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Capping and Cutting Medicaid Funding: Implications for Florida Counties

Anne Swerlick
December 2017

In counties across the state, Medicaid plays a key role in providing access to health care for Florida’s most vulnerable residents; mainly, low- income children, persons with disabilities and the elderly.

There are more than 4 million Medicaid beneficiaries statewide. This translates into thousands of residents in every county and a significant percentage who depend on Medicaid to fund vital health care services.  These percentages range from 28 to 67 percent for children, 6 to 25 percent for adults (18-64) and 6 to 35 percent for seniors.

Counties also benefit from billions of Medicaid dollars flowing into their economies that help support local hospitals, businesses and jobs.  These amounts range from $4 million in Glades County to nearly $4 billion in Miami-Dade. Over 60 percent of the state’s Medicaid costs are paid for by the federal government.

However, recent congressional proposals would radically restructure Medicaid financing by capping and cutting federal funds. This would likely trigger deep cuts to Medicaid services, coverage loss and more uncompensated care burdens for local health care providers and government.

Similarly, state proposals to cut eligibility, services and provider reimbursement pose serious threats to residents’ continued access to care.

The snapshots below highlight the importance of Medicaid to local residents and key health care indicators that would likely worsen if counties are faced with capped Medicaid funding and cuts.

 

Alachua

Franklin

Lee

Pinellas

Baker

Gadsden

Leon

Polk

Bay

Gilchrist

Levy

Putnam

Bradford

Glades

Liberty

Santa Rosa

Brevard

Gulf

Madison

Sarasota

Broward

Hamilton

Manatee

Seminole

Calhoun

Hardee

Marion

St. Johns

Charlotte

Hendry

Martin

St. Lucie

Citrus

Hernando

Miami-Dade

Sumter

Clay

Highlands

Monroe

Suwannee

Collier

Hillsborough

Nassau

Taylor

Columbia

Holmes

Okaloosa

Union

DeSoto

Indian River

Okeechobee

Volusia

Dixie

Jackson

Orange

Wakulla

Duval

Jefferson

Osceola

Walton

Escambia

Lafayette

Palm Beach

Washington

Flagler

Lake

Pasco

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