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Federal cuts amplify health care access, affordability debates

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As Florida lawmakers convene for the 2026 Legislative Session, health care advocates are calling on state leaders to prioritize access to and affordability of health care.

Advocates from across Florida gathered virtually last week to highlight mounting pressure on families, particularly children, as federal health policy changes take effect. The expiration of enhanced federal premium tax credits and the passage of last year’s One Big Beautiful Bill Act are projected to result in more than 10 million people nationwide losing coverage over the next decade.

In Florida alone, an estimated more than 1.5 million residents could lose insurance or face significantly higher premiums.

The situation is compounded by ongoing delays in implementing the state’s KidCare expansion and by Florida’s refusal to expand Medicaid, leaving hundreds of thousands of residents in what is commonly known as the Medicaid coverage gap.

Among the proposals Florida Voices For Health wants lawmakers to consider this Session are SB 1222, which would provide consumer protections related to medical debt; HB 1043, aimed at addressing shortages in the doula workforce; and HB 1091 and SB 1136, which focus on improving children’s oral health through better coordination between schools and families.

They are also urging lawmakers to strengthen Florida’s Medicaid program and press forward with the KidCare expansion. In 2023, the Governor signed a bill championed by then-House Speaker Paul Renner that expanded eligibility for KidCare — the state’s version of the federal children’s health insurance program — by allowing families that earn up to 300% of the federal poverty level to qualify. The prior threshold was 200%.

However, implementation has stalled amid an ongoing lawsuit over a federal stipulation requiring states to comply with a 12-month continuous eligibility requirement, even if they miss monthly premiums. The rule applies to all states, but Florida was the only one to challenge it.

While state leaders say the federal requirement is too costly and restrictive, the legal fight has effectively frozen a policy that lawmakers from both parties supported and subsequently left families who would otherwise qualify in limbo.

“The expiring subsidies and this failure to implement KidCare expansion are really a double whammy for children in Florida,” said Joan Alker, Executive Director of the Center for Children and Families at Georgetown University. “It’s critically important for families’ economic security and access to care to have insurance — and for children, having short gaps in coverage is problematic.”

Florida Health Justice Project Policy Director Melanie Williams said the upcoming Session is pivotal and, if lawmakers act, could “be remembered as a turning point: when Florida chose to protect families, support healthy births and childhoods, and build a stronger, more equitable future for our state.”

It’s unclear whether the bills supported by Florida Voices for Health will gain traction, though the dental screenings measure starts Session with cross-party support, with Republican Sen. Alexis Calatayud and Democratic Rep. Kelly Skidmore sponsoring SB 1136 and HB 1091, respectively.

The measure would allow schools to conduct visual dental screenings — without diagnosing or treating oral conditions — as part of an existing preventive program, after parents receive written notice and an opportunity to opt their children out.

“We want to make sure, in our continued collaborative discussions on supporting parents’ rights, that we’re working with Democrats to empower parents with this information and provide next-step opportunities, especially for lower-income families that may not have access to regular dentist visits,” Calatayud told Florida Politics ahead of Session.

“We’re explicitly allowing and creating an opt-out provision if parents don’t want it, but this is an important public health opportunity to give kids of all socioeconomic backgrounds equal access to dental hygiene.”

Calatayud and Skidmore filed their bills last week, and they were assigned Committee references on Monday. SB 1222’s first stop is the Senate PreK-12 Education Committee; HB 1091’s is the Student Academic Success Subcommittee.

Miami Democratic Rep. Ashley Gantt is sponsoring HB 1043 to establish the Doula Workforce Development Support Program. The program, which would be housed at FloridaCommerce, aims to reverse the state’s rising maternal mortality and morbidity rates by providing grants to existing doula training organizations so they can expand, particularly in “rural maternity-care deserts” and urban counties with high maternal morbidity disparities.

The trend disproportionately affects Black women and is not unique to Florida. Nationally, maternal mortality — the death of a woman during pregnancy, childbirth, or up to a year after delivery — rates are two to three times higher among Black women than White women.

Additionally, AHCA data on Medicaid births shows a significant racial disparity for neonatal deaths and live infant deaths, with a 2024 report noting that in nearly half of neonatal deaths and live infant deaths, the mother was Black; Black women accounted for about a third of overall births in the dataset.

HB 1043’s first stop is the Health Professions & Programs Subcommittee. Democratic Sen. Rosalind Osgood is sponsoring a similar, but not identical, bill.

Meanwhile, Doral Republican Sen. Ana Maria Rodriguez is sponsoring SB 1222, which aims to curb aggressive debt-collection practices against patients who incur medical debt, particularly while eligibility for financial assistance is still being determined. In those instances, the bill prohibits medical debt creditors and collectors from using or threatening to use actions such as property liens, arrests, lawsuits, or reporting the debt to consumer reporting agencies. It has been referred to the Health Policy, Banking and Insurance and Rules committees.

Taken together, Florida Voices for Health says its preferred legislation would significantly address the health care access and affordability crises.

“When we talk about doing things that would affect the ACA, would affect Medicaid, would affect county funding — it affects the patients that I’m going to see tomorrow. This last-ditch idea of ‘If all else fails, they can go to the ER’ does a disservice to residents in Florida,” said Dr. David Woolsey, an emergency medicine doctor at Jackson Health System and the Vice President of SEIU Local 1991.



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Mike Suarez leads the cash battle as Dems seek to reclaim HD 64 after Susan Valdés party swap

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Former Tampa City Council member Mike Suarez is by far the top fundraiser so far in the race for House District 64.

Suarez raised nearly $32,000 in the fourth quarter of 2025, more than twice what his closest opponent raised in the same period. But that candidate, Luis Salazar, didn’t enter the race until about halfway through the period.

Still, Suarez maintains about $29,000 in his coffers, compared to just shy of $10,000 for Salazar.

Both are Democrats. They also face fellow Democrat José “Dante” Sánchez-Sánchez, but he has not yet filed a campaign finance report despite the passage of Monday’s filing deadline. One Republican is running, Amaro Lionheart. He also has not yet filed a finance report.

The candidates are vying to replace term-limited Rep. Susan Valdés, who is now a Republican but was elected as a Democrat.

The district has a voter advantage for Democrats, who make up more than 37% of the electorate. Republican voters, meanwhile, account for nearly 29% of the district’s voters, according to the most recent L2 voter data.

Suarez brought in 82 contributions last quarter, averaging about $386 each.

Top donors cutting maximum $1,000 checks include Travis Mitchell & Associates, a local government relations firm; Parkway Corporation CEO Robert Zuritsky and its Chair, Joe Zuritsky; Blue Sky Communities President Shawn Wilson; developer Bernard Arenas; Hillsborough County Commissioner Harry Cohen’s Hillsborough Together political committee; developer Jonathan Levy; contractor Joseph Williams; the Florida Insurance Council/ The Travelers Companies; the Tower Hill Insurance Group; and Tampa Bay Entertainment Properties, which is Jeff Vinik’s events operations firm.

Suarez’s top expenditure, at nearly $6,500, was to Tampa-based Womack Strategies for political consulting, run by communications strategies Michael Womack. Suarez also spent $3,885 on his campaign kickoff expenses at Florida Avenue Brewing Co. and paid campaign staffer Sebastian Leon about $2,100.

Salazar raised $15,497 from the time he entered the race in late October through December, and spent about $5,500 during that same period.

Salazar is running a grassroots campaign, with 335 contributions averaging less than $47 each. He only took in two top-dollar $1,000 contributions and just a handful of $500 checks.

His top expenditure was nearly $1,500 paid to Alex Honda for consulting, followed by $704 paid to Mark Hanisee, a former Pinellas County Democratic Party Chair, also for consulting fees.

“Our campaign is powered by people, not special interests,” Salazar said. “The fact that over 400 individuals chose to invest in this movement so early on says everything about the hunger for change. I am humbled and energized by the support.”



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Retired Police Sgt. Jim DeNiro launches Sarasota County Commission bid

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Retired Sarasota Police Department Sgt. Jim DeNiro has entered the race for Sarasota County Commission in District 4, setting up a Republican Primary challenge against first-term Commissioner Joe Neunder.

DeNiro, a lifelong Republican, said his campaign will focus on affordability, public safety, growth management, environmental protection and greater accountability in county government. He said his nearly 40 years of public service in Sarasota County has prepared him to oversee county operations and budgets.

DeNiro retired from the Sarasota Police Department after a career that included criminal investigations, narcotics enforcement, patrol operations, traffic and marine units, emergency management, and leadership of the Underwater Search and Recovery Unit. He was also responsible for managing unit budgets, personnel deployment, training expenses and equipment purchases during his tenure.

“Sarasota County families are paying close attention to rising costs, and county government should do the same,” DeNiro said in a statement. “When the County Commission approves a record $2.5 billion budget that draws roughly $23 million from county reserves, that level of spending warrants careful scrutiny, continued oversight, and a renewed focus on fiscal discipline.”

DeNiro said District 4 is under pressure from rapid population growth, raising concerns about traffic congestion, infrastructure capacity, storm preparedness and the preservation of neighborhood and coastal character.

“In District 4, we feel growth every day — on our roads, in our neighborhoods, and along our coastlines,” DeNiro said. “Growth must be managed responsibly, with infrastructure, public safety, and environmental protection keeping pace — not falling behind.”

DeNiro also highlighted his service on the county’s Environmentally Sensitive Lands Oversight Committee, where he worked to ensure conservation programs funded by taxpayers are transparent and effectively protect water quality and wildlife habitat. DeNiro also served on the Traffic Advisory Committee and was involved with local civic and nonprofit organizations, including efforts aimed at combating human trafficking.

DeNiro lives in Sarasota County with his family and is married with two children. Now working as a licensed Realtor and mortgage loan officer, DeNiro said his experience helping families, retirees, veterans and first-time homebuyers has reinforced his belief that county government should remain efficient and taxes kept low.



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Neal Dunn to retire, won’t seek re-election in CD 2

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U.S. Rep. Neal Dunn will not seek another term in Congress. The Panama City Republican announced he will retire after a decade in the House.

“After much prayerful consideration and discussion with my family, I have decided not to seek re-election to the United States House of Representatives,” Dunn said. “This will conclude my service after five meaningful terms representing the people of Florida’s Second Congressional District.”

CD 2 covers parts of the Panhandle and Big Bend. Dunn easily won re-election in 2024 over Democrat Yen Bailey with about 61.7% of the vote. More than 58.5% of voters there supported Republican Donald Trump over Democrat Kamala Harris for President, according to MCI Maps, and more than 60% of voters backed GOP U.S. Sen. Rick Scott’s re-election.

Still, the district could generate bipartisan interest, especially as Florida sets out on redrawing its congressional lines ahead of the Midterms.

When Florida last redrew its political boundaries in 2022, it pitted Dunn against U.S. Rep. Al Lawson, a Tallahassee Democrat, in Florida’s only incumbent-on-incumbent battle of the cycle. Dunn ultimately defeated Lawson with 60% of the vote.

Before lines were redrawn, Dunn actually flipped CD 2 from Democratic control in 2016, when he defeated Democrat Walter Dartland, winning a then-open seat with more than 67% of the vote.

The district was redrawn that cycle as well, with the Florida Supreme Court tossing the state’s map and crafting a Panama City-centered district. Under a prior configuration, it was represented by U.S. Rep. Gwen Graham, a Tallahassee Democrat who opted not to seek re-election under the new map.

But now, the 72-year-old said his work in Washington is done.

“As a physician, an Army surgeon, and veteran from a multi-generational military family, I brought my commitment to life, liberty, and conservative values to Washington. It has been my greatest honor to fight for lower taxes, our military and veterans, the unborn, healthcare innovation, and policies that empower Americans over bureaucracy and addressing threats from Communist China, Russia and others,” Dunn said.

“The time has come to pass the torch to new conservative leaders, return home to Panama City, and spend more precious time with my family and our beloved grandchildren. I am deeply grateful for your trust, support, and prayers over these years.”



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