2024 Voting Record

Check out the AARP Florida 2024 Legislative Voting Record. This annual publication includes detailed information on key legislation affecting older adults, votes taken during committee meetings, and final actions by the full House and Senate.

2024 Report and Voting Record on Legislative Issues

AARP's Vision A society in which all people live with dignity and purpose, and fulfill their goals and dreams.

AARP's Mission Empower people to choose how they live as they age.

Special Thanks to AARP Florida's Advocacy Team & Staff: Kaylee Peters Program Assistant Laura Streed Sr. Associate State Director of Advocacy and Livable Communities Allison Chavez Associate State Director of Communications Ivonne Fernández Sr. Associate State Director of Multicultural Advocacy Chant é Jones Associate State Director of Advocacy Karen Murillo Associate State Director of Advocacy Zayne Smith Director of Advocacy Rick DelaHaya Director of Communications

Jeff Johnson State Director Julie Brown Business Operations Analyst Kenneth Thomas State President

2

Table of Contents

Table of Contents Livable Communities Bills…………………………......................................................................... 80 Community Associations...............................................................................................................81 Provision of Homeowners’ Association Rules and Covenants......................................................83 Homeowners’ Association.............................................................................................................85 Homeowners’ Association Cont....................................................................................................87 Mobile Home Park Lot Tenancies.................................................................................................89 Violations Against Vulnerable Road Users...................................................................................91 Broadband....................................................................................................................................93 Tuskegee Airmen Commemoration Day.......................................................................................95 Interstate Mobility..........................................................................................................................97 Special Observances....................................................................................................................99 Alzheimer’s Disease and Related Dementia Training For Law Enforcement Officers................101 Veterans (Florida Veterans’ History Program).............................................................................103 Hands-Free Driving.....................................................................................................................105 Food Recovery............................................................................................................................107 Compensation for Advising or Assisting in Veterans Benefits.....................................................109 Affordable Housing Property Tax Exemptions for Accessory Dwelling Units..............................111 Appendices Florida’s Annual Budget Process..................................................................................................25 How a Bill Becomes a Law............................................................................................................45 AARP FL Advocacy Priorities List................................................................................................114

Introduction......................................................................................................................................5 Florida Legislators..........................................................................................................................13 Budget Bills.................................................................................................................................... 19 General Appropriations Act 2024-2025..........................................................................................20 Health & Supportive Service Bills...................................................................................................26 Healthcare...................................................................................................................................... 27 Coverage for Skin Cancer Screenings...........................................................................................29 Dental Services..............................................................................................................................31 Emergency Refills of Insulin and Insulin-related Supplies or Equipment.......................................33 Home Health Care Services..........................................................................................................35 Healthcare Provider Accountability................................................................................................37 International Drug Reference Pricing............................................................................................38 Coverage for Diagnostic and Supplemental Breast Exams..........................................................39 Dental Therapy..............................................................................................................................41 Adult Day Care Centers................................................................................................................42 Medicaid Managed Care Plan Performance Metrics....................................................................43 Medical Negligence......................................................................................................................44 Consumer Protection Bills............................................................................................................ 46 Improvements to Real Property....................................................................................................47 My Safe Florida Home Program...................................................................................................49 Supported Decision-making Authority...........................................................................................51 Florida Uniform Fiduciary Income and Principle Act.....................................................................53 Designation of Eligible Telecommunications Carriers...................................................................55 Motor Vehicle Parking on Private Property...................................................................................57 Advanced Technology..................................................................................................................59 Consumer Finance Loans............................................................................................................61 Builder Warranties........................................................................................................................63 Household Moving Servings.........................................................................................................65 Protection of Specified Adults.......................................................................................................67 Schemes to Defraud.....................................................................................................................69 My Safe Florida Condominium Pilot Program..............................................................................71 Renewable Natural Gas (Energy Infrastructure Investment).......................................................73 Municipal Water and Sewer Utility Rates.....................................................................................75 Notaries Public.............................................................................................................................77 Virtual Currency Kiosk Businesses..............................................................................................79

3

4

Introduction Dear Reader,

2024 Legislative Bill Statistics

The 2024 Florida legislative session was marked by a range of significant policy debates and decisions across various issues. As promised by leadership, discussions and legislation on healthcare policy was a central focus, including efforts to train and educate the health care workforce and to improve access to affordable healthcare services statewide. Lawmakers also tackled Florida’s energy policy and issues related to homeowners or condo associations. There were many areas of bipartisan cooperation on issues benefiting Floridians, but contentious debates persisted as well. Overall, the session reflected Florida's diverse political landscape and the ongoing efforts to address pressing challenges for the 50+. AARP Florida's advocacy efforts during the 2024 legislative session centered on vital issues such as enhancing opportunities for the state's healthcare workforce, broadening access to affordable housing and safeguarding the financial security of consumers. As the 60-day session concluded on March 8th, our commitment resulted in significant achievements. The Florida advocacy team supported more than 25 bills that passed while either defeating or enhancing several other bills we opposed. AARP Florida is proud to produce this Legislative Voting Record to capture important information and highlight voting results on legislation that may impact you, your family and loved ones. This Legislative Voting Record allows everyone to see how elected officials voted on behalf of their constituents. We invite you to explore the Legislative Voting Record and get familiar with how these new laws might impact you. AARP Florida, with nearly 3 million members, is making a difference for older Floridians, but we can’t do it without you. If you would like to join us in our advocacy efforts, contact the AARP Florida State Office by sending an email to flaarp@aarp.org. There are many impactful opportunities to volunteer around the state – you don’t have to be in Tallahassee to make your voice heard. The information contained in this document is current as of March 27, 2024.

THE 2024 REGULAR SESSION INCLUDED:

Bills and PCBs filed 1,957 Amendments filed 2,196 Votes taken 3,051 Floor sessions 43

Bills passed both chambers 325

BILLS AARP NOTICED

85 Individual bills noticed

Bills passed that AARP noticed 29

Issues represented by bills 53

AARP INTEREST AREAS REPRESENTED BY BILLS:

AARP Florida Advocacy Team (L-R): Karen Murillo, Zayne Smit h, Ivonne Fernández Laura Streed, Chante' Jones, & Kaylee Peters.

26

Budget Bills 2

21

36

AARP is the nation's largest nonprofit, nonpartisan organization dedicated to empowering people 50 and older to choose how they live as they age. With a nationwide presence, AARP strengthens communities and advocates for what matters most to the more than 100 million Americans 50-plus and their families: health and financial security, and personal fulfillment.

Health & Supportive Services

Consumer Protection

Livable Communities

© 2024 ALL RIGHTS RESERVED

5

6

2024 AARP FL Legislative News A A R P

Committee Abbreviations Below are a list of Committees and Subcommittees and their abbreviations that will be used through - out this voting record. If a Committee is not listed below, it is not abbreviated. Committee Actual Title Committee Abbreviation 1. Energy, Communications & Cybersecurity EC&CS 2. Commerce & Tourism C&T 3. Military and Veteran Affairs, Space & Domestic Security Military & VA, Space, & DS 4. Constitutional Rights, Rule of Law & Government Operations Cons. Rights, ROL, & GO 5. Children, Families & Elder Affairs CF&EA 6. Health and Human Services HHS 7. Agriculture, Environment & General Government Ag., Enviro., & Gen. Gov. 8. Local Administration, Federal Affairs & Special Districts LA, FA, & SD 9. Transportation, Tourism and Economic Development TT&ED 10. Agriculture, Conservation & Resiliency Ag., Conservation & Resil. 11. Regulatory Reform & Economic Development Reg. Reform & Econ. Devel. 12. Agriculture & Natural Resources Appropriations Ag., & Nat. Resources 13. State Administration & Technology Appropriations State Admin., & Tech. 14. Children, Families & Seniors CF&Srs. 15. Health Innovation H.I. 16. Healthcare Regulation Healthcare Reg. 17. Transportation & Modals Trans. & Modals 18. Infrastructure & Tourism Infra. & Tourism 19. Infrastructure & Strategies Infra. & Strategies

"AARP Florida Highlights 2024 Legislative Priorities" - AARP Florida https://states.aarp.org/florida/aarp-florida-highlights-2024-legislative-priorities

"AARP Florida releases 2024 legislative agenda that focuses on aging in place" - Florida Politics https://floridapolitics.com/archives/651856-aarp-florida-releases-2024-legislative- agenda-that-focuses-on-aging-in-place/

7

8

Year-Round Advocacy Get Down! Our advocacy work is all year round! Throughout the year, the AARP FL advocacy team attends events, policy conferences, meets with volunteers and stakeholders to learn, engage and discuss priority issues. Attending events and meetings with stakeholders outside of the Legislative Session is essential to the work the advocacy team does. Informing communities around the state and relationship building aids AARP FL's advocacy efforts to improve the lives of older adults throughout the Sunshine State. Here's how AARP Florida's advocacy team gets down to business .... • Regional Policy Event - United Way and AARP Florida Miami Event

AARP FL Award Winner(s) Highlight 2023 Capitol Caregiver Award

The “Aging with Dignity and Public Policy” event was held in Miami at the Miami Dade College North Campus. The event was sponsored by AARP FL and United Way Miami. Aging experts from AARP and elected officials discussed issues older adults face including how laws, regulations and funding affects how we age.

Senators Colleen Burton, Ileana Garcia and Representatives Will Robinson Jr., Chip LaMarca each recieved the 2023 AARP FL Capitol Caregiver Award for their impactful efforts during the 2023 Legislative Session. The AARP Capitol Caregiver award represents remarkable leadership by elected officials in states across the country. 2023 Livable AARP Community Challenge Grant Winners

• Statewide Conferences - FCOA

AARP FL staff, including the advocacy team, attended and presented at the 2023 Annual Florida Council on Aging Conference. The FCOA conference is an annual conference where aging professionals go to learn, connect with others and discuss important topics related to aging.

• In The Community - Volunteer Training

In 2023 AARP had their seventh annual AARP Community Challenge Grants in which 3,600 applications were recieved from nonproftis and government entities across the United States. There are three different grant opportunities designed to help improve public places, housing, digital connections, diversity, etc. with an emphasis on the needs of adults aged 50 and older. There were a total of 8 grantees for the 2023 Community Challenge Grants here in Florida. Pictured above are grantees in Tallahassee (left) and Orlando (right). On the left is Knight Creative Communities Institute, their project focused on improving public places with the painting of two crosswalks near an elementary school and a senior living community. On the right, the City of Orlando's project helps raise awareness of accessory dwelling units (ADUs) and makes the permit process more user-friendly for intergenerational households that want to build an ADU for older family members.

Outside of the legislative session, AARP Florida advocacy staff met with volunteers around the state to prepare them for the upcoming legislative session and provide background information on important policy issues impacting older Floridians.

9

10

Traveled From Around the State

Advocacy Volunteers This year, the AARP advocacy team was joined by 62 AARP Florida advocacy volunteers and students from the Claude Pepper Elder Law Clinic at FSU College of Law. Advocacy volunteers were seen walking the halls of the capitol, attending and/or testifying in committee meetings and meeting with elected officials and legislative staff. These efforts did not go unnoticed by legislators, lobbyists, media and influencers throughout the capitol.

Orange Park Jacksonville

Tallahassee

Middleburg

Middleburg

Palm Coast

62 advocacy volunteers

Ormond Beach

DeLand

Lake Mary

Hudson

Celebration

Davenport

Palm Harbor

4

Seffner

Tampa

Saint Petersburg

Bradenton Palmetto Bay Ellenton

Sarasota

Port Charlotte

North Port

North Palm Beach West Palm Beach

Punta Gorda

Royal Palm

Beach Lake Worth Beach

Boca Raton Deerfield Beach Pompano Beach

Estero

Coral Springs

Aventura Miami Gardens

Pembroke Pines

Doral

Miami

University Park

11

12

2024 Florida Senate

Florida State Senate Districts

Name

District AARP Elected Term Out Background

Albritton, Ben Avila, Bryan Baxley, Dennis Berman, Lori Book, Lauren

27 89,971 2018 2026 FL House 2010-18, Agribusiness Owner

39 22,706

2022

2030 FL House 2014-22, Business Development

13 86,766 2016 2026 FL House 2000-07, 10-16, Funeral Director

26 102,997 2018 2026 FL House 2010-18, Attorney 35 51,377 2016 2026 Founder/CEO Lauren's Kids

Boyd, Jim

20

83,970

2020 2020 2020

2028 FL House 2010-18, Insurance & Investments

Bradley, Jennifer Brodeur, Jason Broxson, Doug Burgess, Danny Burton, Colleen Calatayud, Alexis

6 60,776 10 63,694

2028

Attorney

2028 FL House 2010-18, Healthcare Consultant

1 56,973 2016

2024

FL House 2010-16, Insurance & Real Estate

23 63,251 12 72,581 38 44,598 14 51,466 5 52,732 18 81,682 36 24,698 29 100,918

2020 2022 2022 2022 2022 2022 2020 2022

2028 FL House 2014-19, Attorney & Army Reserve 2030 FL House 2014-22, Executive Director

2030 Director at FLDOE 2030 Chief Programs Officer

Collins, Jay Davis, Tracie DiCeglie, Nick Garcia, Ileana

2022-2032 Florida State Senate Disctricts

2030 FL House 2016-22, El-Cart Staffing Solutions 2030 FL House 2018-22, Small Business Owner 2028 Broadcaster, Radio & TV Personality

Grall, Erin

2030 FL House 2016-22, Attorney

Gruters, Joe Harrell, Gayle

22

117,730 2018 2026 FL House 2016-18, CPA

31 90,333 2018 2026 FL House 2000-08, 10-18, CEO Health IT 21 84,079 2018 2026 FL House 2006-14, Retired Firefighter

Hooper, Ed

Hutson, Travis Ingoglia, Blaise Jones, Shevrin Martin, Jonathan Mayfield, Debbie Osgood, Rosalind

7 99,734 2015

2024

FL House 2012-15, VP at Hutson Companies

Legislatively Enacted on Feburary 3, 2022

11 129,213 34 34,540 33 95,978

2022 2020 2022

2030 FL House 2014-22

2028 FL House 2012-2020, Executive Director

2030 2024

Attorney

19 87,887 2016

FL House 2008-16, Retired Banking Executive

32 53,863 2030 CEO Passidomo, Kathleen 28 86,481 2016 2026 FL House 2010-16, Attorney Perry, Keith 2020

9 87,191 2016 2026 FL House 2010-16, CEO Perry Roofing

Pizzo, Jason Polsky, Tina Powell, Bobby

37 62,919 2018 2026

Attorney

30 62,228

2020

2028 FL House 2018-20, Mediatory & Attorney

24 48,746 2016 2026 FL House 2012-16, Planner & Project Manager

Rodriguez, Ana Maria

40

39,507

2020

2028 FL House 2018-20, Senior VP of Miami Realtors

Rouson, Darryl Simon, Corey

16 44,460 2016

2024

FL House 2008-16, Attorney

3 57,009

2022

2030 Development Director

Stewart, Linda FL House 2012-14, Former Insurance Agent Thompson, Geraldine 15 40,935 2012 2030 FL House 2006-12, 18-22, College Administrator Torres, Victor, Jr. 25 42,965 2016 2024 FL House 2012-16, Retired NYC Detective Trumbull, Jay 2 56,360 2022 2030 FL House 2014-22, Business Owner Wright, Tom A. 8 90,753 2018 2026 Retired Businessman Yarborough, Clay 4 69,258 2022 2030 FL House 2016-22, Business Development 17 41,815 2016 2024

If you would like to confirm your district and find out who your legislators are, visit www.flsenate.gov/Senators/Find and input your address.

13

14

2024 Florida House of Representatives

2024 Florida House of Representatives

Name

District

AARP Elected Term Out Background

Name

District AARP Elected Term Out Background

Abbott, Shane Altman, Thad Alvarez, Daniel Amesty, Carolina Anderson, Adam Andrade, Alex Antone, Bruce Arrington, Kristen Baker, Jessica Bankson, Douglas Barnaby, Webster Bartleman, Robin Basabe, Fabián

5

19,279 28,876 17,922 17,598 31,925 20,172

2022 2003 2022 2022 2022

2030

Business Owner

Edmonds, Jervonte Eskamani, Anna Esposito, Tiffany

88 12,593

2022

2030 CEO

32 69 45 57

2024 Foundation President

42

20,647 2018 2026 Nonprofit Professional

2030

Attorney

77 21,204 110 9,352

2022 2020

2030 CEO

2030 Businesswomen

Fabricio, Tom Fine, Randy

2028 2024

Attorney

33 28,037 2016

Businessman

2030

Financial Planner

Franklin, Gallop II

8 13,169 109 8,258 115 18,087 11 19,770 79 29,848 65 16,759 91 31,560

2022 2022 2022 2020 2020 2022 2022

2030 Consultant

2

2018 2026

Attorney

Gantt, Ashley Garcia, Alina Garrison, Sam

2030 2030 2028 2028 2030

Attorney

41 46 17 39 29

8,786

2002 2020 2022 2022 2020 2020 2022

2030 Consultant

Business Owner

12,853 19,273 20,642 24,385 17,808 16,279 20,102 31,573 12,778 26,046 25,749

2028 Small Business Owner

Attorney

2030

Attorney

Giallombardo, Mike

Tech Entrepreneur Business Owner

2030 Pastor/Ministry Founder 2028 President of an LLC

Gonzalez Pittman, Karen Gossett-Seidman, Peggy

2030 Media and Public Relations Director

103 106

2028

Assistant Principle

Gottlieb, Michael Grant, Michael Gregory, Tommy Griffitts, Jr., Philip Harris, Jennifer

102 23,234 2018 2026 Criminal Defense Attorney

2030 Businessman

75 48,793 2016

2024 Business Owner

Bell, Melony Beltran, Mike

49 70

2018 2026 2018 2026

Business Owner

72 35,349 2018 2026

Attorney

Attorney Attorney

6 19,090

2022 2022

2030 Small Business Owner 2030 Community Advocate

Benjamin, Christopher

107

2020 2000 2022 2020 2020 2022 2022

2028

44

13,331

Berfield, Kimberly Black, Dean Borrero, David Botana, Adam Brackett, Robert

58 15

2030 Business Executive 2030 Small Business Owner

Hart, Dianne

63 12,366 2018 2026

Business Owner

Hinson, Yvonne Holcomb, Jeff

21 15,644 53 32,256 95 20,533 59 27,476

2020 2022 2020 2022

2028

Educator

111

7,153

2028 Construction

2030 US Navy Reserve Intelligence Officer 2028 Former Mayor of Parkland, FL

80 34 40 10 74

44,634 40,521 14,203 20,778 32,942 14,265 16,530 21,371 26,346 25,737 17,284 34,349

2028 Small Business Owner 2030 Corporate Managing Partner

Hunschofsky, Christine

Jacques, Berny Joseph, Dotie

2030

Attorney Attorney

Bracy Davis, Lavon Brannan, Chuck III Buchanan, James Busatta Cabrera, Demi

2030

Attorney

108 9,320 2018 2026

2018 2026 Retired Chief Investigator

Keen, Tom

35 16,308

2024

2032

Military Veteran, Businessman

2018 2026

Real Estate Broker

Killebrew, Sam Kostor, Traci LaMarca, Chip Leek, Thomas López, Johanna

48 29,977 2016

2024 Retired

114

2020 2022 2022

2028 Nonprofit Development Director

66 22,632

2020

2028 Marital and Family Law Attorney

Campbell, Daryl Canady, Jennifer Caruso, Mike Casello, Joe Cassel, Hillary Chamberlin, Ryan Chambliss, Kevin

99 50 87 90

2030 Mental Health Therapist

100 28,000 2018 2026

Business Owner Chief Legal Officer

2030

Teacher

28 32,785 2016

2024

2018 2026 Certified Public Accountant

43 11,890 113 8,572

2022 2022

2030 Human Impact Strategist

2018 2026 Firefighter

Lopez, Vicki

2030 Consultant

101

2022

2030

Attorney

Maggard, Randall

54 24,854 2019 2028 Vice President of Corporation

24

2023 2032

Business Founder

Maney, Patt

4

17,852

2020

2028 2024 2024

Attorney

117

8,781

2020 2020 2016 2022

2028 Government Aide 2028 Marketing & Business

Massullo, Ralph McClain, Stan

23 41,391 2016 27 34,452 2016

Dermatologist

Chaney, Linda

61 22 60 96 14 67 12 97

30,294 22,637 22,873 20,192 17,005 13,424 20,355 14,922

Residential Contractor

Clemons, Chuck Sr.

2024

College Administrator

McClure, Lawrence McFarland, Fiona

68 18,365 2017 2026

Business Owner

73 43,949 82 18,236 16 21,371 120 18,005 13 18,229

2020 2020 2022 2020 2020

2028 Navy Reserve Officer

Cross, Lindsay

2030 Environmental Scientist

Melo, Lauren Michael, Kiyan

2028

Real Estate Broker

Daley, Dan

2019 2028 Corporate Counsel

2030 Retired Credit Manager

Daniels, Kimberly Driskell, Fentrice Duggan, Wyman

2016 2020

2024 Author

Mooney, Jr., James

2028

Business Owner

2028

Attorney Attorney

Nixon, Angela Overdorf, Tobin

2028 Higher Education Director

2018 2026

85 29,728 2018 2026 Environmental Consultant

Dunkley, Lisa

2022

2030 Consultant

16

15

2024 Florida House of Representatives

Florida State House Districts

Name

District

AARP Elected Term Out Background

Payne, Bobby Perez, Daniel

20

26,258 2016

2024

Generation & Transmission Utilities

116 11,666 2017 2026

Attorney Attorney

Persons-Mulicka, Jenna 78

28,448 18,908 13,204

2020 2022 2022 2022 2020

2028 2030

Plakon, Rachel Plasencia, Susan Porras, Juan Carlos

36 37

Business Owner

2030 Small Business Owner 2030 Small Business Owner

119 10,551

Rayner, Michele Redondo, Mike

62

14,683

2028

Attorney Attorney

118 12,118 2023 2031

Renner, Paul

19

38,757 2015

2024 Attorney

Rizo, Alex

112

6,593

2020

2028

Educator

Roach, Spencer Robinson, Felicia

76

39,626 2018 2026

Judge Advocate

104 14,449

2020

2028

Educator

2022-2032 Florida State House Disctricts

Robinson, Jr., William 71

25,713 2018 2026

Real Estate Attorney

Rommel, Bob

81 94

38,436 2016 25,997 2016

2024 Restaurant Owner 2024 Business Owner

Roth, Rick

Rudman, Dr. Joel Salzman, Michelle Shoaf, Jason Silvers, David Sirois, Tyler Skidmore, Kelly Smith, David Snyder, John

3 1 7

18,515 18,424

2022 2020

2030

Physician

2028 Small Business Owner

20,399 2019 2028 Natural Gas/Propane Utility

89 31 92 38 86 47 55 18

10,446 2016

2024

Business Executive

30,197 2018 2026 Executive Director

Legislatively Enacted on Feburary 3, 2022

47,092

2020

2028 Chief Executive Officer

21,536 2018 2026 Business Consultant

32,586 14,235 26,467

2020 2022 2022

2028

Business Owner

Stark, Paula Steele, Kevin

2030 Executive Director

2030 Retired CEO

Stevenson, Cyndi

28,607 2015

2024

Certified Public Accountant

Tant, Allison

9

23,442 55,542

2020 2022

2028 Nonprofit Founder

Temple, John Paul Tomkow, Josie Trabulsy, Dana Tramont, Chase Truenow, Keith

52 51 84 30 26 83 64 93 98

2030

Education

23,837 2018 2026 Cattle Rancher

33,048 35,614 36,410 29,227

2020 2022 2020 2020

2028 Small Business Owner

2030

Senior Pastor

2028 Agribusiness

Tuck, Kaylee Valdés, Susan

2028

Real Estate/Land Use Attorney

11,558 2018 2026 Practice Administrator

Waldron, Katherine Williams, Patricia Woodson, Marie Yarkosky, Taylor Yeager, Bradford

25,173

2022

2030 2024

Business Owner

18,523 2016

Retired Early Learning Director

105 13,358

2020 2022 2022

2028 Public Administrator

25 56

30,988 23,451

2030 Business Owner/Contractor 2030 Small Business Owner

If you would like to confirm your district and find out who your legislators are, visit www.myfloridahouse.gov/FindYourRepresentative and input your address.

17

18

General Appropriations Act 2024-2025 HB 5001 – General Appropriations Act 2024-2025, and HB 5003 – Implementing the 2024-2025 General Appropriations Act, by House Appropriations Committee. Once signed by the Governor these bills will be effective July 1, 2024 (unless otherwise stated). The Florida Legislature passed a $117.4 billion budget for the 2024-2025 year, which includes a $1.5 billion tax package. This year’s budget reflects an increase of approximately $4 million by the



Legislature (prior to Governor’s vetoes) from the 2023-2024 budget. Significant Provisions from the General Appropriations Act Include: Statewide Medicaid Managed Care Long Term Care (SMMC LTC)

Budget

The program funds LTC services to low-income disabled and older adults who need nursing home level of care. SMMC LTC may include, among other things adult day care, assisted living, caregiving training, hospice services, medical equipment, respite care and various therapies. The SMMC LTC program has a limited number of slots for eligible service recipients – as of February 2024, there are 46,563 Medicaid applicants on SMMC LTC waiting lists. Applicants remain on waiting lists for years before receiving services. Assistive Care Services (ACS) ACS, a Medicaid-based, state administered program will receive $1.26 million in recurring funds to increase rates paid for services. ACS provides care for eligible low-income residents of qualifying assisted living facilities and adult family-care homes experiencing certain functional limitations. ACS includes, but is not limited to, assistance with activities of daily living, medication administration, and health support. Home and Community Based Services (HCBS) Home and Community Based Services (HCBS) play a crucial role in supporting low-income persons, including Medicaid beneficiaries, in Florida. By offering services in their own homes or communities, HCBS helps these individuals maintain independence, receive necessary care, and avoid institutionalization. HCBS includes programs such as Community Care for the Elderly, Home Care for the Elderly and Alzheimer’s Respite Care. As of February 2024, HCBS has a waitlist of more than 117,000 Floridians. Community Care for the Elderly (CCE) CCE, a non-Medicaid program, will receive an increase of $6 million in recurring funds. CCE provides community-based services to help functionally impaired elders, aged 60-plus, live in the least restrictive and most cost-effective environments to forestall or prevent nursing home placement. CCE services include adult day care, case management, assistance with chores, companionship, consumable medical supplies, counseling, emergency alert response, emergency home repair, home delivered meals, home health aide, homemaking, in-home nursing, information and referrals, legal assistance, material aid, medical therapeutic services, personal care, respite care, shopping assistance, transportation and other community-based services. As of February 2024, CCE has a waitlist of more than 83,600 Floridians. Home Care for the Elderly (HCE) HCE will receive an increase of $5 million recurring in funds. HCE provides care in family-type living arrangements for non-Medicaid individuals, aged 60-plus, who have incomes and assets meeting the Institutional Care Program (ICP) standard and who are at great of nursing home placement. As of February 2024, HCE has a waitlist of more than 20,000 Floridians.

Budget policy at the federal, state, and local levels should promote economic growth and stability. – AARP Public Policy Institute

20

Alzheimer’s Disease Initiative (ADI) ADI services will receive an increase of $4 million in recurring funds and $2 million in nonrecurring funding. ADI provides services to individuals with Alzheimer’s disease or similar memory disorders, as well as to their families. ADI respite care services include in-home care, adult day care, emergency and extended care (up to 30 days). ADI also provides other supportive services to caregivers that include case management, specialized medical equipment and supplies, counseling and support groups, and caregiver training. As of February 2024, ADI has a waitlist of more than 17,000 Floridians. Program for All-Inclusive Care of the Elderly (PACE) PACE organizations provide primary care and social, restorative, and supportive services for Medicaid- and Medicare-eligible individuals aged 55-plus who live in PACE services areas. PACE provides flexibility to families, caregivers, and professional health care providers to meet the medical and long-term care needs of clients. Effective July 1, 2024, the following PACE service area allocations are as follows: Pinellas County: $4.5 million recurring funds for 100 new slots Escambia, Okaloosa, and Santa Rosa Counties: $2.4 million in funds for 50 new slots Flagler, Seminole, and Volusia Counties: $2.2 million in funds for 50 authorized slots Effective April 1, 2025, the following PACE service area allocations are as follows: Marion County: $325,517 in funds for 50 new slots in Polk County: $567,400 in funds for 50 new slots Palm Beach County: $1.2 million in funds for 100 new slots Office of Public and Professional Guardians (OPPG) OPPG contracts with and appoints from the 16 public guardian programs across Florida that serve indigent persons in need of guardianship who have no available friends or family able to serve as guardian. OPPG will receive $1.3 million in funding to serve individuals on the waitlist for public The State Apartment Incentive Loan (SAIL) program will receive $84 million in funds for the construction or rehabilitation of rental units for older adults, persons with special needs (including persons with developmental disabilities) and persons experiencing housing insecurity. The State Housing Initiatives Partnership (SHIP) program will receive $174 million in nonrecurring funds for new construction, emergency repairs or the rehabilitation of homes. Charlotte County: $3.9 million in funds for 100 new slots Hillsborough County: $4.6 million in funds for 100 new slots Citrus County: $4.6 million in funds for 100 new slots Broward County: $2.5 million in funds for 50 new slots Miami-Dade County: $2.3 million in recurring funds for 50 new slots guardianship services. Affordable Housing The Hometown Hero Housing Program will receive $100 million in funds to reduce the upfront costs of buying a first-time home for eligible veterans and community workforce members, including firefighters, police officers, educators, health care workers, and military service members.

Canadian Drug Importation Program The program will receive $15 million in recurring funds to assist Florida’s Agency for Health Care Administration (AHCA) with administration of the program. Florida Veterans Legal Helpline The Veterans Legal Helpline will receive $1 million in nonrecurring funds to continue its important work of helping eligible Florida veterans with a variety of legal issues including matters involving housing, family law, consumer issues, and veterans benefits. This represents a $250,000 funding increase for the program.

21

22

Senate Vote on HB 5001

Senate Vote on HB 5003

Albritton

Y Burton

Y Hutson Y Ingoglia Y Jones Y Martin Y Mayfield Y Osgood

Y Powell

Y Y Y Y Y

Albritton

Y Burton

Y Hutson Y Ingoglia Y Jones Y Martin Y Mayfield Y Osgood

Y Powell

Y Y Y Y Y

Avila

Y Calatayud Y Collins Y Davis Y DiCeglie Y Garcia

Y Rodriguez

Avila

Y Calatayud Y Collins Y Davis Y DiCeglie Y Garcia

Y Rodriguez

Baxley Berman

- Rouson Y Simon Y Stewart

Baxley Berman

- Rouson Y Simon Y Stewart

Book Boyd

Book Boyd

Y Thompson Y

Y Thompson Y

Bradley Brodeur Broxson Burgess

Y Grall

Y Passidomo Y Torres

Y Y Y

Bradley Brodeur Broxson Burgess

Y Grall

Y Passidomo Y Torres

Y Y Y

Y Gruters Y Harrell Y Hooper

Y Perry Y Pizzo Y Polsky

Y Trumbull

Y Gruters Y Harrell Y Hooper

Y Perry Y Pizzo Y Polsky

Y Trumbull

- Wright

- Wright

Y Yarborough Y

Y Yarborough Y

House Vote on HB 5001

House Vote on HB 5003

Y Chamberlin Y Chambliss Y Chaney Y Clemons Y Cross Y Daley - Daniels Y Driskell Y Duggan Y Dunkley Y Edmonds - Eskamani Y Esposito Y Fabricio

Y Hunschofsky

Y Rizo

Y Y

Y Chamberlin Y Chambliss Y Chaney Y Clemons Y Cross Y Daley - Daniels Y Driskell Y Duggan Y Dunkley Y Edmonds - Eskamani Y Esposito Y Fabricio

Y Hunschofsky

Y Rizo

Y Y

Abbot

Abbot

Y Jacques Y Joseph

Y Roach

Y Jacques Y Joseph

Y Roach

Altman Alvarez

Altman Alvarez

N Robinson (F) Y Y Robinson (W) Y

N Robinson (F) Y Y Robinson (W) Y

Y Keen

Y Keen

Amesty

Amesty

Y Killebrew

Y Rommel

Y Y

Y Killebrew

Y Rommel

Y Y

Anderson

Anderson

Y Koster

Y Roth

Y Koster

Y Roth

Andrade

Andrade

- LaMarca

Y Rudman Y Salzman Y Shoaf Y Silvers

-

- LaMarca

Y Rudman Y Salzman Y Shoaf Y Silvers

-

Antone

Antone

Y Leek

Y Y Y Y

Y Leek

Y Y Y Y

Arrington

Arrington

Y López (J) Y Lopez (V) - Maggard

Y López (J) Y Lopez (V) - Maggard

Baker

Baker

Bankson Barnaby

Bankson Barnaby

Y Sirois

Y Sirois

Y Maney

Y Skidmore

-

Y Maney

Y Skidmore

-

Bartleman

Bartleman

Y Massullo Y McClain Y McClure Y McFarland

Y Smith Y Snyder Y Stark Y Steele

Y Y Y

Y Massullo Y McClain Y McClure Y McFarland

Y Smith Y Snyder Y Stark Y Steele

Y Y Y

Basabe

Basabe

Bell

Bell

N Fine

N Fine

Beltran

Beltran

Y Franklin Y Gantt - Garcia Y Garrison

-

Y Franklin Y Gantt - Garcia Y Garrison

-

Benjamin

Benjamin

Y Melo

- Stevenson

Y Y Y Y Y

Y Melo

- Stevenson

Y Y Y Y Y

Berfield

Berfield

Y Michael Y Mooney

Y Tant

Y Michael Y Mooney

Y Tant

Black

Black

Y Temple N Tomkow Y Trabulsy Y Tramont Y Truenow Y Tuck Y Valdés Y Waldron Y Williams Y Woodson Y Yarkosky Y Yeager

Y Temple N Tomkow Y Trabulsy Y Tramont Y Truenow Y Tuck Y Valdés Y Waldron Y Williams Y Woodson Y Yarkosky Y Yeager

Borrero

Borrero

Y Giallombardo

Y Nixon

Y Giallombardo

Y Nixon

Botana

Botana

Y Gonzalez Pittman Y Overdorf Y Gossett-Seidman Y Payne

Y Gonzalez Pittman Y Overdorf Y Gossett-Seidman Y Payne

Brackett

Brackett

-

-

Bracy

Bracy

Y Gottlieb

Y Perez

Y Y Y Y Y Y Y Y

Y Gottlieb

Y Perez

Y Y Y Y Y Y Y Y

Brannan

Brannan

Y Grant

Y Persons-Mulicka

Y Grant

Y Persons-Mulicka

Buchanan

Buchanan

Busatta Cabrera Y Gregory

Y Plakon

Busatta Cabrera Y Gregory

Y Plakon

Y Griffitts Y Harris

- Plasencia Y Porras Y Rayner Y Redondo Y Renner

Y Griffitts Y Harris

- Plasencia Y Porras Y Rayner Y Redondo Y Renner

Campbell

Campbell

Canady Caruso Casello

Canady Caruso Casello

Y Hart

Y Hart

- Hinson Y Holcomb

- Hinson Y Holcomb

Cassel

Cassel

23

24

Florida’s Annual Budget Process

The State of Florida’s fiscal year begins July 1st of each year and runs until June 30th of the following year, but the budget planning and approval process takes place over a year beforehand. For example, the July 2024 - June 2025 Florida Budget Planning began for Florida’s county agencies in January of 2023.



Health & Supportive Services

Budget Planning Process:

NOVEMBER - DECEMBER 2023 GOVERNOR'S BUDGET • Between November and December the Governor's Oice analyzes the state budget requests and compares these to the state's priorities and economic forecases to recommend a budget to the Legislature. • The Governor's Budget is typically submitted 30 days before the start of Session.

JULY 2023 INSTRUCTION TO DEVELOP BUDGET • The Governor's Oice and Legislature issue jointly written instructions to state agencies to begin long-range program plans and budget requests for the next fiscal year (2024-2025). • By July 1st of each year, the Governor will also sign into law the approved budget for the upcoming fiscal year. (July 2023-June 2024 in this example). SEPTEMBER 2023- JANUARY 2024 LEGISLATIVE COMMITTEE BUDGET REVIEWS • Prior to the start of the legislative session the legislature considers the proposed budget and holds public meetings with agency leaders and interested citizens. • On the opening day of the regular legislative session (January 9, 2024), the Governor delivers an annual "State of the State" address, which outlines his budget priorities.

OCTOBER 2023 BUDGET SUBMISSIONS

JANUARY - MARCH 2024 LEGISLATIVE BUDGETING CONFERENCE • During the legislative session both the House and Senate will pass budgets reflecting the priorities of its members (general appropriations bills). • The dierences between the Senate and House budgets are • By mid-October each year, state agencies submit their budget requests and projections for the next fiscal year (2024-2025). • Specifically state agencies will prepare and submit: - Long-Range Program Plan - Legislative Budget Request • Capital Improvements Program Plan • Information Technology Plan • Internal Operating Budget

To live longer, healthier lives, people should be empowered to engage in positive health behaviors. People need access to aordable, high-quality health care, prescription drugs, and long-term services and supports as well as social engagement. – AARP Public Policy Institute

MARCH - JUNE 2024 GOVERNOR'S APPROVAL

• The Governor has 15 days from the time that the General Appropriations Act is presented for his review to exercise his line item veto authority, which he may use to delete any specific budget item within the bill. • The Governor then signs the resulting General Appropriations Act into law. • The legislature can overturn a line-item veto by a two-thirds majority vote of both chambers.

then resolved in a joint conference committee, resulting in the General Appropriations Act.

Florida Budget Fun Facts: • The General Appropriations Act is the only bill that the legislature is constitutionally required to pass each session. • Each chamber takes turns chairing the Joint Conference Committee, the House takes the lead during even-numbered years, while the Senate handles all odd-numbered years. • Unlike the federal government, the State of Florida is required to have a balanced budget, meaning the state’s expenditures cannot exceed its revenue.

25

26

Senate Votes on SB 7016 & HB 1549

House Votes on HB 1549 & SB 7016

Health Care - PASSED (AARP Supported)

Senate Bill 7016, by Health Policy (companion House Bill 1549, by Representative Grant) The legislation amends multiple sections of chapters 381, 383, 394, 395, 408, 409, 456, 458, 459, 464, 468, 486, 766, 768, 1002, 1009, Florida Statutes and provides nonrecurring and recurring funding, effective upon becoming law. Florida’s Live Healthy initiative introduces a comprehensive array of healthcare-related programs and initiatives aimed at improving access to care and supporting healthcare professionals. It prioritizes the expansion and retention of the health care workforce, the enhancement of care accessibility and encourages the use of innovation in health care delivery. Significant improvements benefiting AARP's interests include the introduction of the Interstate Medical Licensure Compact for healthcare professionals, the expansion of telehealth services, the issuance of temporary certificates for physician assistants (PA) and advanced practice registered nurses (APRN) to practice in critical- need areas and appropriations for healthcare-related programs and initiatives.

Y Y Chamberlin

Y

Y Hunschofsky

Y Rizo

-

Y Y Y Y Y Y Y

Abbot

Y Chambliss

Y Jacques Y Joseph

Y Y Roach

Altman Alvarez Amesty

-

Y Chaney

Y Robinson (F) Y Robinson (W)

Y Y Y Clemons

Y Keen

Y Y Cross

Y Y Killebrew

Y Rommel

Anderson

Y

Y Daley

Y Koster

Y Y Roth

Andrade

Y Y Daniels

Y LaMarca

Y Rudman Y Salzman Y Shoaf Y Silvers

Antone

Y Driskell

Y Leek

- - Y

Arrington

- Y Duggan

Y López (J)

Y Y

Y Y Y

Baker

Y Dunkley Y Edmonds

Y Y Lopez (V) - Y Maggard

-

Bankson Barnaby

Y Sirois

Y Y Eskamani

Y Maney

Y Skidmore

Y Y Y Y

Bartleman

Y Esposito Y Fabricio

Y Massullo Y McClain

Y Y Smith

Y

Basabe

Y Snyder Y Stark Y Steele

Y Y

Bell

N Fine

Y Y McClure

Y

Beltran

- Franklin

Y McFarland

- Y Y

Benjamin

Y Gantt

Y Melo

Y Y Stevenson

Y Y Y Y

Berfield

Y Y Garcia

Y Michael

Y Tant

Black

- Y Y Burton Y - Calatayud

Y Y Y Hutson Y Y Y Ingoglia

Y Y Powell

Y

Albritton

Y Y Y Garrison

Y Y Mooney

Y Temple Y Tomkow Y Trabulsy Y Tramont Y Truenow

Borrero Botana Brackett

Y Rodriguez

Y Y

Y Giallombardo

Y Nixon

Avila

Y Gonzalez Pittman Y

Y Overdorf

Y Y Y

Y Collins

Y Y Jones

Y Y Rouson

Y

Baxley

Y Gossett-Seidman

Y Payne Y Perez

Y

Y Y

Bracy

Y Y Davis

Y Y Martin

Y Simon

Y Y Y Y Y Y - Y Y Y Y Y Y Y

Berman

Y Gottlieb

Brannan

Y Y DiCeglie

Y Y Mayfield

Y Y Stewart

Book

Y Grant

Y Y Persons-Mulicka

Y Y Tuck - Y Valdés

Y - Y

Buchanan

Y Gregory

Y Plakon

Y Y Y

Y Y Garcia

Y - Y Osgood

Y Y Y Thompson

Busatta Cabrera

Boyd

Y Y Griffitts Y Y Harris

Y Plasencia

Y Waldron Y Williams Y Woodson Y Yarkosky

Campbell

Y Grall

Y Passidomo

Y Torres

Bradley

Y Porras

Y

Canady Caruso Casello

Y Y Gruters

Y Perry

Y Trumbull

Brodeur

Y Hart

Y Y Rayner

-

Y Y Y

Y Harrell Y Hooper

Y Y Pizzo

Y Wright

Broxson

Y

Y Hinson Y Holcomb

Y Redondo Y Renner

Y Y

Y Yeager

Y

Y Polsky

Y Yarborough

Cassel

Burgess

27

28

Senate Votes on SB 56 & HB 241

House Votes on HB 241 & SB 56

Coverage for Skin Cancer Screenings - PASSED (AARP Supported)

House Bill 241, by Representatives Massulo, MD & Payne (companion Senate Bill 56, by Senator Harrell). The legislation amends section 110.12303, Florida Statutes, effective July 1, 2024. The legislation requires state employee health insurance plans to cover annual skin cancer screenings without employee cost-sharing. It ensures that payment for these screenings align with American Medical Association guidelines for preventive care and prohibits bundling payments for skin cancer screenings with other services during office visits.

Y Chamberlin

Y

Y Hunschofsky

Y Y Rizo

Y

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Abbot

Y Y Chambliss

- Jacques

Y Roach

Altman Alvarez Amesty

Y

Y Chaney Y Clemons Y Cross Y Daley Y Daniels Y Driskell Y Duggan Y Dunkley Y Edmonds Y Eskamani Y Esposito

Y Y Joseph

Y Robinson (F) Y Robinson (W)

Y Keen

Y Killebrew

Y Rommel

Anderson

Y -

Y Y Koster

Y Roth

Andrade

Y LaMarca

Y Rudman

Antone

Y Y Leek

Y Y Salzman

Arrington

Y López (J) Y Lopez (V) Y Maggard

Y Y

Y Shoaf Y Silvers Y Sirois

Baker

Y

Bankson Barnaby

Y Maney

Y Skidmore

Bartleman

Y Massullo Y McClain

Y Y Smith

Basabe

Y Y Fabricio

Y Snyder

Bell

Y Fine

Y Y McClure

Y Y Stark

Beltran

Y Y Franklin

Y McFarland

Y Steele

-

Benjamin

Y Gantt - Garcia

Y Melo

Y Stevenson

-

Berfield

Y Michael

Y Tant

Y Y Y Y

Black

Y

- Garrison

Y Y Mooney

-

Y Temple Y Tomkow Y Trabulsy

Borrero Botana Brackett

Y Giallombardo

Y Nixon

Y Burton

Y

Y Hutson Y Ingoglia

- -

Y Powell

Y Y Y

Albritton

Y Gonzalez Pittman Y

Y Overdorf

Y - Calatayud

Y Y Rodriguez

Y Y

Avila

Y Gossett-Seidman

Y Payne

Y Y Tramont

Y

-

Bracy

- - Collins

Y Jones

- Rouson

Y Y

Baxley

Y Y Gottlieb

Y Y Perez

-

Y Truenow

Y Y Y Y Y Y Y Y

Brannan

Y Y Davis

- Y Martin

Y Y Simon

Y Y Y Y

Berman

Y Grant

Y Y Persons-Mulicka

Y Tuck

Y

Buchanan

Y Y DiCeglie

Y

Y Mayfield

Y Y Y Stewart

Book

Y Y Gregory

Y Y Plakon

Y Valdés Y Waldron Y Williams Y Woodson Y Yarkosky

Busatta Cabrera

Y Y Y Garcia

Y Y Osgood Y Y - Passidomo

Y Y Thompson

Y Y

Boyd

Y Griffitts Y Harris

Y Plasencia

Campbell

Y Y Grall

Y Torres

Bradley

Y Porras Y Rayner

Y

Canady Caruso Casello

Y Hart

Y

Y Y Y Gruters

Y - Perry Y Y Pizzo - Y Polsky

Y Y Trumbull Y Y Wright

Y Y -

Brodeur

Y

- Hinson Y Holcomb

Y Redondo Y Renner

Y Y Y Harrell

Y Y

Broxson

Y Yeager

Cassel

Y Y Hooper

Y Y Y Yarborough

Burgess

29

30

Page 1 Page 2 Page 3 Page 4-5 Page 6-7 Page 8-9 Page 10-11 Page 12-13 Page 14-15 Page 16-17 Page 18-19 Page 20-21 Page 22-23 Page 24-25 Page 26-27 Page 28-29 Page 30-31 Page 32-33 Page 34-35 Page 36-37 Page 38-39 Page 40-41 Page 42-43 Page 44-45 Page 46-47 Page 48-49 Page 50-51 Page 52-53 Page 54-55 Page 56-57 Page 58-59 Page 60-61 Page 62-63 Page 64-65 Page 66-67 Page 68-69 Page 70-71 Page 72-73 Page 74-75 Page 76-77 Page 78-79 Page 80-81 Page 82-83 Page 84-85 Page 86-87 Page 88-89 Page 90-91 Page 92-93 Page 94-95 Page 96-97 Page 98-99 Page 100-101 Page 102-103 Page 104-105 Page 106-107 Page 108-109 Page 110-111 Page 112 Page 113 Page 114-115 Page 116-117 Page 118-119 Page 120

Made with FlippingBook - professional solution for displaying marketing and sales documents online