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Say hello to FSU Health

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Florida State University (FSU) has been given the green light by the Board of Governors (BOG) to issue $414 million in bonds to finance a new hospital in Panama City Beach as it brands its presence in Northwest Florida as FSU Health.

The FSU Board of Trustees approved the proposal hours before the BOG gave final approval.

Project planning and design have not been completed but BOG documents show that the project — including design, construction and equipment for a five-floor, 340,000 square foot facility — is projected to total $328 million.

The Panama City Beach hospital will initially open with 80 beds and four operating rooms to support orthopedic surgery, otolaryngology, gynecology, and general surgery. FSU Health in Panama City’s footprint will eventually be able to accommodate up to 600 beds.

The hospital will be built on an undeveloped 18-acre parcel of land donated by The St. Joe Co. adjacent to a new urgent care facility that Tallahassee Memorial Healthcare (TMH) built called TMH Physician Partners and Urgent Care facility.

Documents show FSU intends to enter into a long-term lease and management agreement with TMH to manage day-to-day operations. TMH will make lease payments to FSU in an amount greater than or equal to the annual debt service of the bonds.

The approval comes as FSU and TMH, which have been operating under a memo of understanding, are at odds over the future of a city of Tallahassee-owned hospital and whether it should be transitioned into an academic teaching institution as part of FSU or continue to be run by TMH, which has a long term-lease with the city to manage the facility.

Hospital administrator and Board of Governors member Alan Levine said he normally doesn’t involve himself in local disputes but took offense at TMH CEO Mark O’Bryant’s comments to the local newspaper about the dispute.

O’Bryant told the Tallahassee Democrat that TMH is community-based and that its board comprises local residents. By contrast, he said, FSU is governed by an appointed board whose members are not local.

When asked whether FSU was trying to emulate the University of Florida (UF), which operates its health care facilities in Gainesville and Jacksonville under the UF Health moniker, O’Bryant told the paper: “I’m not sure that’s the model you want. They don’t really focus as much on the local community over there because they have a different mission. Their mission is for more academic research. So if you think about the whole population, people should be concerned.”

Levine, who is Chair, President and CEO of Ballad Health, said he “takes great offense to that comment.”

Levine told the BOG he compared charity and Medicaid care between UF Health and TMH and discovered that UF has three times as many Medicaid patients as TMH, with a 15% caseload versus 5%, respectively. Additionally, UF Health offers a financial assistance policy to provide charity care to people who earn 200% or less of the federal poverty level. TMH’s financial assistance policy is set at 150% of the FPL.

“I don’t think it’s fair. If you were to go to Jacksonville or go to Gainesville and ask people whether or not our academic medical center cares about the local community and that’s not what drives decisions they make, then you don’t know much about academic medical centers,” Levine said.

He called O’Bryant’s comments “uneducated” and said, “I do think something strong needs to be said to respond to that.”

Levine offered this unsolicited advice: “FSU gets to decide who its partners are but I would strongly encourage their partner here in Tallahassee to rethink their position on that because it’s not true.”

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Christine Sexton reporting. Florida Phoenix is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Florida Phoenix maintains editorial independence. Contact Editor Michael Moline for questions: [email protected]


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Proposal to let microbreweries distribute their own beer flows through House committee

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Small-scale beer manufacturers may be able to skip the middleman when it comes to getting lagers, ales and stouts to the masses.

The House State Administration Budget Subcommittee has advanced HB 499, which allows microbreweries producing up to 31,000 gallons a year to self-distribute and to get out of current distribution contracts with 24 months’ notice.

The bill is a priority of the Brewers’ Association, which says it is also a priority of House leadership.

Advocates say that it’s no brew-ha-ha; rather, they frame it as a matter of business survival.

Sarah Curl of Pasco County’s Emerald Coast Brewing Company made a more localized case, noting that her company’s “small and intentional” production leaves it out of larger distributors’ business plans.

“Nobody cares more about the quality of their beer than a small-craft brewer,” Curl said.

Her goal: to be able to walk a keg to a restaurant down the street rather than have that same keg languish on a truck to fit the current “outdated, post-prohibition laws” that block local restaurants from serving local brews on tap.

Veteran brewmaster Timothy Shackton of the Ulele Spring Brewery likewise advocated for “limited self-distribution,” saying it benefited “small brewers” and the “community as a whole,” and arguing the proposal could “level the playing field.”

“Right now, many small brewers face a tough choice: sign long-term contracts with distributors and commit to large capacity orders that financially squeeze them or, worse yet, they’re unable to fulfill. Those demands can be crippling,” Shackton said.

Danielle Snitkar of Florida Hoppy Brands advocated for a coalition of microbreweries that are “not in a position to go with a large distributor” given limited production runs and lack of capital to buy into the three-tier system.

Brian Detweiler of the Florida Brewers Guild said the bill “could be the difference between your constituents keeping and losing part of their community: their beloved local brewery.” He described the bill as a “bridge to the three-tier system” by a “small, scrappy brewery,” and noted that 39 states already allow what Florida is considering.

Yet members of other groups presented more of a bitter beer face.

Jared Ross of the Florida Beer Wholesalers Association said his group “strongly opposes” the bill, which “goes too far” and threatens the “three-tier system” of manufacturers/importers, distributors/wholesalers, and retailers by “allowing smaller manufacturers to self-distribute.”

After the public had its say, legislators weighed in pro and con.

Republican Rep. Taylor Yarkosky said the “awesome” bill was a way to “empower and open the door” for small producers.

Republican Rep. Shane Abbott welcomed further “tweaks,” but backed the bill.

Democratic Rep. Felicia Robinson urged legislators to be “careful” about how rules are changed, expressing her concern that “all players play within the system.” While she was up on the bill, she was concerned about tinkering with the regulation of alcoholic beverages.

While the legislation has one committee to go before the House floor, the Senate may offer a buzzkill. Sen. Jay Collins’ bill (SB 1818) has yet to be put on a committee agenda.


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Wisconsin and Florida elections provide early warning signs to Trump and Republicans

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A trio of spring elections provided early warning signs to Republicans and President Donald Trump on Tuesday, as Democrats rallied against his efforts to slash the federal government and the outsize role being played by billionaire Elon Musk in the early days of his new administration.

In the marquee race for a Wisconsin Supreme Court seat, the conservative judge endorsed by Trump and backed by Musk and his groups to the tune of $21 million lost by 10 percentage points in a state Trump won in November. And while Florida Republicans held two of the most pro-Trump House districts in the country, both candidates underperformed Trump’s November margins.

The elections — the first major contests since Trump’s return to power — were seen as an early measure of voter sentiment as Trump works with unprecedented speed to dramatically upend the federal government, clashing with the courts and seeking revenge as he tests the bounds of presidential power.

The party that loses the presidency in November typically picks up seats in the next midterm elections, and Tuesday’s results provided hope for Democrats — who have faced a barrage of internal and external criticism about their response to Trump — that they can follow that trend.

Charlie Kirk, the conservative activist and podcaster whose group worked alongside Musk to boost conservative Brad Schimel in Wisconsin, argued Tuesday’s Supreme Court loss underscored a fundamental challenge for Republicans, particularly in races where Trump is not on the ballot.

“We did a lot in Wisconsin, but we fell short. We must realize and appreciate that we are the LOW PROP party now,” he said in an X post, referring to low-propensity voters who don’t regularly cast ballots. “The party has been remade. Special elections and off-cycle elections will continue to be a problem without a change of strategy.”

Trump won Wisconsin in November by 0.8 percentage points, or fewer than 30,000 votes. In the first major test since he took office in January, the perennial battleground state shifted significantly to the left, and not only in typical Democratic strongholds.

Sauk County, northwest of the state capital of Madison, is a state bellwether. Trump won it in November by 626 votes. Sauk shifted 16 percentage points in the direction of Judge Susan Crawford, the liberal backed by national Democrats and billionaire donors like George Soros.

Besides strong turnout in Democratic-heavy areas, Crawford did measurably better in the suburban Milwaukee counties that Republicans rely on to run up their margins statewide.

Crawford won Kenosha and Racine counties, both of which went for Trump over Democratic nominee Kamala Harris. She won by about 10 percentage points there.

Turnout was just under 50%, a full 10 percentage points higher than the previous record high for a Wisconsin Supreme Court election, set just two years ago.

In interviews with dozens of voters across the state, including more than 20 in Waunakee, a politically mixed town north of Madison, many Democrats suggested without prompting that their vote was as much if not more of a repudiation of Trump’s first months in office than a decision on the direction of the state high court.

“This is our chance to say no,” said Linda Grassl, a retired OB-GYN registered nurse, after voting at the Waunakee Public Library corridor Tuesday.

“We have to fight, and this is where the fight is today,” agreed Theresa Peer, a 49-year-old business-owner born and raised in Milwaukee, who called the election a “fight for our democracy.” She said she hoped a Crawford win would serve as a “symbol of opposition” to the Trump administration, particularly on the issues of women’s reproductive rights and slashed education spending.

Others disliked the richest man in the world playing such a prominent role.

“I don’t like Elon Musk spending money for an election he should have no involvement in,” said Antonio Gray, a 38-year-old Milwaukee security guard. “They should let the voters vote for who they want to vote for instead of inserting themselves like they have.”

Senate Democratic Leader Chuck Schumer, in a floor speech Wednesday, called the results “a political warning shot from the American people” and a sign that “Democrats’ message is resonating.”

“Just 70 days into Trump 2.0, Americans are tired of the chaos. They are tired of Elon Musk attacking Social Security, Medicaid, Medicare,” he said.

Former Wisconsin Gov. Scott Walker said that part of the challenge for Republicans had been “trying to connect the dots” to turn the state Supreme Court race into one about Trump — a difficult task in a state judicial race. He wondered if the outcome would have been different had Trump paid a visit to the state instead of hosting a telephone town hall.

“If you’re somebody who showed up for Trump because you feel forgotten, you don’t typically show up to vote in” these kinds of elections, he said, imagining voters asking themselves: “What does this have to do with Trump?”

Still, Walker cautioned against reading the tea leaves too closely.

“I’d be a little bit careful about reading too much into what happens nationally,” he said.

Trump had better luck in Florida, where Republican Randy Fine won his special election in the 6th District to replace Mike Waltz, who stepped down to serve as Trump’s national security adviser. But Fine beat his Democratic challenger, Josh Weil, by 14 percentage points less than five months after Waltz won the district by 33.

“This is the functional equivalent of Republicans running a competitive race in the district that is represented by Representative Alexandria Ocasio-Cortez,” said House Democratic Leader Hakeem Jeffries beforehand, invoking a liberal favorite whom Trump often denigrates. “Kamala Harris won that district by 30 points. Do you think a Republican would even be competitive in that district in New York, currently held by Alex? Of course, not.”

Jimmy Patronis, the state’s chief financial officer, fended off a challenge from Democrat Gay Valimont to win the northwest Florida seat vacated by Matt Gaetz but also underperformed Gaetz’s last margin of victory.

The pair of wins gave Republicans a 220-213 margin in the House of Representatives, when concerns about a thin GOP majority led Trump to pull the nomination of New York Rep. Elise Stefanik to be United Nations ambassador.

For voters in both districts, the clear draw was Trump.

Teresa Horton, 72, didn’t know much at all about Tuesday’s election — but said she didn’t need to.

“I don’t even know these people that are on there,” she said of her ballot. “I just went with my ticket.”

Brenda Ray, 75, a retired nurse, said she didn’t know a lot about Patronis, either, but cast her ballot for him because she believes he’ll “vote with our president.”

“That’s all we’re looking for,” she said.

Both Patronis and Fine were badly outraised by their Democratic challengers. Michael Whatley, chairman of the Republican National Committee, argued that what was a GOP concern before Tuesday night had been a sign of the party’s strength.

“The American people sent a clear message tonight: they want elected officials who will advance President Trump’s America First agenda, and their votes can’t be bought by national Democrats,” he said in a statement.

___

Republished with permission of The Associated Press.


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Donna Deegan lets Jax illegal immigration bill become law without her signature

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Deegan predicts lawsuits are coming once the bill becomes law.

Jacksonville’s Democratic Mayor Donna Deegan is taking a position on the “Jacksonville Illegal Immigration Enforcement Act.”

She won’t veto it. She won’t sign it. She will denounce it.

“I want to be crystal clear. I do not believe this bill is necessary. And I will not sign it. It will become law without signature,” Deegan said.

During a press conference at City Hall, Deegan said immigrants were part of the “beautiful mosaic” of Jacksonville, and that they are “welcome” in the city.

She noted that the Jacksonville Sheriff’s Office (JSO) would get the 25 fingerprint scanners it asked for in the bill, but that the punitive measures making immigration a “local crime” are redundant given state and federal law. She also noted that JSO has had an agreement with U.S. Immigration and Customs Enforcement since 2008, referring to the cooperative 287(g) deals.

She also said the bill “puts Jacksonville in a lane where it doesn’t belong” and would prompt “an expensive lawsuit.”

She won’t veto it though, saying it would sacrifice “all we have left to do over a bill that does not change anything.”

Deegan’s position comes after Republicans in Tallahassee warned her not to veto it.

Republican Attorney General James Uthmeier said “if a city official takes action to impede or prevent law enforcement from undergoing the necessary training and participating with the feds to get these people back where they came from, then I do believe the law is violated and that there will be penalties for that.”

Gov. Ron DeSantis also wanted the bill to become law.

“Great job to the City of Jacksonville in following Florida law and empowering their law enforcement to assist in the enforcement of laws against illegal immigration. I am pleased to see this follow from our work in the special session I called in January to insist that all state and local entities participate in immigration enforcement,” he posted to social media Wednesday.


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