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Rosalind Osgood advocates new initiative to improve outcomes for mothers and babies

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A new pilot program could soon be launched to integrate additional services into maternal care to foster better outcomes for mothers and babies.

Tamarac Democrat Sen. Rosalind Osgood filed the bill (SB 780) to implement the Doula Support for Healthy Births pilot program and improve maternal and infant health outcomes.

doula is a non-medical professional trained in childbirth who provides emotional, physical, and educational support to expectant mothers in labor or who have recently given birth.

The bill highlights the importance of doulas and aims to address disparities in health across different racial and socioeconomic groups by establishing a pilot program to integrate doula services into existing maternal health initiatives in Broward, Miami-Dade, and Palm Beach Counties.

One of the program’s primary goals would be to improve birth outcomes by decreasing preterm birth rates and cesarean deliveries, enhancing access to care, and supporting maternal well-being using evidence-based methods.

According to the bill, preterm births are defined as live births before 37 weeks gestation. They are associated with increased risks of a child developing morbidities or ailments such as cerebral palsy, breathing difficulties, feeding problems, developmental delay, and vision and hearing problems. The earlier a baby is born, the greater the health risks for the baby.

It further adds that Florida’s preterm birth rates have risen annually since 2014 to 10.9% — higher than the national average of 10.5%. Florida also ranks among the highest in the nation for infant mortality, with a rate of 5.9 deaths per 1,000 births — again higher than the national average of 5.4 deaths per 1,000 births.

The Sunshine State has one of the highest cesarean delivery rates in the nation at 37.4%, compared to the national average of 31.8%. The bill notes babies born via cesarean birth have a higher risk of developing respiratory distress, infection, and long-term health complications. Florida further ranks 17th in the nation for maternal mortality, with a rate of 26.3 deaths per 100,000 births, compared to the national average of 23.2 deaths per 100,000 births.

Broward County has a maternal mortality rate of 24.8 deaths per 100,000 births and an infant mortality rate of 5 deaths per 1,000 live births. Miami-Dade has a maternal mortality rate of 20.3 deaths per 100,000 births and an infant mortality rate of 4.8 deaths per 1,000 live births. Palm Beach County has a maternal mortality rate of 33.2 deaths per 100,000 births, with an infant mortality rate of 5.4 deaths per 1,000 live births.

The bill states that continued perinatal support, including those provided by trained doulas, is associated with reduced rates of cesarean delivery and improved birth outcomes.

The Doula Support for Healthy Births pilot program would integrate doula services into existing services. It would target parents who are uninsured, underinsured, or eligible for Medicaid or the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

The Department of Health would collaborate with health care providers, community organizations, community coalitions, and advocacy groups to integrate doula services while implementing and overseeing the pilot program. Depending on funding, the program would run for 12 or 24 months.

The department may integrate doula services as an expansion of the pilot program. Any pilot program expansion would require annual reporting for the department to evaluate the effectiveness, equity, and quality of integrating doula services.

The pilot program would use appropriations from the Closing the Gap grant program, and the department would collaborate with its Division of Community Health Promotion and the Office of Minority Health and Health Equity to seek additional funds.

The act would take effect upon becoming a law.


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The truth about Florida’s insurance market — an agent’s perspective

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As an insurance agent serving Florida homeowners for decades, I have seen firsthand how the challenges of our state’s insurance market impact policyholders.

A recent article in the Tampa Bay Times by Laurence Mower presents an incomplete and misleading view of our industry. It implies that insurers are funneling money to investors while crying poor.

That narrative is not just inaccurate — it’s reckless.

Mower’s reporting relies on half-truths, cherry-picked data, and a blatant disregard for the structural realities of Florida’s insurance market. His article is a textbook example of sensationalist journalism that ignores hard facts in favor of a clickbait narrative that fuels public anger while doing nothing to solve the real issues at hand.

The reality of rising costs for policyholders

I don’t need a report to tell me what my clients already know and what I’ve seen every day for over five years — insurance rates have gone up, and coverage options have become more limited. But the reasons behind these increases are often misunderstood.

Mower’s article suggests that insurers are manipulating their finances to justify rate hikes, ignoring the real factors at play: massive legal abuse, skyrocketing reinsurance costs, aggressive and blatantly fraudulent roofing claims, and a market that has seen multiple companies fail in just a few years.

For years, Florida’s insurance market has been crippled by excessive lawsuits and roof fraud. Prior to recent reforms, our state accounted for nearly 80% of all homeowners insurance litigation in the U.S., even though we made up just 9% of claims.

The cost of these lawsuits didn’t just hurt insurance companies — it was passed down to every homeowner in the form of higher premiums. As an agent, I’ve seen long-time clients struggle with these increases through no fault of their own, and I’ve had to explain why their choices are shrinking. And it’s awful.

The essential role of MGAs in Florida’s market

One of Mower’s most misleading claims is his attack on Managing General Agents (MGAs), which he paints as a tool for insurers to extract profits at the expense of policyholders. This argument is not just false — it’s dangerously ignorant.

The MGA structure is the backbone of Florida’s insurance market, ensuring that private insurers can operate efficiently in one of the highest-risk insurance environments in the world.

Why MGAs are critical to Florida’s market stability

Florida is unique in that its extreme hurricane risk makes it a financial minefield for insurers. Large national carriers have largely pulled back from the state, unwilling to bear the catastrophic exposure, leaving Floridians dependent on a network of smaller, specialized domestic insurers.

These insurers rely on MGAs to provide essential operational functions, including:

  • Underwriting Expertise: MGAs ensure that risk is assessed accurately, and policies are priced appropriately, preventing financial instability that could lead to mass insurer failures.
  • Claims Management Efficiency: In a state where hurricanes can lead to tens of thousands of simultaneous claims, MGAs provide the infrastructure to process claims swiftly and fairly.
  • Reinsurance Procurement: MGAs negotiate reinsurance agreements, a necessity for any insurer operating in Florida’s high-risk environment. Without effective reinsurance strategies, insurers would be unable to pay claims after a major storm, leaving homeowners unprotected.
  • Policy Administration and Compliance: MGAs handle policy issuance, regulatory compliance, and administrative functions, allowing insurance companies to focus on financial stability.

The economic reality: MGAs attract capital

One of the most critical but least understood aspects of MGAs is their role in attracting private investment to Florida’s insurance market.

Without a structured system that allows for investor returns, capital would flee the state, leaving homeowners with even fewer choices. We don’t get a pass on the economic reality of operating a business just because we don’t like it.

Former Florida Insurance Commissioner Kevin McCarty has explicitly stated that MGAs are indispensable in keeping Florida’s market afloat.

Similarly, Jeff Grady, former CEO of the Florida Association of Insurance Agents (FAIA), has warned that dismantling the MGA structure would “kill the only thing that we have left, which is the manner in which we bring capital to our state.”

The reality is simple: If MGAs are overregulated or dismantled, Florida’s private insurance capacity will collapse, driving even more homeowners into Citizens Property Insurance Corporation, the state-run insurer of last resort.

Exposing Mower’s reckless journalism

Laurence Mower’s article doesn’t just misinform — it actively undermines efforts to solve Florida’s insurance crisis. His claims rely on selective reporting, ignoring key industry realities while cherry-picking data that fits his predetermined narrative.

Mower fails to acknowledge that every MGA contract is rigorously reviewed and approved by the Florida Office of Insurance Regulation (OIR) to ensure fairness. He neglects to mention that MGAs are essential to keeping insurers solvent, and he blatantly ignores the role that rampant litigation, roof fraud, and reinsurance costs have played in driving up rates. He glides right by the comment that many affiliated companies poured back almost $700 million to the insurance companies in order to keep them from insolvency.

By focusing on a sensational attack on insurers, Mower diverts attention from the real issues: the trial bar’s exploitation of the legal system, the billions lost to frivolous lawsuits, the abusive and fraudulent roof replacement schemes, and the increasing cost of catastrophic reinsurance. These are the true drivers of Florida’s insurance crisis — not the necessary and well-regulated role of MGAs.

The path forward: Smarter solutions, not misguided attacks

Rather than feeding into misleading narratives like Mower’s, we need real solutions that address the actual problems plaguing Florida’s insurance market:

  • Reducing Litigation Abuse: Florida has made progress with recent legislative reforms. Although more work is needed to curb predatory lawsuits and roof replacement schemes, we need to allow the 2022 reforms to continue to work. It took us ten years to get into this mess, and in an ultra-regulated industry, it will take more than 24 months for the effects to really be felt.
  • Reinsurance Affordability Initiatives: State and federal policymakers must work to make reinsurance more affordable, ensuring that insurers can remain solvent while keeping premiums manageable.
  • Protecting the MGA Structure: Lawmakers must resist reactionary policies that weaken MGAs, which are essential to keeping private insurance capital in Florida.

The bottom line is that MGAs are not the problem — sensationalist reporting and misguided regulatory efforts are.

If we allow misinformation to drive policy decisions, we risk collapsing Florida’s still fragile insurance market. Instead of attacking the industry, we should work toward solutions that keep insurance affordable and available for homeowners.

Mower’s article does nothing to help Florida’s homeowners. At best, it’s misguided. More likely, it’s simply naïve and uninformed about business economics or the insurance industry. Either way, the narrative drawn is misleading and undermines the very reforms that could stabilize our market, bring back coverage options, and reduce rates for Florida property owners.

As an agent who sees the real impact of these policies every day, I will continue fighting for truth, transparency, and real solutions while pointing out incomplete or naive information when I see it.

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Allen McGinniss is the principal of the McGinniss Himmel Insurance Agency, LLC.


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Judge says ‘hard row to hoe’ for Florida to justify social media ban for young teens

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A federal Judge on Friday told lawyers in a landmark social media case it would be a “hard row to hoe” for state officials to justify a complete ban on social media for young teenagers, signaling his skepticism toward the new Florida law championed by Gov. Ron DeSantis.

U.S. District Judge Mark Walker did not immediately rule on a request for a preliminary injunction that would further block the new law from taking effect. Walker said a decision may come within three weeks.

Walker’s questions during oral arguments in his courtroom in U.S. District Court for the Northern District of Florida also included a pointed jab at Republican themes — on public policy issues like school vouchers and what can be taught in classrooms — that the GOP wants to empower parents to make choices on behalf of their children.

The law would include an outright ban for social media accounts for teens younger than 14, no matter how parents feel.

Florida “picks and chooses when parents make a decision” for their children, the Judge said.

The social media law, which was supposed to take effect Jan. 1, would block anyone under 16 from using some social media but would allow 14- and 15-year-olds to use the online services with a parent’s permission. Companies that violate the law could be fined up to $50,000 per violation.

The hearing Friday was supposed to last fewer than 90 minutes — but stretched more than three hours. It was supposed to focus narrowly on the request by tech companies to temporarily block the law, at least until a broader decision is resolved on whether the law is constitutional.

The Judge’s questions to lawyers for the technology companies and the attorney general seemed aimed at the heart of the case.

Walker said it would be a challenge to justify how a complete ban for minors under 14 doesn’t infringe on their First Amendment rights to free speech. He said he has trouble finding differences with a social media ban that lawmakers in Utah tried to implement in 2024, which was blocked by a Judge.

Walker was appointed by then-President Barack Obama in 2012 and has often ruled against the DeSantis administration, although at times those decisions have been overturned by higher courts.

The lawyer for Florida’s Attorney General, Kevin Golembiewski, said the ban doesn’t intend to restrict the speech of minors. He said it was meant to reduce their exposure to harmful content online and addictive practices that companies use to keep users on the app. The state has described those practices as scrolling videos or other content infinitely, or algorithms that serve videos based on users’ perceived interests.

The lawyer for the tech companies, Erin Murphy, said social media features like push notifications help users know when their friends are interacting with them on the platform, which if removed from the app would cease to do what it was designed to do. It would be impossible for these platforms to shut down features that make users engage with the app, Murphy said.

Although the law is intended to keep young teens off social media, it also necessarily could require that adult users of some of the most popular platforms prove their age. There are few generally agreed-upon, full-proof methods for age verification on the internet.

One wrinkle that hasn’t been ironed out: Exactly which social media apps are covered under the ban? The law doesn’t name any particular company’s products but says it applies only to social media platforms with addictive features and with 10% or more of daily active users who are younger than 16 and who spend an average of two hours or more on the service. All conditions must be met, or the law doesn’t apply to that social media provider.

Walker said it would be the tech companies’ responsibility to compile the data on their users to determine whether the law applied to them.

The law was a priority last year for DeSantis and the GOP-led House and Senate. DeSantis vetoed an early version of the proposal after a dispute with lawmakers about whether to give parents the choice for 14- and 15-year-olds.

In the face of legal questions after DeSantis signed the law, then-Attorney General Ashley Moody paused enforcing the ban until the outcome of the federal case in Tallahassee.

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This story was produced by Fresh Take Florida, a news service of the University of Florida College of Journalism and Communications. The reporter can be reached at [email protected]. You can donate to support our students here.


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Keith Truenow looks to strike redundancies in Florida’s day labor laws

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The lawmaker said duplicative and unnecessary regulations should be dropped from statute.

Florida could soon drop regulations about the use of day laborers.

Sen. Keith Truenow, a Tavares Republican, filed legislation (SB 1672) that would repeal Labor Pool Act provisions about day labor from Florida’s state statutes.

“We have an obligation to review laws on the books and eliminate waste when we identify it,” Truenow said.

In this case, the use of day laborers already is regulated by federal rules. The Department of Labor maintains regulations of wages, allowed hours, overtime pay and record-keeping for employers.

“Florida’s Labor Pool Act may be duplicative and unnecessary — day labor centers are already subject to extensive federal, state, and local regulations that ensure worker safety, fair wages, and employer accountability. Repealing this redundant law cuts bureaucratic red tape while keeping strong protections in place,” Truenow said.

State law defines day labor as “employment that is occasional or irregular for which the worker is employed for not longer than the time period required to complete the temporary assignment for which the individual worker was hired.”

Truenow’s bill drops mention of labor pool hires in state regulations about temporary work firms, and dumps day labor from statutory language on what defines temporary employees.

It also eliminates a large section of state law regarding leased employees.

Current law defines day laborers as those hired for completion of jobs from labor pools, and requires employees to be notified that the assignment of work ends with the start of a new business day. The change drops state requirements that employers notice these terms on paychecks at the end of jobs.

A House version (HB 6033) of Truenow’s legislation was filed by Rep. Shane Abbott, a DeFuniak Springs Republican. Abbott owns a pharmacy in North Florida, The Prescription Place. Truenow founded Lake Jem Farms in Lake County. So both lawmakers have experience with hiring labor.


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