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Delay Helps Safety-Net Hospitals

Leon County Judge John Cooper on June 30, 2022, in a screen grab from The Florida Channel.
CBS Miami
The Florida Channel
Leon County Judge John Cooper on June 30, 2022, in a screen grab from The Florida Channel.

A plan to redistribute federal money among all of Florida’s hospitals will be delayed at least a year, legislators announced at a joint Health and Human Service budget conference committee meeting on Monday.

The so-called “tiering” plan would be a significant blow to the state’s 14 safety-net hospital systems, such as Miami’s Jackson Health System, which had been bracing for a $140 million cut to its budget, and the state’s two free-standing children’s hospitals, which were prepared to lose a combined $17.6 million.

Several legislators previously said they had problems with how the 2011 Medicaid reform law was calculated to deal with Medicaid payments from the federal government. Specifically, it would use the federal matching money, tied to a handful of county taxes, and share it among every hospital in the state that treated Medicaid patients.

In the past, nearly all the federal money went back to the specific counties that issued the tax, primarily urban areas such as Hillsborough and Miami-Dade Counties. These communities are home to safety-net hospitals, which serve a disproportionate number of the state’s poor and uninsured residents and had received much of the money.

Ron Bartlett, spokesman for the Safety Net Hospital Alliance of Florida, said had the calculation kicked in on July 1, it would create financial chaos among the hospitals. It’s just one of several massive changes to the way hospitals are being paid for  treating the state’s poorest and sickest residents, he said.

“This allows us to go through the full transition to Medicaid managed care without the added turmoil that tiering would have caused,´ he said in an email. “We think waiting a year will allow everyone to catch their breath, see how the system changes play out.”

The plan had been part of the state’s 2011 Medicaid overhaul. But Rep. Matt Hudson, R-Naples, and Sen. Denise Grimsley, R-Sebring, said the delay will allow the state to complete a more thorough study of existing Medicaid funding, according to the Times/Herald Tallahassee Bureau.

--Health News Florida is part of WUSF Public Media. Contact Reporter Mary Shedden can at (813) 974-8636, on Twitter @MaryShedden, or email at For more health news, visit

Mary Shedden is news director at WUSF.