LIP funding

Managed Care Extension, LIP Money Approved

Aug 3, 2017
Kaiser Health News

Dealing with two major issues in Florida's health-care system, federal officials Thursday approved a five-year extension of a statewide Medicaid managed care program and finalized a $1.5 billion pot of funding to help with charity care.

Ride-for-hire services like Lyft and Uber will have to comply with statewide rules, and religious expression at public schools will be explicitly protected in Florida, under new laws that go into effect Sat., July 1.

The changes are among 125 revisions the state Legislature passed and Gov. Rick Scott approved this year.

Florida is getting a big budget break in the form of $1.5 billion in supplemental healthcare payments from the federal government. And hospitals are breathing a sigh of relief.

Florida Governor Rick Scott is hoping a better working relationship with Washington, D.C. will bring about a solution to the state’s ongoing battle over health care funding.

Daylina Miller/Health News Florida

Consumer advocacy group Florida CHAIN released a new report Wednesday that once again calls for the expansion of Medicaid in the state.

The push comes despite the fact that Florida House lawmakers have shut down expansion of the health care for the poor each year since 2010.

Tampa General Hospital

The Florida Senate is proposing $75 million for children's programs at hospitals that serve the poor.

The Safety Net Hospital Alliance of Florida supports the proposal, which would bring in just over $21 million for facilities in the Tampa Bay area.

Florida Governor Rick Scott is asking the Legislature to pass a $79.3 billion state budget next year.

At a news conference in Jacksonville Monday morning, Scott went over some of the highlights of his Florida First Budget.

One of those highlights is a substantial revision to how the state doles out money for indigent health care.

LIP Funding Not Going Up

Oct 19, 2015

The federal government isn’t changing its budget for Florida’s charity health care. 

Lawmakers Agree on LIP Funding

Jun 13, 2015

Florida legislators racing against the clock on a new state budget struck a deal Friday on a $2 billion plan to steer money to more than 200 hospitals that treat large numbers of low-income patients.

House and Senate budget negotiators will sink $400 million in state tax dollars to replace some of the lost federal funds from the Low Income Pool fund that is expected to end this summer.

House, Senate Agree On LIP Total

Jun 8, 2015
Sammy Mack / Health News Florida

After months of federal negotiations and proposals floated by Gov. Rick Scott, the House and the Senate, lawmakers on Saturday reached tentative agreements on how much money should flow to hospitals and other medical providers that care for large numbers of low-income patients.

Arguments Set In Scott LIP Lawsuit

Jun 8, 2015
Florida Office of the Governor / Florida Office of the Governor

A U.S. District Court judge will hear arguments June 19 in a lawsuit filed by Gov. Rick Scott against the federal government in a dispute about the Low Income Pool health-funding program.

Chief U.S. District Judge M. Casey Rodgers issued an order Thursday scheduling the hearing on Scott's motion for a preliminary injunction in the case.

Feds Wary Of State's LIP Plan

Jun 1, 2015

The federal Centers for Medicare & Medicaid Services is wary of approving a state proposal for helping fund hospitals without knowing more about Florida's plan for the future, an official said Friday.

The statement came as the two sides try to work out an agreement on how to fund hospitals under a program known as the Low Income Pool, or LIP. Funding for the program will decline to $1 billion in the 2015-16 budget year, which begins July 1.

Daylina Miller/Health News Florida

Hospital administrators and Democratic lawmakers are still trying to persuade Gov. Rick Scott and the Florida House on an alternative to Medicaid expansion.

A coalition called "A Healthy Florida Works" is urging the lawmakers to accept a revamped proposal from the Florida Senate. They met today at the St. Petersburg Chamber of Commerce.

Speaker: LIP Letter Will Help End Impasse

May 26, 2015
Mark Foley / Florida House of Representatives

A day after receiving word that Florida likely will receive about $1 billion next year for a key health-care program, House Speaker Steve Crisafulli, R-Merritt Island, said Friday that the information could help end a state budget impasse.

Vikki Wachino, director of the federal Centers for Medicare & Medicaid Services, sent a letter to the state Thursday indicating Florida could expect to receive about $1 billion during the upcoming fiscal year for the Low Income Pool, or LIP, program.

Senate Sets Health Expansion Bill Schedule

May 26, 2015
The Florida Senate

The Senate will move quickly during a special legislative session next month to reiterate support for a controversial plan that would use federal Medicaid money to provide health insurance to about 800,000 Floridians.

Senate President Andy Gardiner, R-Orlando, sent a memo Friday to senators that said the Senate Health Policy Committee will take up the coverage-expansion plan June 1, the first day of the special session. The following day, the plan will go the Appropriations Committee, and it will be approved by the full Senate on June 3.

Fed Word On LIP Gives Session New Focus

May 26, 2015
Florida Office of the Governor / Florida Office of the Governor

For weeks now, one question has hovered over Tallahassee: How will the House and Senate resolve their differences on health care funding and wrap up a special session --- scheduled to begin Monday  --- with a spending plan for state government?

If the pieces didn't necessarily fall into place last week, lawmakers and Gov. Rick Scott were at least able to get around to opening the puzzle box.

HCA Seeks Higher Medicaid Payments To Replace LIP

May 20, 2015

Saying the Low Income Pool is "not a long-term solution and often yields inequitable results," the hospital company HCA has sent a letter to Gov. Rick Scott calling for an overhaul of the way Florida pays for care of low-income patients. 

HCA, which has 46 hospitals in the state, recommended increasing base Medicaid payment rates for hospitals --- and offered the possibility of increasing a hospital-provider tax to help finance the changes. Money collected through such a tax hike could be used to draw down additional federal Medicaid funding.

Hospitals To Scott: Look Up Financial Data

May 20, 2015

As Gov. Rick Scott's newly created health care commission prepares to meet today to begin sifting through data about hospital funding, the governor's request for information has been met with hospitals essentially telling him to go look it up.

Many of the dozens of surveys returned by hospitals have five or fewer of the roughly 100 lines filled out with new information. Officials frequently referred Scott back to information filed with the Florida Agency for Health Care Administration, which oversees much of the state's spending on health care.

Groups Offer Feds Support in LIP Lawsuit

May 19, 2015
Florida CHAIN

Pointing to their knowledge about Medicaid-related issues, three Florida groups Monday asked a judge to allow them to file a brief on behalf of the federal government in a lawsuit that centers on the state's Low Income Pool program.

The request, filed in federal court in Pensacola, came from the League of Women Voters of Florida, Florida Legal Services Inc. and the Florida Community Health Action Information Network, which is commonly known as Florida CHAIN.


Jacksonville Mayor Alvin Brown is asking the feds to bypass Tallahassee and work directly with the city to keep the UF Health Jacksonville open.

The hospital receives around $95 million a year from a federal program called LIP that covers uninsured, low-income patients. The LIP program is set to expire at the end of June.

The Florida Senate

Two top Florida legislators today spent hours meeting behind closed doors in a last-minute push to reach a deal on health care and a new state budget.

Although no deal was reached, Sen. Tom Lee, a Brandon Republican, said that a “fair amount of progress” was made during the discussions between the House and Senate budget chiefs at the Capitol.

“It was super productive,” said Rep. Richard Corcoran, a Land O’ Lakes Republican. “I think today we moved the ball down the field tremendously. We are moving to resolution.”

Florida Office of the Governor / Florida Office of the Governor

Florida Gov. Rick Scott, contending that the state will likely lose federal money it is now receiving to help hospitals, is calling on any hospital that receives taxpayer support to share profits to help each other.

Scott, a former health care executive before he sought public office, sent out a letter on Friday to hospital executives across the state asking them to help draw up the plan.

Scott Heads To Washington To Talk LIP Funding

May 5, 2015

Setting off for Washington, D.C., to meet with federal officials over health-care money at the heart of a state budget crisis, Gov. Rick Scott on Tuesday flatly ruled out a Senate plan to extend private insurance coverage to hundreds of thousands of lower-income Floridians.

Scott, who once supported Medicaid expansion, said last month that he now opposes a Senate proposal to use expansion dollars for the private insurance plan. But his remarks to reporters on what he would tell federal officials about the Senate initiative marked his strongest rejection yet.

Florida officials debuted a new proposal Wednesday to try and keep a $2.2 billion dollar health fund for the uninsured. The fund is coming with significant changes. But first, a quick magic trick to demonstrate how LIP works.

Florida takes 40 cents, waves a magic federal wand over, and ta-da: We now have a shiny $1 bill.

But here’s the rub: the federal government doesn’t like that magic trick. They want LIP to be more transparent and less magical. They also want to make sure that hospital A doesn’t get a big ol’ chunk of that dollar just because it ponied up the 40 cents.

Agency for Health Care Administration

For the first time today, the public will get to weigh in on what to do with a federal program for the uninsured that’s created gridlock in Tallahassee. The Wednesday meeting in Orlando kicks off a series of statewide hearings on the Low Income Pool, or LIP.

LIP is a $2.2 billion dollar fund that mostly reimburses hospitals for treating Floridians without health insurance. It expires this summer, and federal officials aren’t inclined to extend it, saying instead the state should expand Medicaid to an additional 800,000 Floridians.

Senate LIP Plan Added to Federal Proposal

Apr 21, 2015
Agency for Health Care Administration

The state agency responsible for Medicaid submitted a new proposal Monday to the federal government for up to $2.2 billion in health-care funding, but the move might be too late to break a budget impasse.

The new model for the Low Income Pool, or LIP, program closely follows legislation approved by the state Senate earlier this month. LIP, which is largely used to cover the expenses of uninsured, low-income Floridians who show up at hospitals needing treatment, is set to expire June 30.

Garcia: Scott Suing Feds Could Hurt LIP

Apr 20, 2015
Sammy Mack

As chairman of the Senate Health and Human Services Appropriations Subcommittee, Hialeah Republican Rene Garcia is a key member of Senate President Andy Gardiner's leadership team.

Agency for Health Care Administration

 Justin Senior, Medicaid director for Florida's Agency for Health Care Administration, says the state still is in negotiations with the Centers for Medicare and Medicaid Services, though the agency announced it will not renew its Low Income Pool funding, the Miami Herald reports.