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Congress should give Medicare Advantage the support it needs and deserves

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With the cost of living continuing to climb, Floridians — especially seniors and those with disabilities — are facing greater challenges in affording essential health care. Lawmakers from Tallahassee to Washington, D.C., must come together to advance policies that lower costs and expand access to care.

They can do just that by adequately funding Medicare Advantage — the increasingly popular version of Medicare that leverages public-private partnerships, coordinated care, and a greater variety of more integrated benefits. Together, these features work to the “advantage” of beneficiaries, caregivers, and all Floridians by improving patient outcomes, reducing costs, and supporting healthier senior communities.

Both my time in the Florida House of Representatives and now as Chair of the Small Business and Consumers Alliance have given me a deeper understanding of the importance of the Medicare Advantage program and its positive impact on Florida families, businesses, and communities. This is one of those rare examples of a working, effective government program and, as such, it deserves the support of lawmakers in Congress.

This is especially concerning given the repeated funding cuts to Medicare Advantage in recent years — cuts that have jeopardized benefits and driven up premiums. Fortunately, the Advance Rate Notice released by the Centers for Medicare & Medicaid Services during the last couple weeks of the Joe Biden administration called for a slight payment increase. However, it will be up to Congress and the new administration to follow through, work to reverse years of cuts, and put Medicare Advantage on a stable path for the future.

Compared to traditional Medicare, beneficiaries enrolled in Medicare Advantage can choose from a wider range of health care services and support, like access to integrated prescription, vision, hearing, and dental benefits with no additional premiums, as well as fitness and nutrition benefits that help seniors focus on eating well, staying active, and participating in their communities.

On top of providing seniors and patients with disabilities with more comprehensive care, Medicare Advantage also helps deliver critical cost savings at a time when saving every penny counts. Medicare Advantage beneficiaries pay lower monthly premiums than traditional Medicare enrollees and save more money thanks to the capped annual out-of-pocket expenses that Medicare Advantage offers.

The value and benefits Medicare Advantage provides help explain the rapid growth the program has had over the last decade or so. Enrollment in Medicare Advantage in now up to over 34 million Americans, including more than 2.9 million Floridians — that’s well over half the Medicare eligible population both nationally and statewide. It is critical for lawmakers to keep this program strong so it can continue improving quality of life and contributing to stronger, healthier communities in the Sunshine State and across the country.

As lawmakers consider this issue, it is critical to note that seniors and patients with disabilities are not the only ones to benefit Medicare Advantage program. Their family members, networks of caregivers, health care teams, local small businesses, and communities all benefit from a stronger, fully funded Medicare Advantage program. Lawmakers on both sides of the aisle should prioritize this and ensure Medicare Advantage gets the funding and support it — and the tens of millions of Americans it serves — so greatly deserves.

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Jim Kallinger represented District 35 in the Florida House of Representatives from 2002–2004. He later served as president of the National Association of Former State Legislators and is now Chair of the Small Business and Consumers Alliance.


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Last Call for 2.26.25 – A prime-time read of what’s going down in Florida

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Last Call – A prime-time read of what’s going down in Florida politics.

First Shot

After a pre-endorsement from President Donald Trump, it was bound to happen. Now, it’s official: U.S. Rep. Byron Donalds is running for Governor.

Donalds, first elected to Congress in 2020, made the announcement late Tuesday night in a prime-time interview with Fox News’ Sean Hannity.

Less than 24 hours later, Florida political figures are rushing to endorse him. Sen. Randy Fine, who is running for Congress, was among the first to jump on board.

“Byron Donalds and I were elected to the State House in 2016 and for four years led the fight in Tallahassee to transform education in Florida,” the Palm Bay Republican posted on social media. “For the past four years, I have marveled at how my classmate took that fight to Washington. I couldn’t be more excited to see him return to Florida as our next Governor and take us to the next level. Honored to join Donald Trump and endorse him on Day 1!”

Miami Republican Rep. Juan Porras also announced support: “Last year, I was the first State Representative to endorse Donald Trump and few men stood with the President as staunchly as Byron Donalds. Today, I am honored to be the first in the State House to endorse him to be the next Governor of Florida.”

Other early backers: Rep. Yvette Benarroch, Rep. Berny Jacques, Rep. Toby Overdorf, Rep. Jenna Persons-Mulicka, Boca Raton Mayor Scott Singer and former Rep. Spencer Roach, former Republican Party of Chair Christian Ziegler.

First Lady Casey DeSantis has long been floated as a potential candidate and both have made jabs at Donalds in recent weeks. For his part, Donalds said Wednesday that he wants to earn DeSantis’ support.

Evening Reads

—”The Donald Trump staffers who get paid by private clients” via Josh Dawsey, C. Ryan Barber and Katherine Long of The Wall Street Journal

—“Nazi-adjacent DOGE kids are overruling the Secretary of State? Am I hearing this right?” via Ben Mathis-Lilley of SLATE

—“Did Russia invade Ukraine? Is Vladimir Putin a dictator? We asked every Republican member of Congress” via Elaine Godfrey of The Atlantic

—”Trump says Volodymyr Zelenskyy will visit the White House Friday to sign U.S.-Ukraine critical minerals deal” via The Associated Press

—”Writing the history of the Joe Biden presidency, in the Trump Era” via Jennifer Schuessler of The New York Times

—”Byron Donalds is running for Governor. With Trump’s backing, can anyone stop him?” via Mitch Perry of the Florida Phoenix

—”Federal rail, airport grants in Florida appear intact as Trump cost-cutting drive unfolds” via David Lyons of the South Florida Sun-Sentinel

—“A safe space in a crisis. Inside Tampa General’s new behavioral health hospital” via Christopher O’Donnell of the Tampa Bay Times

—”‘I grieve what I could have had’: Daughter of murdered couple reflects on killer’s execution” via Fresh Take Florida

—”SpaceX launch tonight to send ice hunters to the moon” via Richard Tribou of the Orlando Sentinel

Quote of the Day

“At the end of the day, I just want to be able to pick his brain. I know there’s a lot of advice he has. I want to be able to lean on that. I would love to be able to earn his support. And I think there’ll be a time for that.”

— U.S. Rep. Byron Donalds, on potential Ron DeSantis support for his Governor campaign.

Put it on the Tab

Look to your left, then look to your right. If you see one of these people at your happy hour haunt, flag down the bartender and put one of these on your tab. Recipes included, just in case the Cocktail Codex fell into the well.

The DeSantises took several thinly veiled swipes at Byron Donalds ahead of his campaign announcement, but the Southwest Florida Congressman earned a High Road for holding back in his first opportunity to hit back.

While you’re at it, order a round of Early Adopters for the state lawmakers and others who endorsed the first-in major candidate for 2026.

Order a Shroud for Sarasota Republican Sen. Joe Gruters, who is carrying a bill (SB 1266) to strengthen confidentiality protections for crime victims.

Breakthrough Insights

Tune In

Heat try to bounce back vs. Hawks

The Miami Heat host the Atlanta Hawks tonight in a matchup of teams fighting to stay in the playoff picture (7:30 p.m. ET, FanDuel Sports Network – Sun).

The Heat (26-30) are in ninth place in the Eastern Conference playoffs, percentage points behind the Hawks (27-31). Miami has struggled lately, losing six out of its last seven games. The only victory in this stretch was an overtime win in Toronto on Friday.

The game is the back end of a home-and-home series with Atlanta. The Hawks beat the Heat 98-86 on Monday in Atlanta. It was Atlanta’s best defensive performance in nearly four years. Newcomer Andrew Wiggins, acquired in the Jimmy Butler trade, led the Heat with 23 points.

With 25 games remaining in the regular season, Miami has time to rise in the rankings, but they must find consistency, particularly on defense. Monday’s loss to the Hawks was the first time in February that an opponent failed to score at least 100 points against the Heat. Early in the season, Miami’s defense was a more significant factor.

If the Heat continues to play at the same pace, they will have to earn a spot in the playoffs through the play-in tournament, as they have each of the last two seasons.

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Last Call is published by Peter Schorsch, assembled and edited by Phil Ammann and Drew Wilson, with contributions from the staff of Florida Politics.


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Gov. DeSantis appoints James Morgan III, John Waters to Circuit Court benches

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Florida has two new Circuit Court Judges, courtesy of appointments by Gov. Ron DeSantis.

DeSantis named James “Jimmy” Morgan III to the 16th Judicial Circuit and John Waters to the 10th Judicial Circuit.

Both fill vacancies created by retiring Judges.

Morgan, a Marathon resident, has served as a Judge on the Monroe County Court since 2021, when DeSantis named him to the post. He kept the job unopposed in May 2024.

Prior to his time on the bench, Morgan worked for close to three years as an Assistant Public Defender in the 16th Judicial Circuit, two years as Chief of Staff and Director of Operations for Spottswood Companies, a Keys-based real estate company, and nearly nine years as a prosecutor with the United States Marine Corps, according to his LinkedIn page.

He holds a Juris Doctor, master’s degree and bachelor’s degree from the University of Florida and was admitted to the Florida Bar in September 2009.

Waters is a criminal defense lawyer in private practice in Lakeland. He previously worked as an associate at Lopez & Humphries P.A., a car accident and personal injury firm. He holds a Juris Doctor from the University of Florida and was admitted to the Florida Bar in September 2010.

Morgan succeeds Judge Luis Garcia, who notified DeSantis of his plans to step down after 24 years on the bench on June 3, 2024.

“It has been the greatest honor and privilege of my life to serve the people of Monroe County,” he told the Governor by letter.

“I’ve been basically working for the state of Florida as a prosecutor or a judge since 1989, and it’s a long time,” Garcia, then 61, told Keys Weekly in November. “I’m ready for a new stage in life, to spend more time with my family. I have grandkids now.”

On Dec. 17, 2024, a judicial nominating commission identified three candidates — Morgan, Donald Barrett and James Bridges Jr. — as appropriate candidates to replace Garcia.

DeSantis picked Morgan on Feb. 14, writing, “Your appointment is evidence of my utmost confidence in your ability to serve with excellence and distinction.”

Waters, meanwhile, replaces Judge Wayne Durden, who informed DeSantis that he would retire at noon on New Year’s Eve. He noted in the April 18, 2024, letter to the Governor that his retirement would come “a few days prior to the end of my current term which ends on Jan. 6, 2025.”

Durden sat on the 10th Judicial Circuit bench for more than 14 years and previously served as an Assistant State Attorney since 1987, including 18 years as Polk County Felony Director for the State Attorney’s Office.

“Altogether, I have been in public service for approximately 40 years,” he wrote. “I have decided it’s my time to retire.”

Waters was one of four nominees a judicial nominating commission identified on Dec. 12. Others included G. Cory Chastang, Monica Smith and Jennifer Steimle.

DeSantis selected Waters on Feb. 10 in a letter virtually identical to the one he sent to Morgan.

“Congratulations,” the Governor wrote, “and thank you for your willingness to serve the people of Florida.”


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Vanessa Oliver files bill to transfer Children’s Medical Services to AHCA

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Punta Gorda Republican Rep. Vanessa Oliver is backing a measure (HB 1085) to transfer the operation of the Children’s Medical Services (CMS) Managed Care Plan from the Department of Health (DOH) to the Agency for Health Care Administration (AHCA).

The transfer aims to ensure high-quality, family-centered and coordinated health services for children and youth with special care needs. The bill further includes provisions for collaboration between the CMS program and AHCA to establish evaluation measures, while seeking federal approval for certain Medicaid services amendments.

All records and personnel currently involved in the CMS Managed Care Plan under DOH would be transferred to AHCA, along with any unexpended balances of appropriations, pending issues, existing contracts and administrative authority to ensure that ongoing services and agreements remain intact during the transition process.

CMS would be required to conduct clinical eligibility screening for children and youth with special health care needs who are eligible for or enrolled in Medicaid or the Children’s Health Insurance Program.

AHCA would further seek federal approval to amend Florida’s Medicaid Model Waiver for home and community-based services to include children who receive private duty nursing services.

The amended waiver would be required to provide an array of tiered services to more broadly serve medically fragile children who receive these services to ensure that institutional care is avoided so children are able to remain at home.

Services would be required to be provided by health plans participating in the Statewide Medicaid Managed Care program. ACHA would be responsible for implementing the approved waiver subject to available funds, and any limitations provided in the General Appropriations Act, including a limitation on the number of enrollees in the revised waiver.

AHCA would establish specific measures of access, quality, and costs for providing health care services to children and youth with special health care needs. An independent evaluator would be contracted to conduct an evaluation of these services.

The bill would amend and repeal several Florida statutes to conform with the changes, with some being repealed Jan. 1, 2026, while others take effect July 1, 2025. It further states, with the exception of specified dates, the bill would come into effect upon becoming a law.


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