s proposal, warning that bypassing federal dollars and paying for health coverage with state funds would put a double burden on Florida taxpayers. Negron’s plan would give the federal money to recipients in the form of vouchers that would allow them to choose a private insurance plan.
A bill that mirrors Bean’s passed a House committee on Monday, while that same committee shot down a plan similar to Negron’s.
The House plan would use $237 million in state funds to give recipients $2,000 a year to choose their own private insurance plans through the Florida Health Choices program. The Obama administration has sought to offer health insurance to more Americans by extending the Medicaid eligibility levels to those making up to 138 percent of the poverty level, but Bean’s plan and the one in the House only addresses residents making at or below 100 percent or roughly $11,000 a year for a single person and about $19,500 for family of three
The Senate bills, which both require recipients to pay premiums and co-pays, still have another stop at the full Appropriations Committee led by Negron.