Among the many achievements that Republicans in Tallahassee have boasted about after this year's Legislative session ended in May was that they achieved Medicaid reform.
In fact, they still haven't achieved that goal of reducing long-term costs by turning over nearly all of the management of the system to HMOs and other managed-care companies throughout the state, because they need the federal government to sign off on such a plan.
The plan would put nearly all of the state's Medicaid three million patients into a into state-authorized, for-profit H.M.O.’s or networks run by hospitals or doctors. H.M.O.’s or networks would also manage the long-term care of the elderly, shifting them away from nursing homes and leading to an expansion of in-home care.
State GOP leaders going back to Jeb Bush have pushed for such a privatization of Medicaid, with the former governor introducing a controversial plan back in 2006 that was limited to a five-county experiment in Broward County and the Jacksonville area.
On Sunday the Florida Medical Association voted to publicly oppose the proposed Medicaid overhaul and write a letter of concern to the federal government urging them not to give Florida a waiver.