Welcome back to Diagnosis, a vertical that focuses on the crossroads of health care policy and politics.
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— FMA new president —
Dr. Ashley Norse of Jacksonville is officially the new president of the Florida Medical Association (FMA).
Norse was installed as the 149th president of the FMA during its annual meeting in Orlando last month. She succeeds retired Dr. Lisa Cosgrove in the role.
Jacksonville’s Dr. Ashley Booth Norse takes the helm as the new president of the FMA.
A board-certified emergency medical physician, Norse has held leadership roles in Florida medicine since joining the FMA Board of Governors in 2008. She has also served as vice president, speaker and president-elect before her Saturday installation as president.
Her one-year term begins with priorities centered on amplifying the voice of organized medicine across the state, according to a Monday press note from the organization.
“Congratulations to our incoming 2025‑2026 president of the Florida Medical Association, Dr. Ashley Norse,” FMA CEO Chris Clark said in a statement.
“Dr. Norse has served in numerous local, state and national leadership positions for more than 15 years, and her dedicated service and invaluable expertise will allow our organization to continue its impactful presence as the state’s premier voice of medicine.”
Norse works as a professor in the Department of Emergency Medicine at the University of Florida College of Medicine-Jacksonville, where she has served as Chair of Operations, medical director of the Emergency Department and its Observation Unit since January.
She earned her medical degree from Louisiana State University and completed her emergency medicine residency at the University of Florida-Jacksonville, where she served as Chief Resident and completed a fellowship in health care policy.
— FDA picks new prez —
The Florida Dental Association has tapped Dr. John Paul of Lakeland to serve as its president for the 2025-2026 term. The announcement was made during the annual Florida Dental Convention in Orlando, where peers from across the state gathered to recognize his leadership and legacy in the field.
A general dentist with more than 30 years of clinical experience, Paul has long been known for his calm, methodical approach to care and his unyielding belief in the power of prevention. Throughout his career, he has focused on catching oral health issues early — before they spiral into more costly or invasive procedures.
John Paul will serve as the Florida Dental Association’s president for the 2025-2026 term.
Beyond his practice, Paul has dedicated substantial time to public health and access initiatives, particularly those serving Florida’s most vulnerable. His service includes volunteer work with survivors of domestic violence and spearheading efforts to bring restorative care to patients who’ve historically fallen through the cracks.
“Dr. Paul’s dedication to continuing education and compassionate care makes him an outstanding leader for our association,” said Drew Eason, Executive Director and CEO of the Florida Dental Association. “His passion for service and advocacy will help guide the FDA in advancing oral health for all Floridians.”
As president, Paul is expected to continue championing equity in access to care, legislative priorities that support dentists statewide, and broader efforts to promote oral health as a cornerstone of overall well-being.
— Top spot in Jax —
Jacksonville’s Mayo Clinic has been ranked the top hospital in Jacksonville by U.S. News & World Report’s “Best Hospital” in the publication’s 2025-2026 list.
“We are proud to once again be recognized as top-ranked in more specialties than any other hospital in Florida by U.S. News & World Report,” said Kent Thielen, CEO of Mayo Clinic in Jacksonville. “This recognition is a testament to our teams’ unwavering commitment – day in and day out — to providing innovative, differentiated patient care of the highest quality.”
The Mayo Clinic in Jacksonville was ranked the top hospital by U.S. News & World Report.
The Jacksonville Mayo Clinic was founded in 1986. The campus on the First Coast sits on 602 acres and patients from all 50 states and 80 countries seek treatment from the 10,000 staff members there.
Founded in 1986, the Mayo Clinic’s Jacksonville campus sits on more than 600 acres on the First Coast and has grown into a globally recognized destination for complex care. Today, it employs more than 10,000 physicians, researchers, and staff who serve patients from all 50 states and more than 80 countries.
The campus includes a comprehensive cancer center, a cutting-edge transplant program, and leading-edge neurology and cardiology departments, among others.
— ICYMI —
“DeSoto County’s only hospital considers sale or merger as Medicaid cuts loom” via Kara Newhouse of WUSF — The 49-bed DeSoto Memorial Hospital in Arcadia issued a request for proposals that could lead to new ownership or outside control, just as looming Medicaid cuts and a wave of rural hospital closures leave communities like this one increasingly vulnerable. The hospital’s RFP, which The Arcadian first reported, invites bids for a long-term lease, merger, joint venture, affiliation or outright sale to another health care organization. Proposals are due Oct. 1, and at least four health care organizations have requested tours since the request was published in late June. The hospital will evaluate proposals based on what’s “in the best interest of the community” and how each plan would affect staff and the delivery of care, CEO Vince Sica said in an email to Suncoast Searchlight.
DeSoto Memorial Hospital, facing looming Medicaid cuts, is considering a sale, merger or partnership.
“A health care tax credit that powers Florida’s small businesses is going away” via Riya Sharma of the Tampa Bay Times — The stakes are exceptionally high in Florida, which leads the nation in Affordable Care Act enrollment. More than 4 million Florida residents, about one in five enrollees nationwide, rely on the Affordable Care Act for coverage, according to the Centers for Medicare and Medicaid Services. About one in four of those Floridians are small-business owners or self-employed workers, according to projections from the Center on Budget and Policy Priorities. Florida leads the nation in that group, too. But when the enhanced credits expire at the end of this year, the Congressional Budget Office predicts that more than 4 million people will lose health insurance nationwide. Florida’s business leaders are concerned that lawmakers haven’t renewed these credits.
“Jacksonville’s Mayo Clinic drops in latest U.S. News Florida hospital rankings” via Beth Reese Cravey of The Florida Times-Union — Mayo Clinic is now the second-best hospital in Florida after falling from the top spot where it’s been for most of the last decade, according to U.S. News & World Report’s “Best Hospitals” 2025-26 report. The magazine’s annual study listed the Jacksonville campus as the state’s No. 1 hospital for eight of the last 11 years. Advent Health Orlando took top honors this year. “This recognition is a testament to our teams’ unwavering commitment — day in and day out — to providing innovative, differentiated patient care of the highest quality,” Mayo CEO Dr. Kent Thielen said. Mayo in Jacksonville received national recognition among the top 50 hospitals in these specialties: cancer; cardiology, heart and vascular surgery; diabetes and endocrinology; ear, nose and throat; gastroenterology and gastrointestinal surgery; geriatrics; neurology and neurosurgery; orthopedics, pulmonology and lung surgery and urology.
— RULES —
The Agency for Health Care Administration has proposed an amendment to Rule 59G-13.081 regarding Medicaid waiver programs. More here.
The Board of Physical Therapy Practice’s final rule regarding licensure of physical therapists (64B17-3.001) goes into effect on Aug. 14. More here.
The Division of Disease Control’s final rule regarding controlling respiratory viruses in school settings goes into effect on Aug. 7. More here.
— PENCIL IT IN —
Aug. 4
Happy birthday to Rep. Danny Nix!
Congratulations to Danny Nix, who is celebrating another trip around the sun.
Aug. 5
Happy birthday to Rep. Tyler Sirois and Sen. Ed Hooper!
Aug. 8
Happy birthday to Rep. Debra Tendrich!
Aug. 11
Happy birthday to Rep. Jose Alvarez!
9 a.m. — The Office of Economic & Demographic Research meets to discuss State Employees’ Health Insurance expenditures. Room 117, Knott Building.
Aug. 14
Happy birthday to Rep. Sam Greco and Rep. Shane Abbott!
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 2928said 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 Fundpraised 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.”
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.
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. TheLeague 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.
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.