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Frederica Wilson warns Miami-Dade will be center of health care crisis if Republicans don’t relent on subsidies

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U.S. Rep. Frederica Wilson says Miami-Dade County will be the epicenter of calamity if Affordable Care Act (ACA) subsidies expire.

“We all know what is going to happen if these tax credits’ expirations are allowed to go into effect,” Wilson told Florida Politics. “That is what we are fighting for.”

The Miami-Dade Democrat released figures earlier this week showing that the 10 districts in the country with the most people enrolled for coverage through the Insurance Marketplace, better known as Obamacare, all sit in Florida. It’s a concern Democrats have sounded across the state.

According to the Kaiser Family Foundation, Wilson’s South Florida district has 258,000 individuals currently enrolled on Obamacare plans. That’s the third-highest number in the country, behind only districts represented by Republican U.S. Rep. Mario Díaz-Balart (300,000 enrollees) and Democratic U.S. Rep. Darren Soto (275,000).

But more importantly, all four congressional districts covering part of Miami-Dade County are in the top five. That includes districts represented by Republican U.S. Reps. Carlos Giménez (244,000) and María Elvira Salazar (236,000).

Wilson said it’s a looming nightmare for South Florida lawmakers, even if no Republican in Florida’s delegation will publicly address it. For the last nearly five years, Wilson has been the only Democrat representing Miami-Dade County in Congress.

“We don’t know how to even approach this in Miami-Dade County,” she said. “Our hospitals, our emergency rooms, our doctors’ offices, family health centers, everyone is just astonished and asking what we can do to circumvent this health care crisis. And it’s just alarming this is affecting one state so much, Florida, and one county, Miami-Dade.”

Díaz-Balart, Giménez and Salazar did not respond to requests for comment on whether Republican leadership should compromise on whether to eliminate subsidies. Wilson suggested that’s only because all are afraid of upsetting Speaker Mike Johnson or, more importantly, President Donald Trump.

“They are just as frightened as I am,” she said. “They are not sure how their constituents are going to handle this huge price increase.”

Soto, a Kissimmee Democrat, said he expects some solution to be reached soon.

“A lot of other House Democrats have been spending a lot of time in Washington trying to make the case for getting this resolved,” he said.

Meanwhile, Wilson said she has spoken with hospital leaders in the region who have stressed to officials the high percentage of patients who rely on ACA plans. The fear many have is that most, when confronted with premiums that leap thousands of dollars each year, simply won’t reenroll. That means emergency rooms will eat the costs of treating people who show up for all levels of care there, exactly the situation the ACA aimed to address when it was passed more than 10 years ago.

Wilson personally feels appalled that the U.S. remains the only Western nation without single-payer health care. But more of her constituents are satisfied to keep the current financial burden they already absorb for insurance.

“They are not asking for it to be free, but are asking for it to be affordable,” she said.

That’s at least true of the ones already aware of the coming price hike. Many won’t be notified until November that their premiums will rise, either through notifications in the mail or when it’s time to reenroll. If the federal shutdown has lingered until then and Republican leadership hasn’t offered any compromise on subsidies, she expects the number of calls coming into Florida offices to skyrocket.

As things stand now, only House Democrats, outside of Republican leadership, are even holding office hours in Washington. That surprises Wilson, who has served through past shutdowns and saw constant negotiations even if a solution took a long time to be reached. This has fed a sense throughout Capitol Hill that the shutdown won’t end any time soon.

“But when everyone is suffering, I’m not sure the American people are going to continue to accept this,” she said.



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Gov. DeSantis now says poorer counties will ‘eventually’ be on their own to deal without property taxes

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What once was framed as “budget dust” could eventually be gone with the wind, leaving local politicians in small towns with tough decisions in the coming years.

Gov. Ron DeSantis is reiterating his promise to give fiscally constrained counties money in his new budget proposal to replace potentially property tax revenues should they be phased out. But DeSantis is now saying those cash-strapped jurisdictions will have to do without supplementary funds down the road.

“I’m not saying it’s even going to be necessary, but I put in the budget enough money to completely, 100% reimburse any homestead property tax reduction for those fiscally constrained counties,” DeSantis said in Orlando.

“There’s some people that say you shouldn’t do that. But my view is it’s a little more difficult maybe for some of them. And now, eventually they’re going to have to figure it out.”

DeSantis rolled out the budget proposal to aid smaller counties during a cable news hit last week, but did not say there would eventually be an end to state-level generosity despite touting a “big surplus” to a national audience.

“We have 32 fiscally constrained counties. You know, Miami-Dade, Palm Beach, these are powerhouses. I’m putting in my budget the revenue to totally backfill every one of those rural counties. So they’re not going to miss a single thing,” the Governor said on “Fox & Friends.”

However, he first teased the idea in October.

“I can fund all that. I can take all 32 fiscally constrained counties, I could fund 100% of tax revenue that would be derived from a homestead Florida residence, property taxes. And it’s like budget dust for us,” DeSantis said in Panama City.

A total of 32 of Florida’s 67 counties are designated as fiscally constrained.

Typically lower in population and property value, they include Baker, Bradford, Calhoun, Columbia, DeSoto, Dixie, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Highlands, Holmes, Jackson, Jefferson, Lafayette, Levy, Liberty, Madison, Okeechobee, Putnam, Suwannee, Taylor, Union, Wakulla and Washington counties.

DeSantis has been leaning on lawmakers in the supermajority Republican Legislature to put a measure eliminating homestead property taxes on the ballot, even teasing a Special Session during the Summer if they don’t ratify something during the Regular Session.

That ballot measure would need 60% support should it be presented to voters.



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Stan McClain, Lauren Melo push for ‘Blue Ribbon’ projects to boost land preservation

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State lawmakers are considering a proposal aimed at encouraging Florida’s largest private landowners to serve as long-term stewards of both the natural and built environments, offering a framework supporters say better aligns growth, conservation and infrastructure planning.

Sen. Stan McClain and Rep. Lauren Melo have each filed bills (SB 354, HB 299) establishing “Blue Ribbon” projects, which would apply to landowners who control or own at least 10,000 or more contiguous acres. The measures would require participating landowners to conserve at least 60% of the property.

Under the bill, the plan must prescribe the development property over a 50-year planning period by meeting strict statutory requirements. Landowners would still have to earn approval from local governments based on compliance with the statutes, including development orders, and concurrency. 

“HB 299 creates a framework that secures large-scale private land conservation for the long term — without requiring state purchase or taxpayer subsidies,” Melo said.

“The legislation not only fosters responsible growth, it also expands the availability of attainable housing for Florida families. The Blue Ribbon Projects bill strikes a balance that will be good for our communities, while protecting natural spaces, wildlife corridors and critical water recharge areas.” 

The stated Blue Ribbon project goals are to protect wildlife and natural areas; limit urban sprawl; provide a range of housing options including missing middle and affordable housing; create quality communities designed to reduce vehicle trips and promote mobility options; and enhance local economic development objectives and job creation.

The proposal is born of a desire to implement smart growth strategies by ensuring growth occurs only where it can be supported. The proposal requires phased planning for water, wastewater, transportation, schools and utilities.

It also emphasizes sustainability beyond just conservation lands, by ensuring new development supports population density in compact communities that are mobility focused.

The measure also seeks to ensure the state is a good steward of taxpayer dollars, by allowing conservation lands to be secured without public dollars. 

Still in its early phases, the bill has some early detractors, such as the Sierra Club, worried the proposal constitutes a local government preemption. But Audubon Florida’s Beth Alvi has not taken a direct position and remains hopeful, telling POLITICO that Melo “has always been solutions-oriented and is a devoted advocate for her community.”

Supporters, meanwhile, argue the process actually gives local residents more say in development in or near their communities through a real remedy process for landowners or anyone who objects to the project proposal.

“These bills are about the Florida we leave behind. They secure meaningful land conservation at no cost to taxpayers, while giving our state a responsible way to plan for future growth. SB 354 and HB 299 also bring fairness and predictability to the review process and support sustainable development that pays its own way — providing the long-term certainty communities and local governments need to plan wisely,” McClain said.

The House version of the bill will be heard in its first committee, the Intergovernmental Affairs Subcommittee, Thursday at 9 a.m.



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First Coast manufacturing was generally flat in November, with signs of improvement

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First Coast manufacturers put the brakes on contraction for the first time in months in November, though the general industrial picture was flat.

The University of North Florida (UNF) Jacksonville Economic Monitoring Survey (JEMS) shows several sectors of the manufacturing elements expanded in November, the most upbeat turnaround on the First Coast in several months. Seven out of the 12 elements of the UNF survey showed the Purchase Managers Index (PMI) expanded last month. That’s a big change from October, when only two sectors showed expansion.

“Jacksonville’s headline PMI of 50 in November indicates that local manufacturing activity was essentially flat. This stands in contrast to the national PMI of 48.2, which shows that U.S. manufacturing continued to contract at a faster pace,” said Albert Loh, Interim Dean of the UNF Coggin College of Business who oversees the JEMS survey.

“Still, a flat PMI is relatively positive when compared with deeper national declines and highlights Jacksonville’s resilience heading toward 2026.”

UNF researchers from the JEMS project reach out to First Coast manufacturing companies each month to see where they stand on production and several other factors.

One of the key factors that showed expansion for North Florida manufacturers in October was output, which jumped from a 49 figure in October to 53 in November.

“A reading of 53 suggests a modest but meaningful pickup in business activity in the region. While not signaling a boom, it reflects resilience and indicates that local firms are navigating cost pressures, supply chain adjustments, and mixed demand with cautious optimism,” the JEMS report concluded.

New orders, another high-profile manufacturing element, also showed a substantial uptick increasing from a figure of 49 in October to 52 in November.

“New orders are a leading indicator, so this improvement points to potentially stronger production, hiring, and inventory activity ahead,” the JEMS report said.

Other factors that showed expansion in North Florida last month included output prices, average input prices, quantity of input purchased, inventory of input purchased and business activity outlook over the next year.

Key elements that are still sluggish with contraction included employment, backlogs of work, finished goods inventory and suppliers’ delivery times. New export orders were unchanged.



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