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Gainwell Technologies’ new rural health data collaborative could help power Ben Albritton’s rural renaissance

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As Florida Senate President Ben Albritton works to revive his “rural renaissance” plan to revitalize low-population areas of the state, a Texas-based company is launching its own rural initiative to boost health care access, quality and outcomes in rural areas across the nation, including the Sunshine State. The initiative is centered on connecting data, systems, and partners to interoperate and enable better coordination and decision-making across rural health ecosystems.

Gainwell Technologies, a provider of digital and cloud-enabled health and human services program solutions, has launched its Gainwell Rural Health Transformation Collaborative, a nationwide initiative working to stabilize rural hospitals, expand access to care and build long-term sustainability in underserved communities.

The collaborative brings together state agencies, health care providers and technology and community partners in a connected model that supports the Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation Program (RHTP). Gainwell serves as the data integrator and information broker enabling collaboration among participants to support program design, funding, and outcomes reporting.

As a self-described innovator in health care technology and Medicaid modernization, Gainwell expects additional partners to join its collaborative from heath care, policy and technology sectors as the program gets underway and expands.

The collaborative is developing a Rural Health Data Toolbox, integrating Medicaid data platforms, social care networks, and third-party applications, such as telehealth or care management systems, with analytics tools into one streamlined framework.  This shared data foundation helps states simplify planning, align to CMS guidelines, and measure outcomes across programs.

Simultaneously, the collaborative is working to equip rural hospitals with the technology and information to improve operations and maintain or establish financial resilience. Rather than delivering care or funding operations, Gainwell enables state agencies to use data insights to strengthen operations, model financial performance, and identify sustainability strategies.

Gainwell leaders emphasize that data, not just dollars will drive sustainability.

“Rural hospitals are the lifeblood of their communities, yet too many are at risk,” Gainwell Chief Client Officer Bill Allison said. “Through this collaborative, we’re uniting technology, policy, and partnership to help states and providers not only survive, but thrive, creating a sustainable future for rural healthcare.”

Launched last month, the timing in Florida is opportune.

Albritton, in his first year as Senate President, fought doggedly for his rural renaissance package, which among other provisions includes plans for improving rural health care, including through improved infrastructure and technology access. His push was successful in the Senate, but died in the 11th hour in the House.

Now, he’s reviving the effort. But the problems that plagued his first attempt may still exist in the 2026 Legislative Session.

At issue was an impasse between Gov. Ron DeSantis and House Speaker Daniel Perez over tax cuts. The sparring was over whether to implement Perez’s preferred sales tax cut or DeSantis’ push for large property tax reductions. Albritton’s rural renaissance package was a casualty of the GOP infighting.

Already, it appears that fight, which led to 45 extra days of the 2025 Legislative Session, may spill over into the 2026 lawmaking term.

The House proposed several options in October to lower property taxes that would be put before voters, who could approve “some, all, or none” of the options on the 2026 ballot, Perez said.

DeSantis rejected all of them, potentially setting up yet another showdown.

But with a large company like Gainwell — it boasts more than a half-century of expertise in the health care space — at least one component of Albritton’s priority legislation could get a new talking point.

An op-ed in collaboration with Gainwell and published by Becker’s Hospital Review earlier this month, posited that gains in rural health care need more than just funding to be successful, data is also an integral part of the plan.

That includes evaluating where needs exist and what barriers need to be overcome, information that can be accomplished by mapping states’ existing data access. By better understanding data, or where data is lacking, Medicaid and its partners can bridge gaps ranging from clinical records and workforce data to social determinants of health to better design for the future and enable targeted action, according to its op-ed.

And just because the company recognizes the critical role data plays in establishing sustainable health systems in rural communities, it also does not ignore the need for funding to implement successful strategies.

Already, that’s coming to fruition.

A total of $10 billion per year is being made available through the RHTP, which requires an extensive application to access. Half of the information required on the application related to the rural characteristics of the state, such as rural populations and how many hospitals serve them. The other half loosely relates to aligning with the Trump administration’s policies and health care priorities, information that, at least to some extent, relies on data access.

“The balance here is how you achieve the goals the feds have laid out from a data infrastructure (and) interoperability perspective to provide sustainability to rural hospitals,” Gainwell Senior Vice President Rushil Desai said, according to the Healthcare Financial Management Association.

Through the Gainwell Rural Health Transformation Collaborative, the company is building the data infrastructure to drive measurable clinical and economic improvements — supporting initiatives that reduce maternal mortality, expand behavioral health access, and improve chronic disease management, all while empowering rural partners to act on insights.



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Debra Tendrich turns ‘pain into policy’ with sweeping anti-domestic violence proposal

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Florida could soon rewrite how it responds to domestic violence.

Lake Worth Democratic Rep. Debra Tendrich has filed HB 277, a sweeping proposal aimed at modernizing the state’s domestic violence laws with major reforms to prevention, first responder training, court safeguards, diversion programs and victim safety.

It’s a deeply personal issue to Tendrich, who moved to Florida in 2012 to escape what she has described as a “domestic violence situation,” with only her daughter and a suitcase.

“As a survivor myself, HB 277 is more than legislation; it is my way of turning pain into policy,” she said in a statement, adding that months of roundtables with survivors and first responders “shaped this bill from start to finish.”

Tendrich said that, if passed, HB 277 or its upper-chamber analogue (SB 682) by Miami Republican Sen. Alexis Calatayud would become Florida’s most comprehensive domestic violence initiative, covering prevention, early intervention, criminal accountability and survivor support.

It would require mandatory strangulation and domestic violence training for emergency medical technicians and paramedics, modernize the legal definition of domestic violence, expand the courts’ authority to order GPS monitoring and strengthen body camera requirements during investigations.

The bill also creates a treatment-based diversion pathway for first-time offenders who plead guilty and complete a batterers intervention program, mental-health services and weekly court-monitored progress reporting. Upon successful completion, charges could be dismissed, a measure Tendrich says will reduce recidivism while maintaining accountability.

On the victim-safety side, HB 277 would flag addresses for 12 months after a domestic-violence 911 call to give responders real-time risk awareness. It would also expand access to text-to-911, require pamphlets detailing the medical dangers of strangulation, authorize well-check visits tied to lethality assessments, enhance penalties for repeat offenders and include pets and service animals in injunctions to prevent coercive control and harm.

Calatayud called it “a tremendous honor and privilege” to work with Tendrich on advancing policy changes “that both law enforcement and survivors of domestic abuse or relationship violence believe are meaningful to protect families across our communities.”

“I’m deeply committed to championing these essential reforms,” she added, saying they would make “a life-or-death difference for women and children in Florida.”

Organizations supporting HB 277 say the bill reflects long-needed, practical reform. Palm Beach County firefighters union IAFF Local 2928 said expanded responder training and improved dispatch information “is exactly the kind of frontline-focused reform that saves lives.”

The Florida Police Benevolent Association called HB 277 a “comprehensive set of measures designed to enhance protections” and pledged to help advance it through the Legislature.

The Animal Legal Defense Fund praised provisions protecting pets in domestic violence cases, noting research showing that 89% of women with pets in abusive relationships have had partners threaten or harm their animals — a major barrier that keeps victims from fleeing.

Florida continues to see high levels of domestic violence. The National Coalition Against Domestic Violence estimates that 38% of Florida women and 29% of Florida men experience intimate-partner violence in their lifetimes — among the highest rates in the country.

With costs rising statewide, HB 277 also increases relocation assistance through the Crimes Compensation Trust Fund, which advocates say is essential because the current $1,500 cap no longer covers basic expenses for victims fleeing dangerous situations.

Tendrich said survivors who contributed to the bill, which Placida Republican Rep. Danny Nix is co-sponsoring, “finally feel seen.”

“This bill will save lives,” she said. “I am proud that this bill has bipartisan support, and I am even more proud of the survivors whose bravery drives every line of this legislation.”



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Ash Marwah, Ralph Massullo battle for SD 11 Special Election

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Even Ash Marwah knows the odds do him no favors.

A Senate district that leans heavily Republican plus a Special Election just weeks before Christmas — Marwah acknowledges it adds up to a likely Tuesday victory for Ralph Massullo.

The Senate District 11 Special Election is Tuesday to fill the void created when Blaise Ingoglia became Chief Financial Officer.

It pits Republican Massullo, a dermatologist and Republican former four-term House member from Lecanto, against Democrat Marwah, a civil engineer from The Villages.

Early voter turnout was light, as would be expected in a low-key standalone Special Election: At 10% or under for Hernando and Pasco counties, 19% in Sumter and 15% in Citrus.

Massullo has eyed this Senate seat since 2022 when he originally planned to leave the House after six years for the SD 11 run. His campaign ended prematurely when Gov. Ron DeSantis backed Ingoglia, leaving Massullo with a final two years in office before term limits ended his House career.

When the SD 11 seat opened up with Ingoglia’s CFO appointment, Massullo jumped in and a host of big-name endorsements followed, including from DeSantis, Ingoglia, Agriculture Commissioner Wilton Simpson, U.S. Sens. Ashley Moody and Rick Scott, four GOP Congressmen, county Sheriffs in the district, and the Florida Chamber of Commerce.

The Florida LGBTQ+ Democratic Caucus is endorsing Marwah.

Marwah ran for HD 52 in 2024, garnering just 24% of the vote against Republican John Temple

Massullo has raised $249,950 to Marwah’s $12,125. Massullo’s $108,000 in spending includes consulting, events and mail pieces. One of those mail pieces reminded voters there’s an election.

The two opponents had few opportunities for head-to-head debate. The League of Women Voters of Citrus County conducted a SD 11 forum on Zoom in late October, when the two candidates clashed over the state’s direction.

Marwah said DeSantis and Republicans are “playing games” in their attempts to redraw congressional district boundaries.

“No need to go through this expense,” he said. “It will really ruin decades of progress in civil rights. We should honor the rule of law that we agreed on that it’ll be done every 10 years. I’m not sure why the game is being played at this point.”

Massullo said congressional districts should reflect population shifts.

“The people of our state deserve to be adequately represented based on population,” he said. “I personally do not believe we should use race as a means to justify particular areas. I’m one that believes we should be blind to race, blind to creed, blind to sex, in everything that we do, particularly looking at population.”

Senate District 11 covers all of Citrus, Hernando and Sumter counties, plus a portion of northern Pasco County. It is safely Republican — Ingoglia won 69% of the vote there in November, and Donald Trump carried the district by the same margin in 2024.



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Miles Davis tapped to lead School Board organizing workshop at national LGBTQ conference

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Miles Davis is taking his Florida-focused organizing playbook to the national stage.

Davis, Policy Director at PRISM Florida and Director of Advocacy and Communications at SAVE, has been selected to present a workshop at the 2026 Creating Change Conference, the largest annual LGBTQ advocacy and movement-building convention.

It’s a major nod to his rising role in Florida’s LGBTQ policy landscape.

The National LGBTQ Task Force, which organizes the conference, announced that Davis will present his session, “School Board Organizing 101.” His proposal rose to the top of more than 550 submissions competing for roughly 140 slots, a press note said, making this year’s conference one of the most competitive program cycles in the event’s history.

His workshop will be scheduled during the Jan. 21-24 gathering in Washington, D.C.

Davis said his selection caps a strong year for PRISM Florida, where he helped shepherd the organization’s first-ever bill (HB 331) into the Legislature. The measure, sponsored by Tampa Democratic Rep. Dianne Hart, would restore local oversight over reproductive health and HIV/AIDS instruction, undoing changes enacted under a 2023 expansion to Florida’s “Parental Rights in Education” law, dubbed “Don’t Say Gay” by critics.

Davis’ workshop draws directly from that work and aims to train LGBTQ youth, families and advocates in how local boards operate, how public comment can shape decisions and how communities can mobilize around issues like book access, inclusive classrooms and student safety.

“School boards are where the real battles over student safety, book access, and inclusive classrooms are happening,” Davis said. “I’m honored to bring this training to Creating Change and help our community build the skills to show up, speak out, and win — especially as PRISM advances legislation like HB 331 that returns power to our local communities.”

Davis’ profile has grown in recent years, during which he jumped from working on the campaigns and legislative teams of lawmakers like Hart and Miami Gardens Democratic Sen. Shevrin Jones to working in key roles for organizations like America Votes, PRISM and SAVE.

The National LGBTQ Task Force, founded in 1973, is one of the nation’s oldest LGBTQ advocacy organizations. It focuses on advancing civil rights through federal policy work, grassroots engagement and leadership development.

Its Creating Change Conference draws thousands for four days of training and strategy-building yearly, a press note said.



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