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Bill to establish standards for memory care services advances

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The Health Care Facilities & Systems Subcommittee has advanced a measure that seeks to establish specific standards and operational requirements for facilities providing memory care services in Florida.

Miami Republican Rep. Mike Redondo presented the bill (HB 493). He said it intends to provide minimal standards for the Agency for Health Care Administration (AHCA) to ensure that patients who are receiving memory care services actually receive them.

“I was surprised to learn that AHCA does not have the regulatory authority to regulate facilities that advertise themselves as providing memory care services in the state of Florida,” Redondo said.

“What this bill’s intended to do is to provide some fairly minimal standards frankly, but minimum standards I think are necessary to ensure that patients who are receiving memory care services and family members contracting for memory care services are actually receiving appropriate care and will protect the citizens of Florida in these facilities.”

Memory care facilities would be required to implement policies and offer activities specifically designed for memory care. The facilities would be required to have at least one member of staff working at all times who is trained in CPR and first aid and awake during their shift.

Facilities who advertise memory care would be required to provide clear disclosures about services they offer and maintain copies of these for license renewal.

Jason Hand, from Florida Senior Living Association (FSLA), opposed the bill and said that while the bill is commendable, it needs additional refinement.

“There are aspects of the bill that FSLA supports,” Hand said.

“For example, we support the requirement that a memory care provider have at least one staff member present and to be CPR and first aid certified. We also support the need to provide transparency for ALS (facilities) that claim to provide memory care services, but the resident contract does not appropriately reflect such. While the goals are commendable, we believe it requires additional refinement, therefore we respectfully oppose the bill at this time.”

Hand noted that some of the language could blur the lines between different issues.

“For example, the shift from Alzheimer’s disease or related disorders to Alzheimer’s disease, dementia, or other memory disorders, expands the scope too far.” Hand said. “This could pull in (up to) 18,000 additional residents, including those with mild cognitive issues not requiring specialized care. It also risks blurring the line between residents with dementia and those in limited mental health.”

Hand urged further clarification be added into the legislation.

“Additionally, there are undefined terms that risk confusing seniors, their families and providers. Without clarity, ALS offers optional activities to sharpen mental acuity, not true memory care,” Hand said.

AHCA Deputy Secretary Kim Spoke, said the legislation would bolster protections for seniors in assisted living facilities.

“The civil tsunami that Florida expected to see, you know, why not a better time than this point to put a little more parameters and guardrails around our assisted living facilities as they relate to memory care?” Spoke said.

“These are very minimal standards that we put in place and worked with our bill sponsor on adding, again, just some additional guardrails to ensure there’s protections of our residents, our seniors in our assisted living facilities.”

Spoke said over the past few years, concerns have been raised around services being provided in these facilities, and the lack of memory care-focused facilities.

“We have about 3,000 assisted living facilities in this state, and we have about 26 or 30% of those assisted living facilities that claim to provide memory care,” Spoke said. “Over the past several years, we have had significant, very concerning or egregious findings related to services in our assisted living facilities providing care to residents who are memory care.”

Spoke added that those advertising as memory care facilities need to provide the services they’re advertising.

“So again, these are very minimal requirements that we feel are necessary to protect our seniors in our assisted living facilities,” Spoke said. “But if you’re advertising that you’re providing memory care, you add some additional language into the contract to say you’re providing that of what you’re going to be providing.”

In closing, Redondo said the legislation would ensure some of the deficiencies that have been discovered are fixed.

“This is a very particular area, to me at least, my grandfather had Alzheimer’s growing up,” Redondo said.

“These are some of our most vulnerable Floridians in some of these facilities. Some of these requirements are very basic and simple. There’s about four times as many non-memory care facilities in the state as there are memory care facilities, but going back to about 2020, AHCA determined that there were even more findings, more deficiencies with memory care facilities than all other facilities. Again, there is a concern here.”


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State teachers union blasts proposed budgets as a ‘cut by another name’

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The Florida Education Association (FEA) is calling on lawmakers to fully fund public education and prioritize students and communities in their proposed budgets, something the state’s main teachers union says is not happening under current proposals.

“Before the Legislative Session began, the Florida Education Association called on lawmakers to increase student funding by $1,000 per student, which would finally begin to move Florida up from the ranking of 43rd in the nation,” the group wrote in a statement after both the House and the Senate voted to pass their respective budget proposals.

The Senate budget calls for an increase in per pupil allocations of $135, while the House calls for $62. The group argues that the funding levels, pitched as increases, are actually a “cut by another name,” because they fail to even keep up with inflation.

“A child who was in kindergarten when Gov. (Ron) DeSantis signed his first budget in 2019 will be starting middle school when the 2025-26 budget is implemented. During that time, per-student funding for that child has decreased by $400 when adjusted for inflation based on the proposed Florida Education Finance Program (FEFP) calculations in the House and Senate,” the group continued.

The FEA mentioned the state’s ranking at No. 43 in the nation. The group didn’t offer a citation for that figure, but it likely references a 2024 ranking from the National Education Association putting Florida at No. 43 in the nation for per pupil spending. At the time of the ranking, the group found Florida based per pupil spending amounts at just under $9,000 for that school year, according to the Florida Policy Institute.

“The budget proposals shortchange students and educators alike. They keep Florida at the bottom of the nation in average teacher pay, slash funding for courses that prepare students for college and careers and continue the long practice of unfunded mandates,” the group wrote. “Once again, educators are being asked to do more and more with less and less resources.”

Last year, Florida ranked at No. 50 in the nation in average teacher salary, behind only West Virginia.

Two legislative proposals (SB 7030, SB 2510) cleared both chambers of the Legislature on Wednesday. The measures would cut in half the bonuses schools receive when students achieve certain passing scores on assessments for advanced curriculum such as Advanced Placement (AP), International Baccalaureate (IB), Advanced International Certificate of Education (AICE), dual enrollment and Career and Professional Education (CAPE).

Lawmakers who support the proposals, including Rep. Jenna Persons-Mulicka, a Naples Republican, argue it’s not a cut in half to the bonuses because schools would receive that funding through other sources. But critics and some school officials disagree, according to WUSF, which reported that the Duval County School Board in Jacksonville estimates the measures would cost its schools $8 million.

Persons-Mulicka said during House floor testimony on the bills Wednesday that funding instead would flow through the FEFP, in which funding follows the student.

Similar testimony in the Senate Wednesday yielded fierce debate, with Democrats peppering Republicans running the bill and education budget with questions about how to track the money. Republican Sen. Danny Burgess explained that the money is difficult to track because of funding programs that allow funding to follow each student, rather than line items to specific programs.

The FEA did not specifically mention the state’s universal school voucher program, passed in 2023. It provides funding for students to attend private school — or other school choice programs, including homeschooling — regardless of household income. Voucher programs had previously been set aside for low-earning households.

But during Senate debate Wednesday, Democrats also, in a roundabout way, highlighted what school choice critics see as a loss of public school funding to compensate for increased funding needs for vouchers.

Sen. Tracie Davis, describing her line of questioning as a quest for clarification rather than statements of opposition, specifically asked if public schools were losing out on funding as a result of students and families choosing public school alternatives. Republican supporters argued that was not the case, but it remains an ongoing debate between the sides.

Still, the FEA says “decades of bad policy,” a likely reference to the explosion of school choice over that time, have led to “teacher and staff shortages, declining SAT scores and failing NAEP scores.”

In January, the group conducted a “deep dive” into Florida’s teacher shortage, finding more than 3,000 teacher vacancies statewide, a number that was 64% of what it was last August, when the current school year started.

On SAT scores, WESH reported last year that average scores had dropped to 948 in 2024, 18 points lower than in 2023 and 70 points lower than in 2017.

And on NAEP, the National Assessment of Educational Progress, commonly referred to as the Nation’s Report Card, the difference in Florida’s 2024 score of 243 in mathematics was statistically insignificant from 2022, when it was 241. It was higher than the average national score, at 237. But reading scores suffered, averaging 267 in 2024, a 4-point drop from 2022 and 5 points lower than the national average.

“Lawmakers say they support educators, communities and students. We are again calling on lawmakers to show that support for our public schools by reworking the budget to ensure districts can meet the needs of every student who walks into our public schools,” the group wrote. “Let’s not make students and educators talking points to be used to gain support — we need to fully fund public education in Florida.”


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Senate proposes sales tax holidays to help hunters, workers and families

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As part of his tax relief package, Senate President Ben Albritton is proposing several sales tax holidays this year to help Floridians save money.

The proposed tax holidays would benefit families buying tickets, workers needing tools, parents shopping for back-to-school items and Floridians preparing for hurricane season.

“Over the last decade, sales tax holidays, particularly for hurricane season and back-to-school have become something Floridians have come to expect and plan for,” Albritton wrote in a memo this week. “Our goal was to avoid overlapping holidays, which can be confusing for consumers and retailers alike.”

Here’s the full list for the Senate’s proposed sales tax holidays:

— Disaster Preparedness Tax Holiday, June 2-15: Items that will be sales tax-free include flashlights and lanterns costing $40 or less; reusable ice costing $20 or less; radios costing $50 or less; tarps and ground anchors or tie down kits costing $100 or less; coolers and portable power banks costing $60 or less; batteries and fuel tanks costing $50 or less; smoke detectors, fire extinguishers and carbon monoxide detectors costing $70 or less; and generators costing $3,000 or less.

— Freedom Month, July 1-31: Tax-free purchases would include admissions to music, sporting and cultural events; movie and museum tickets; single admission or season tickets to theatre and dance performances; state park admission and annual passes; and use of fitness facilities. In addition, memberships and passes that are bought in July to use between July 1 and Dec. 31 would also be tax-exempt. Many summertime goods would also be tax-free, including select boating and water activity equipment and supplies; camping equipment and supplies; fishing equipment and supplies; electric scooters; sunglasses; sunscreen; grills; and residential pool chemicals, supplies and parts.

— Back-to-School Tax Holiday, Aug. 1-10: Tax-free items would include backpacks costing $100 or less; school supplies costing $50 or less; learning aids costing $30 or less; and personal computers or computer-related accessories, including non-recreational software, costing $1,500 or less.

— Skilled Worker Tax Holiday, Aug. 29-Sept. 7: Sales taxes would be cut for certain hand tools costing $50 or less and power tools costing $300 or less, work boots costing $175 or less, and many other pieces of safety equipment, as well as certain shop lights, toolboxes and belts, and plumbing and electrical equipment.

— Hunting Season Tax Holiday, Sept. 15-Oct. 19: This new tax holiday would be for ammunition, firearms, bows, crossbows and related accessories.

Part of Albritton’s tax package proposal also includes permanently eliminating the sales tax on most shoes and clothes 

The Senate’s proposal comes as House Speaker Daniel Perez pushes to cut the state sales tax from the current 6% to 5.25%, while Gov. Ron DeSantis is targeting property taxes to help residents save money.


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Gov. DeSantis says $10M steered to Hope Florida is legit

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Gov. Ron DeSantis likens an eight-figure allocation to First Lady Casey DeSantis’ Hope Florida initiative to the topping on an ice cream sundae.

“This was in addition to what they were getting. This is kind of like a cherry on top where they agreed to make an additional contribution,” Gov. Ron DeSantis said of the $10 million steered to the charity in a $67 million settlement between Medicaid managed care operator Centene and the state.

The issue came up in Wednesday’s House Health Care Budget Subcommittee meeting.

Chair Alex Andrade, a fellow Republican who is at odds with the Governor on many issues of late, said the “$10 million transfer of funds … was probably illegal” and questioned the assertion from Agency for Healthcare Administration (AHCA) Secretary Shevaun Harris that the settlement wasn’t “taxpayer funds.”

DeSantis said the outcry from Republicans is evidence of a “political agenda.”

“These are people who never had anything negative to say about any of the stuff with this with Hope Florida, and so they’re basically grasping at straws to try to do something to try to reflect negatively on it. Like, it has nothing to do with Hope Florida. But the reality is this is a political agenda, and you do have Republicans and the leadership office working hat in hand with the Miami Herald and the Tampa Bay Times, very liberal media outlets,” DeSantis said.

“Is that what Republicans do, work with the Miami Herald? Are you kidding me? But that’s what they’re doing. And they think that somehow you’re going to believe this drivel. So don’t fall for the political nonsense.”

DeSantis made the comments at the City of Sweetwater Community Center.

This is the latest attempt by the administration to push back against complaints about Hope Florida. After Wednesday’s hearing, AHCA called the inquiry a “complete ambush.”

“It’s concerning how little Representative Andrade understands about Medicaid, as demonstrated in his performative committee hearing today,” said AHCA spokesperson Mallory McManus. “He also purposefully misconstrued the structure and nature of the Hope Florida program, which is shameful.”

Andrade called the “bizarre public statement” a “badge of honor” in response.


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