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HHS to decertify University of Miami organ agency, Robert F. Kennedy Jr. announces

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For the first time ever, federal officials are moving to fire an organization that coordinates organ donations in the United States.

Robert F. Kennedy Jr., Secretary of the U.S. Department of Health and Human Services (HHS), just announced plans to decertify the Life Alliance Organ Recovery Agency, a University of Miami-based organ procurement organization.

The move comes, he said, after investigators found years of unsafe practices, poor training, understaffing and paperwork errors that endangered patients and undermined public trust.

“We are taking bold action and historic action to restore trust in the organ procurement process,” Kennedy said Thursday about the decision by the Donald Trump administration. “We are acting because of years of undocumented patient safety data failures and repeated violations of federal requirements, and we intend this decision to serve as a clear warning.”

Kennedy added that Life Alliance has “a long record of deficiencies directly tied to patient harm.”

“There was a 65% staffing shortage, consistently, across the years and may have caused as many as eight missed organ recoveries each week, roughly one life lost each day,” he said. “Unlike the Biden administration, which ignored these problems and failed to act, the Trump administration is setting a new standard (where) patient safety comes first.”

Life Alliance is one of 55 nonprofits under federal contract to arrange transplants. If its decertification is finalized, another organ procurement organization would assume its responsibilities in South Florida.

Life Alliance has the right to appeal. It did not immediately respond to requests for comment.

The decision by HHS follows New York Times reporting that uncovered repeated errors across the national transplant system, including cases in which patients may not have been legally dead before organ recovery began.

In one 2023 case involving Life Alliance, hospital staff removed a patient’s organs after withdrawing life support, even though the man reportedly cried and bit his breathing tube.

Problems also included “line skipping,” where patients lower on the waitlist were chosen over sicker or longer-waiting patients. According to federal officials, organ procurement organizations nationwide bypassed patients in nearly 20% of transplants last year — six times the rate from only a few years ago.

A former Life Alliance executive told the Times he disliked the practice but acknowledged it saved money.

HHS said nearly 100,000 Americans are currently on organ waitlists. About 13 die each day waiting.

At the same time, more than 28,000 donated organs go unmatched each year.

“If families lose trust, fewer will choose donation,” said Thomas Engels, head of the HHS division that oversees the transplant system. “That is simply unacceptable, and we are here to fix it.”

Deputy Secretary Jim O’Neill said the former President Joe Biden’s administration had “turned a blind eye” to such failures.

“That neglect not only cost patients their chance at life, but it stalled the innovation our system so desperately needed. Today, we are correcting those failures by restoring transparency and embracing forward-looking solutions,” he said.

Dr. Mehmet Oz, Administrator of the Centers for Medicare and Medicaid Services, stressed that the agency has a duty to hold organ procurement organizations accountable.

“For too long, patients and families have suffered from systemic failures,” he said. “We are enforcing rigorous standards and modernizing the system with better data, stronger oversight, and innovative tools.”

Kennedy said all organ procurement organizations will now be required to appoint patient safety officers to monitor adverse events, investigate problems and serve as a point of contact for families and hospitals.

Reforms coming soon or already in motion, he said, include safeguards against line skipping, a new transparency tool to track allocations and an independent governing board for the Organ Procurement and Transplant Network, the national system that manages organ donation and transplantation in the U.S.


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Bedrock, we have a problem

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William Mattox.

A funny thing happened in the Legislature last week. While the House was holding an “AI Week” to talk about all sorts of futuristic possibilities straight out of “The Jetsons,” the Senate Appropriations Committee passed a school choice “glitch bill” that seems better suited for the Stone Age of “The Flintstones.”

To its credit, the Senate wants to address a problem that has arisen in Florida’s highly popular school choice programs — namely, tracking students as they move from one mode of education to another during the school year.

Thankfully, such mid-year movements don’t occur very often. But when they do, they can throw a wrench in things because Florida’s public school computers don’t talk with our state’s scholarship program computers.

Thus, when a mid-year schooling change takes place — due to a family emergency, a bullying situation or some other reason — there’s a chance a student could end up being counted twice (once by each system).

Now, the seemingly obvious solution to this “double counting” problem would be to fix the computers and create a single point of entry for every Florida K-12 student to be registered in the state. Then, as students move from one mode of schooling to another, it would be easy to track them (and to ensure that the dollars for their education follow them wherever they go).

The Senate “glitch bill” sponsor acknowledges this. But instead of getting the techies involved, he wants Florida parents to start filing paperwork — every month! — confirming that their child is still in the scholarship program and wishes to remain there. And get this — if parents slip up and miss a deadline, their child would not receive any education funding for that month.

Bedrock, we have a problem.

Now, maybe someone in the Stone Age would find it reasonable to require parents to submit monthly attestations that they are still doing what they did last month. And maybe in the town of Bedrock it would seem fair to tell taxpayers that they can’t have any of the dollars they’ve paid into the K-12 system unless they jump through monthly hoops and barrels.

But here in the Digital Age, the Senate sponsor’s proposed remedy seems very draconian.

Which is a great shame. Because no one denies that “double counting” is a problem. And no one denies that the Senate sponsor is well meaning.

The only question is whether we need a “solution” that seems straight out of Bedrock. Or a true remedy that shows greater respect for Digital Age parents living in a world with AI.

___

William Mattox is the senior director of the Marshall Center for Education Freedom at The James Madison Institute.



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Property tax cuts, elimination would hit Florida’s rural communities hardest

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A new study by the Florida League of Cities warns that eliminating or slashing property taxes would hit rural communities hardest, as many already operate with little fiscal margin while relying heavily on property taxes to fund essential services.

As lawmakers weigh proposals to eliminate or sharply expand Florida’s homestead exemption, the League’s analysis finds the fiscal fallout would be uneven, placing far greater strain on rural and inland municipalities with limited revenue diversity.

In smaller cities, most of them rural, predictable ad valorem revenue is the backbone of municipal budgets, supporting police and fire protection, infrastructure maintenance, and local economic development.

“Without compensatory measures, reforms risk eroding long-term service capacity and weakening rural revitalization strategies,” the report says.

The pressure is particularly acute in rural regions such as the Panhandle, where some small jurisdictions devote all of their property tax revenue — and more from other sources — to police, fire and emergency medical services.

With narrow tax bases and limited alternatives, those communities must tap other general fund sources simply to keep essential services operating.

Infrastructure costs compound the challenge. A microsimulation conducted for the League found that public works and transportation spending is especially vulnerable in rural and coastal communities with large land areas and infrastructure-intensive responsibilities.

In many of those jurisdictions, the scale and environmental complexity of roads, drainage systems and stormwater management drive costs that are fundamentally mismatched with local taxable value.

“As policymakers consider reforms to the homestead exemption or property tax system,” the report says, “these geographic disparities underscore the need to account for infrastructure-driven fiscal stress, which cannot be easily reduced through efficiency gains or service cuts.”

The study estimates that eliminating homestead property taxes outright would result in a 38% loss of ad valorem revenue and a 14% drop in overall general fund revenue statewide, forcing millage rates to nearly double to avoid service cuts.

Large fixed-dollar exemptions of $250,000 to $500,000 would still produce revenue losses of 25% to 32%, requiring millage increases of 20% to 70% on remaining taxable properties to break even.

Researchers at Wichita State University used a microsimulation model to estimate how various homestead property tax reform proposals would affect municipal revenues across Florida.

After establishing a baseline of each city’s fiscal structure from 2018-2024, they applied reforms — including complete elimination, tiered exemptions and a 32% discount — to parcel-level values under just, assessed and taxable valuation bases.

They then calculated the resulting revenue losses and the millage rate increases needed to keep budgets whole before then breaking the results down by region, population size, housing values and income to show which communities would be most impacted.

The study comes months after DeSantis vetoed a $1 million earmark in Florida’s budget that would have funded a study on the potential impacts of eliminating property taxes. A Florida Policy Institute study released in February found that Florida would need to double its sales tax to 12% to offset the local revenue losses that ending homestead taxes would cause.



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American Council of Engineering Companies gives awards to 14 firms that worked on Florida projects

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The American Council of Engineering Companies of Florida (ACEC Florida) is awarding more than a dozen engineering firms responsible for Florida public projects for their work.

The projects being honored range from complex road interchanges to environmental projects. The Engineering Excellence Awards will be presented at the ACEC Florida banquet set for Feb. 13 at the Hyatt Regency in Orlando.

Of the 14 engineering companies that will be honored for their Florida work, seven firms will snag top honors known as “grand awards.” Out of those, one will be named the Florida “Grand Concepter Award” winner. All of those top seven recipients will be eligible for the national Grand Conceptor title.

“Florida’s professional engineering community are among the finest in the country, and we’re proud to recognize their extraordinary contributions and innovations,” said Richard Acree, President of ACEC Florida. “The business of engineering is delivering through design build projects that are enhancing the lives of Floridians.”

The Grand Award winners include:

— Black & Veatch for Water Resources category and an H2.0 Purification Center for JEA.

— DRMP, Inc. for Transportation category and the Wekiva Parkway Section 8 Interchange Design-Build for Florida Department of Transportation.

— Hanson Professional Services Inc. for Transportation category for the Bartow Executive Airport Digital ATC Tower for the Bartow Executive Airport Development Authority.

— Kisinger Campo & Associates, Corp. in the Studies, Research and Consulting category for the SR 429 Widening & Systemwide Flex Lanes for the Central Florida Expressway Authority.

— Taylor Engineering, Inc. for the Studies, Research and Consulting category and the Florida Department of Environmental Protection Statewide Vulnerability Assessment.

— TLP Engineering Consultants, in the Transportation Category for the State Road 417 Widening from I-Drive to John Young Parkway for the Central Florida Expressway Authority.

— WGI, in the Transportation category for the Jacksonville Transportation Authority Bay Street Innovation.

The companies named for Honor winners include:

— CHA Consulting, Inc.

— EAC Consulting, Inc.

— Hanson Professional Services Inc.

— Jacobs.

— PRIME AE Group, Inc.

— Wade Trim.

— WGI, Inc.



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