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Last Call for 3.20.25 – A prime-time read of what’s going down in Florida

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Last Call – A prime-time read of what’s going down in Florida politics.

First Shot

After a lengthy debate, the House Health & Human Services Committee approved legislation expanding the breadth of procedures and prescriptions administered by optometrists.

Sponsored by Rep. Alex Rizo, HB 449 is this year’s edition of the long-running “Eyeball Wars.” Optometrists have sought authority to provide more advanced care, such as laser surgeries for years. Ophthalmologists firmly oppose any scope of practice expansion.

Both professions require extensive post-baccalaureate education.

Ophthalmologists who attend medical school, receive a medical doctorate, and complete a multi-year residency under the supervision of one or more established ophthalmologists; optometrists hold doctorates in optometry, and while sometimes referred to as “optometric physicians,” they neither attend medical school nor do they complete a residency. 

In practice, optometrists’ primary concern is vision care, such as the provision of corrective lenses. By contrast, ophthalmologists’ focus is eye care, which encompasses the diagnosis and treatment of all maladies involving the eye, impact on vision notwithstanding.

Multiple ophthalmology residents stressed the gravity of that distinction during public testimony. Spencer Barrett, a third-year resident physician at Bascom Palmer Eye Institute in South Florida, emphasized the importance of the highly specialized training he and others in his cohort receive.

“I, as a microsurgeon, would not feel qualified in the slightest to perform brain surgery or vascular surgery or know when to do it any more than I would trust a brain surgeon to operate on the eye because I have not undergone the years of training needed to do so safely,” he told members of the committee.

“Giving optometrists the opportunity to conduct these surgeries and procedures without the training required puts Floridian safety at risk.”

Proponents of HB 449 recognize the distinction between the two professions but say that the current state of eye care access in Florida demands legislative action. 

Rizo bolstered this claim — and even converted an initially reticent committee member from a “nay” to a “yay” — by citing American Medical Association data recommending one ophthalmologist per 4,000 residents in a given region. There are approximately 1,700 ophthalmologists in Florida, which would be adequate for a state of 7 million residents, not Florida’s 23.5 million and growing.

Rizo addressed medical doctors directly in closing: “Everything that you do, every single one of you, every single one of you that is in the medical profession. Thank you. Thank you for what you do.”

He then emphasized that optometrists would only be able to conduct specific, less complex procedures — multiple opponents harped on the vagueness of this section of the bill — and that statistics show the action is warranted.

“The question is not what you look at, but what you see. And I hope that throughout today’s presentation, throughout our conversations, I hope that we can see what we need to do,” Rizo said, quoting Henry David Thoreau.

Committee members voted 13-5 in favor of the bill, which next heads to the House Health & Human Services Committee.

Evening Reads

—“How the Justice Department is remaking itself in Donald Trump’s image” via Jeremy Roebuck, Mark Berman, Perry Stein and Spencer S. Hsu of The Washington Post

—”How the GOP went from championing campus free speech to fighting it” via Jeremy W. Peters of The New York Times

—”The left’s misguided critique of abundance liberalism” via Eric Levitz of Vox

—”Dr. Oz is now the grown-up in the room” via Benjamin Mazer of The Atlantic

—”New College of Florida could take over USF Sarasota-Manatee, Senator says” via Lawrence Mower of New College of Florida

—”Florida’s GOP-led Legislature aims to limit the power of city, county governments” via John Kennedy of USA Today Network-Florida

—”Ron DeSantis wonders why ‘young people’ aren’t doing immigrants’ jobs” via A.G. Gancarski of Florida Politics

—”‘A true champion’: Ben Albritton honored for rural advocacy” via Janelle Irwin Taylor of Florida Politics

—”James Uthmeier wants pay raises, promotions for cops who stop Tesla vandals” via A.G. Gancarski of Florida Politics

—”Every ‘Snow White’ controversy over the film’s tortured production” via Krystie Lee Yandoli of Rolling Stone

Quote of the Day

“Why do we say we need to import foreigners, even import an illegal, when, you know, teenagers used to work at these resorts?”

— Gov. Ron DeSantis, questioning why “young people” aren’t doing immigrants’ jobs.

Put it on the Tab

Look to your left, then look to your right. If you see one of these people at your happy hour haunt, flag down the bartender and put one of these on your tab. Recipes included, just in case the Cocktail Codex fell into the well.

Senate President Ben Albritton gets a Country Life for being recognized as a “true champion” for small-town Florida during Rural Counties Day

Gov. Ron DeSantis may wonder why Florida youth aren’t snapping up jobs once held by immigrants. We presume they aren’t old enough to enjoy a Rise and Grind.

Attorney General James Uthmeier is offering pay raises and promotions to cops who bust Tesla vandals, so why not complete the set with an ice-cold Bounty?

Breakthrough Insights

Tune In

Gators tip off in Big Dane tomorrow

The Gators begin their run in the NCAA basketball tournament tomorrow against Norfolk State (6:50 p.m. ET, TNT).

After winning the SEC tournament, Florida earned the top seed and ended the season with a 30-4 record. This season marks the first time since 2014 that Florida has entered the tournament as a number-one seed. That season, Florida earned a trip to the Final Four.

The Gators’ impressive season included wins over eight teams ranked at the time, including beating Tennessee and Auburn when each program was #1 in the country.

Florida is led by Walter Clayton Jr., who was named this week as a first-team All-American. It is the first time in program history that a Gator has earned first-team All-America honors. Joekim Noah was a second-team All-America selection in 2007. Claton leads Florida in scoring, assists, and field goal percentage. He made 97 three-pointers this season to lead Florida. 

According to ESPN Bet, the Gators are the second favorite to win the national championship. Only Duke, the top overall seed in the tournament, has better odds. The Gators are 28.5-point favorites against Norfolk State.

The Spartans (24-10) won the MEAC tournament to gain the automatic berth into the Big Dance. Norfolk State faced only one ranked team this season, losing to then-top-ranked Tennessee. 

___

Last Call is published by Peter Schorsch, assembled and edited by Phil Ammann and Drew Wilson, with contributions from the staff of Florida Politics.


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Lobbyist scolded for ‘scare tactics’ in committee debate on wrongful-death bill

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Rep. Hillary Cassel on Thursday blasted a lobbyist for his testimony on a bill that would increase the potential for wrongful death lawsuits to be filed against Florida doctors and hospitals, accusing him of using scare tactics to try to sink the bill.

During public testimony on HB 6017 before the House Judiciary Committee, lawyer Mark Berlick said allowing adult children of single parents to sue physicians and hospitals for noneconomic damages, such as pain and suffering, would open the door to estranged children suing Florida’s hospitals and physicians.

Berlick, a lawyer with the Bolin Law Group, said he represented the Florida Justice Reform Institute, which champions lawsuit limitations.

He testified that the “bulk” of people who would be filing medical malpractice lawsuits are going to be nonstate residents who are estranged from family members who live in Florida.

“So, though you’ll end up with the individuals that will end up with a check being sent to them for an individual that never sets foot in the state of Florida, they won’t receive any medical care here. They won’t have any taxes paid here. They’ll just simply receive a settlement check from the death of their relatives,” he said.

The comments didn’t sit well with Cassel, a Republican who noted that the majority of the people in the committee hearing who testified on behalf of the bill were Florida residents.

“We as members expect that the people that come before us to provide information are going to do so truthfully and with facts, and for the gentleman from the Florida Justice Reform Institute to come before us and assert that the people that are going to benefit from this don’t live in this state and must be estranged from their families, and we’re going to just be writing checks to estranged members, doesn’t have an ounce of data to support that,” Cassel said.

“And that was nothing more than a scare tactic to this committee, and it’s an insult on our intelligence, and it’s an insult to the people who are here today, who are clearly not estranged from the loved ones that they have lost. And of the ones that have testified, all but two are Floridians. So, if you’re going to come before this committee and make assertions about what’s going to happen if we pass legislation, I expect you bring facts and data and not scare tactics and opinions.”

Quid pro quo

The insurance industry, Florida hospitals associations, and organized medicine such as the Florida Medical and Florida Osteopathic associations, oppose the bill in its current form. But they are willing to support eliminating the ban if the Legislature agrees to limit damages for pain and suffering.

Otherwise, increasing civil liability will further increase medical malpractice insurance rates and drive physicians away from practicing, the opponents say.

To date, neither the House nor Senate have included the industry-coveted caps in the bill. The Senate passed its version, SB 734, earlier this week.

Rudman returns

There are some individual physicians, though, who support the proposal, including former state Rep. Joel Rudman.

Rudman resigned from the House to launch an unsuccessful congressional bid but returned Thursday to testify in support of the bill.

A Navarre physician, Rudman said he came to Florida from Alabama during the 1990s and the high medical malpractice rates didn’t drive him away. The premiums he pays today, he said, haven’t changed in a decade. And the costs of the insurance protection from lawsuits isn’t among his top three overhead costs.

“I’ve had a license since 1997, and I’ve never been sued. I’m very proud of that,” Rudman said. “It’s not because of some bogus protections carve-out in the current statute. It’s because I’m damn good at my job. And this bill will not change that, either. The only doctors that want to see this statute remain in place are bad doctors and, unfortunately, we have a few of those in the state of Florida.”


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Fort Myers approves police agreement with ICE days after shooting it down

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The Fort Myers City Council has unanimously approved an agreement for city police to aid deportation efforts by Immigration and Customs Enforcement (ICE). The move reversed a decision made days prior that drew threats of removal from state officials.

A crowd that largely spoke against the agreement booed as Mayor Kevin Anderson gaveled an emergency meeting to a close. But City Council members who changed their vote since Monday said they had little choice on the matter.

Based on state guidance, City Council members said it became clear that an agreement must be in place based on a new immigration law signed by Gov. Ron DeSantis last month.

“To be unequivocal, I am not against ICE. I support lawful deportation. I support our local police and their continued partnership with the federal agencies,” said City Council member Darla Bonk, who initially voted against an agreement.

“I also believe in the rule of law, and I believe our immigration system is deeply flawed and in need of reform. But I also believe in asking questions, and I believe any elected official, when uncertain about the implications of a legal document, not only has the right, but the obligation, to get clarity.”

Bonk took to task City Attorney Grant Alley, alleging that he had failed to advise Council members that rejecting a proposed agreement with ICE would effectively make Fort Myers a sanctuary city.

A day after an agreement failed to pass because of a 3-3 vote by the City Council, Florida Attorney General James Uthmeier threatened an investigation and legal action against Fort Myers, including raising the specter of DeSantis removing City Council members from office.

“It is imperative to our City Attorney that you come prepared to our Council meetings, regardless of what a vote is, with the legal guidance necessary for every possible outcome,” Bonk said. “It is not overstepping us to inform this body of the law and guide us. It is literally your job. You are paid handsomely to protect this Council, and in this matter, you failed us.”

Other state officials rapidly criticized Fort Myers City Council members for shooting down the initial deal negotiated by Fort Myers Police and ICE.

Rep. Jenna Persons-Mulicka, a Fort Myers Republican, spoke at the Friday Council meeting and stressed that the new state law was itself a product of a democratic process.

“This is not a policy discussion or policy issue. Before you all today, that policy debate happened in the halls of Tallahassee, happened on the House floor, happened on the Senate floor,” Persons-Mulicka said.

“The people of Florida have spoken through their elected representatives in the Legislature and through our Governor, who was overwhelmingly re-elected, and the people of Florida have said that we are a law and order state and that we have preempted local government. We will not permit sanctuary cities or sanctuary city policies, and we will no longer permit catch-and-release in the state of Florida.”

Persons-Mulicka also noted that the city has experienced crime problems as a result of illegal immigration. She recalled the death of Fort Myers Police Officer Adam Jobbers-Miller in 2018. An undocumented immigrant was convicted in 2023 of that murder, as covered by Fox 4.

But members of Fort Myers’ Hispanic community said the memorandum puts the city on weak legal ground while creating a division between police and members of the community.

“Why can’t ICE recruit their own people?” asked Cielo Zenteno. “They have jurisdiction here.” She said the agreement between the city and ICE allowed a significant federal overstep.

“Anyone with civic responsibility would want my basic promise: Do not harm my community,” she said. “Immigrants, legal or not, are part of this community.”

Dozens spoke against the law, often heaping criticism at DeSantis and President Donald Trump for pushing for mass deportation of immigrants, saying they are scapegoating an entire community for the crimes of a few. Anderson frequently advised those speaking to the issue that discussing Trump, DeSantis or even the vote taken Monday was off topic, and that citizens should only speak directly to the agreement in front of the board.

Anderson early in the week said he wanted the failure to approve an agreement corrected, especially after receiving Uthmeier’s letter.

“I am in receipt of the AG’s letter and am working with the City Manager and City Attorney to correct the matter,” Anderson said. “While I do not want to see the removal I would have no choice to support the decision if so made.”

Council member Diana Giraldo, who also initially voted down the agreement but reversed her vote Friday, said that it remains unclear what training ICE will administer to Fort Myers officers regarding the enforcement of immigration law.

She also voiced some concern about whether a focus on deportation would actually result in criminals avoiding due process in the U.S. justice system.

“They need to be prosecuted for their actions, regardless of the immigration status,” she said. “If they are here illegally, they have to follow the due process. I am an immigrant. I understand what that means.”


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Tommy Wright endorses Jake Johansson as his favored successor in SD 8

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The outgoing Senator said he carefully weighed the decision before backing the Volusia County Council member.

Sen. Tommy Wright just made clear who he wants to succeed him in the Senate.

The New Smyrna Beach Republican is endorsing Volusia County Council member Jake Johansson’s campaign for Senate District 8. Johansson, a Port Orange Republican, announced in December he would run for the open seat.

Wright, who cannot seek another term because of term limits, penned a letter to Johansson voicing his support.

“Jake, I am here for you now and will be here for you when the day comes to turn over the keys to the office of Senator Jake Johansson,” Wright wrote.

Wright first won election to the Senate in 2018, defeating Democrat Mel Martin after stepping in as a replacement nominee after the death of Republican Sen. Dorothy Hukill. The Senator recalled following in Hukill’s footsteps as he wrote his endorsement of Johannson.

“I am reminded of the thousands of folks that have placed their trust in me to serve and represent them as their Senator for eight years,” Wright wrote. “So, now as we all begin to prepare for the transfer of power in November of 2026, I am challenged with making the best recommendation for my successor.”

Wright has worked with numerous public officials over the course of his time in the Legislature, he said. He said he carefully considered the decision of whom to endorse before settling on Johansson.

“I feel this person will carry the torch and carry on the work and traditions I have put in place to have the most acceptable and available Senator that listens and completes the tasks that we are challenged with,” he wrote.

Johansson faces former Rep. Elizabeth Fetterhoff, a Deland Republican who lost a tight incumbent-on-incumbent race in 2022 against Rep. Webster Barnaby.

SD 8 leans heavily Republican. Wright last stood election there in 2022, where he won 62% of the vote over Democrat Andrea Williams. Ahead of this year’s General Election, about 42.6% of registered voters in the district were Republican, while some 27.8% were registered as Democrats.


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