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State agency says it needs that much to keep Canadian Rx importation efforts alive

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The Gov. Ron DeSantis administration may ask the Legislature for an additional $4 million to maintain a warehouse in Lakeland for the state’s Canadian Prescription Drug Importation Program.

The Agency for Health Care Administration (AHCA) seeks the support in its legislative budget request for Fiscal Year 2025-26. Florida law requires agencies to submit spending requests that can serve as a sneak peak of what the Governor will include in his recommended budget for the coming year.

Without the annual $4 million bump, “AHCA would be unable to implement the program as directed by the Legislature and no longer have the infrastructure required to support the Program,” the agency wrote in its budget request.

Florida was the first state to gain approval to import prescription drugs from Canada when the Food and Drug Administration gave the state the green light in January 2024 for a two-year pilot project.

But it continues to face delays in implementation.

AHCA is required to submit a report annually to the Legislature and the Governor’s Office with a lengthy list of data requirements and documentation showing “the program provides cost savings to the state on imported prescription drugs. “

The Florida Phoenix requested copies of annual reports from 2021, 2022, 2023 and 2024, but the agency did not respond.

The $4 million request coincides with the Lakeland Ledger’s dive into the payments the DeSantis administration has made to LifeScience Logistics, which holds the contract with the state to administer the yet-to-be implemented program.

Four years after LifeScience Logistics built a warehouse in Lakeland, the Ledger reported the “facility is a quiet place.” The lack of activity belies a financial footprint that shows LifeScience Logistics received $77.2 million in Fiscal Year 2025. That was a sharp increase from the $51.7 million the company collected for the contract between Fiscal Years 2021 through 2024.

“Since July 1, the start of fiscal year 2026, the state has paid the company $3.7 million. That includes three deposits on Sept. 2 totaling $1.3 million for construction services,” the Ledger reported.

Alex Azar is Chair of the Board for LifeScience Logistics. Azar served as U.S. Secretary of Health and Human Services under President Donald Trump’s first administration.

Medicaid survey

AHCA’s request also shows that the state wants a baseline analysis of its Medicaid population’s health and social services “to support informed policy decisions and allocation of resources to support individual Medicaid enrollees on their path towards stability, economic self-sufficiency, and graduation from enrollment.”

There were 4.07 million people enrolled in Florida’s Medicaid program in August 2025, the latest available data. Florida’s top economists routinely meet to analyze Florida Medicaid data and to project costs, utilization, and enrollment trends. The group, known as the Social Services Estimating Conference, examines Medicaid costs with the exception of those related to people with intellectual or developmental disabilities.

The budget narrative says AHCA would competitively procure the $3.5 million contract.

Network provider audits

AHCA relies on Medicaid managed care plans to care for the majority of people in the safety net program. The August data show 2.96 million enrolled in some sort of state-contracted Medicaid managed care plan.

The plans are required to maintain a network of providers to meet the health care access standard set by the state. Plans must establish and maintain an accurate and complete electronic database of contracted providers, locations, and hours of operation, plus specialty credentials, among other things. Each managed care plan is required to submit quarterly reports to the Agency identifying the number of enrollees assigned to each primary care provider.

In its budget narrative, AHCA says it needs $6.8 million to hire an outside vendor to audit the provider networks “and any other activities to verify provider networks as identified by the Agency.”

Unlike other spending proposals, that $6.8 million isn’t coming from public coffers, per se. “The managed care plans will pay the Agency for the expenses of the vendor’s network review, at the rates established by the Agency, proportionate to the managed care plan’s enrolled population. The Agency will then transfer payment to the vendor for services rendered,” the budget notes.

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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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Shared services agreement falls flat with Broward voters

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If something isn’t broken, don’t fix it — especially not behind closed doors.

That’s the message coming through in a new poll by The Tyson Group gauging public sentiment on a proposed shared services agreement between the North and South Broward Hospital districts.

The survey asked likely Broward County voters whether they approve or disapprove of the health care services currently available in the county. Nearly two-thirds (65%) say they approve, including 30% who strongly approve. Just 22% say they disapprove of Broward’s health services.

When asked whether the North and South Broward Hospital Districts should be allowed to change how they operate “without triggering the legal requirements, transparency, or voter approval normally required for a full merger,” nearly three-quarters of respondents (73%) said no, including 62% who said “definitely no.”  Only 16% say the Districts should be allowed.

The polling comes after Sarasota Republican Sen. Joe Gruters and Dania Beach Republican Rep. Hillary Cassel filed bills that would authorize two or more special hospital districts to jointly form, participate in, or control a wide range of collaborative health care ventures — including public or private, for-profit or nonprofit entities — anywhere within their combined boundaries.

Notably, the legislation would explicitly give the Districts and their partners immunity from state action, allowing them to collaborate regardless of anticompetitive effects or potential conflicts with state or federal antitrust laws.

When similar bills were filed last Session, critics warned that it amounted to a backdoor merger that would bypass public scrutiny, regulatory review and possibly a countywide referendum otherwise required under state law. Memorial Healthcare System employees, physicians and community advocates raised alarms about transparency, governance and the potential shifting of financial burdens from North Broward’s struggling Broward Health system onto South Broward taxpayers.

“Once voters understood that the shared services agreement would go into effect without public review or voter approval, it was impossible to generate support. Each message we tested reinforced the negative perception that the shared services agreement was a shady deal designed to circumvent quality control,” the polling memo reads.

Messaging tests in the survey included transparency, lack of a taxpayer vote, financial mismanagement, and consolidation of power — on each front, more than 60% of those polled express concern while no more than 10% are unbothered.

By the end of the poll, just 21% said they supported a shared services agreement, with 63% in opposition, including 47% who say they “strongly oppose” the deal.

The survey was conducted Dec. 8-10. The sample includes 500 likely voters in Broward County and carries a margin of error of 4.38 percentage points.

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Jesse Scheckner of Florida Politics contributed to this report.



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Matt McCullough joins race to replace Matt Carlucci on Jacksonville City Council

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A third candidate has joined the race in Jacksonville City Council at-large Group 4 to replace term-limited Matt Carlucci.

“After thoughtful discussions and with the support of my family, I am excited to officially announce my candidacy,” Matt McCullough said in a statement announcing his bid.

McCullough, a former Navy pilot who flew during the global war on terror in Operations Iraqi Freedom, Enduring Freedom and Active Endeavor, and has received two Air Medals, Navy Commendation Medals, a Meritorious Service Medal, and recognition as both Combat Aircrew of the Year and Pilot of the Year.

He currently is North Florida’s Navy Emergency Preparedness Liaison Officer, and believes that his military background is a unique value-add as he enters politics.

“As a veteran, I know what leadership and delivering results looks like. Jacksonville deserves a city government that works to put our residents first, keeps our neighborhoods safe, and invests responsibly in our future,” McCullough said. “I’ve had the honor of wearing our nation’s uniform and lead under pressure. I am ready to bring that leadership to City Hall on day one and continue my service on the Jacksonville City Council.”

Carlucci has yet to endorse in this race between three Republicans, in which a real front-runner has yet to emerge.

April Ethridge, an Army vet with an MBA, has raised just $1,550 after being in the race for the better part of 2025.

Andrew McCann, who made his career in medical services before he “made the pivotal decision to step away from corporate life to focus on his family, personal growth, and the betterment of Jacksonville,” raised and self-funded $13,100 since entering the race at the end of October.

Qualifying runs from noon on Jan. 11, 2027, to noon on Jan. 15, 2027. The First Election is March 9, 2027, while the General Election, which sees the top two finishers square off regardless of party label unless someone gets a majority in March, is May 18.



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Nicole Gomez Goldmeier, Jackie Arboleda promoted at LSN Partners

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Two weeks after announcing its first round of 2026 promotions, LSN Partners is following up with a couple more as it continues expanding its local, state and federal practices.

Round 2 includes the elevation of Nicole Gomez Goldmeier to Chief Growth Officer and Jackie Arboleda to Chief Marketing and Community Relations Officer.

Gomez Goldmeier previously held the COO title at LSN Partners. In her new role, she will drive revenue growth and business development for the firm with a focus on strengthening long-standing client relationships, advancing expansion into key markets driven by client demand, and supporting strategic engagement.

She will remain actively involved in the firm’s Republican Governors and Mayors practice, reinforcing LSN’s position as a trusted bipartisan adviser.

“Nicole understands our clients and the public-sector landscape in a way that few people do,” said Alex Heckler, founder and Managing Partner of LSN Partners. “She has played a central role in how we build relationships, identify opportunities, and position the firm for long-term success. This role formalizes the work she has already been leading.”

Arboleda, meanwhile, will oversee the firm’s marketing, communications, brand positioning and community engagement, ensuring that LSN’s messaging, events and external presence reflect the firm’s strategic priorities and client-focused initiatives.

LSN said she will continue serving as a leader within the firm’s health care practice while working directly with clients as a project manager, adding that her dual focus on marketing leadership and project management strengthens the firm’s ability to deliver results to clients across markets nationwide.

“Jackie has helped shape how clients experience and engage with LSN and how the firm is perceived in the market,” Heckler said. “Her understanding of our clients, our culture, and our mission allows her to deliver results at the highest level, whether in our healthcare practice or driving the firm’s communications strategy.”



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