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Orange County is helping people plan their wills and get out of medical debt

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For the first time, Orange County government is offering free estate planning for residents who don’t have wills. Meanwhile, 49,000 more residents in the county will discover their combined $49 million in medical debt is cleared.

Orange County gave an update on how it is spending grant funding and federal COVID stimulus money to help people.

“Orange County takes pride in being the first local government in Florida to establish a Financial Empowerment Center, endeavoring in new and exciting ways to aid local residents grow, prosper and find financial stability,” said Lavon Williams, deputy director for Orange County Community and Family Services.

“The addition of the new legacy planning service shows our county’s ongoing and dedicated commitment to helping area residents, and future generations to come, realize the American dream.”

Since launching last year, the Financial Empowerment Center already helped people create budgets and get out of debt. But now professional financial counselors will take in-person and virtual appointments for one-on-one sessions to plan wills, which most Americans don’t have. The services  are paid for by an existing grant of $300,000 from the Cities for Financial Empowerment Fund, according to the county.

“With the addition of legacy planning services, counselors also can help Orange County residents protect and preserve those assets for future generations,” said Jonathan Mintz, President and CEO of the Cities for Financial Empowerment Fund.

“We are thrilled to partner with Orange County to provide these crucial services and ensure that legacy planning is available for everyone.”

Meanwhile, Orange County has spent federal COVID stimulus funds to wipe away medical debt for residents already living in poverty.

In 2024, the county gave a $4.5 million contract to Undue Medical Debt, a nonprofit that analyzes and buys medical debt at a fraction of the cost from both local hospital systems and third-party debt collection agencies.

“To date, the County has eliminated over $515 million of medical debt for more than 302,000 residents. Approximately $3.94 million has been used from the program’s budget,” the county said in an update this week, announcing that a new round of $49 million in medical debt had been paid.

One Orange County resident whose $7,000 bill was paid this year was grateful for the help.

“Medical debt is more than a financial burden, it is an emotional weight,” Sheila Santiago said in a statement.

Orange County residents who are being helped meet the economic guidelines by either living in households with an income at or below 400% of the federal poverty level, or their medical debt equaled or exceeded 5% of their total household income, according to the county.



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Hillsborough College Trustees OK first step in Tampa Bay Rays stadium talks

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The Tampa Bay Rays’ search for a new home took a tangible step forward as the Hillsborough College Board of Trustees approved a nonbinding agreement that could ultimately shift the franchise away from St. Petersburg under its new ownership.

The Board voted to approve a memorandum of understanding (MOU) authorizing staff to negotiate with the Tampa Bay Rays over a potential stadium and mixed-use redevelopment at the college’s Dale Mabry Campus.

The agreement does not commit the college to the project and can be terminated by the Board at any time. Instead, it outlines key terms the parties would like to see in any future binding agreements, which would require separate Board approval at a later public meeting.

College officials characterized the MOU as the beginning of negotiations. Under the document, staff would begin drafting potential project agreements for Trustees to consider in the future, with an anticipated negotiation timeline of up to 180 days.

Rays CEO Ken Babby addressed Trustees during the meeting, calling the proposal an early milestone. He emphasized that the effort involves the college, the team, the state and local governments. Babby said the Rays are exploring a roughly 130-acre redevelopment anchored by a new stadium and an integrated college campus, alongside residential, commercial and entertainment uses. 

“As we envision this development, together in cooperation and partnership with the community and the college, we’ve been calling the campus portion of this work ‘Innovation Edge’ featuring Hillsborough College,” Babby said.

“It’ll be neighbored by, of course, what we envision to be ‘Champions Corridor,’ which we hope will be the mentioned home of the Tampa Bay Rays. Of course, this will be a mixed-use with residential, with commercial, and, as we’ve said, billions of dollars of economic impact to the region. … This is an incredible moment for our community.”

Public input was split. Supporters recognized the economic impact the project could have, while critics worried about the effect on housing affordability, in particular for college students.

Following the vote, Trustees acknowledged uncertainty among students, faculty and staff, particularly those based at the Dale Mabry campus, but stressed that the approval did not determine final outcomes.

“This is a major decision, and I truly hope that it leads Hillsborough College towards growth and advancement,” Student Trustee Nicolas Castellanos said. 

Trustee Michael Garcia echoed the sentiment.

“It’s a tremendous day for the future of Hillsborough College and for the future of Major League Baseball in the area and also for the future of the city of Tampa,” Garcia said.

Gov. Ron DeSantis publicly expressed support for the concept ahead of Tuesday’s meeting, saying it could benefit both the college and the region, while cautioning that details still need to be resolved.

“It could be very good for HCC, and I’ve met with the President about it. I think he’s excited about the possibility,” DeSantis said in Pinellas Park.

“Obviously, they’ve got to iron out details. But basically, we’re supportive of them pursuing that partnership because I think it could be good for them. I think it could be good for the state. But I definitely think it could be really good for this region.”

Also ahead of Tuesday’s meeting, Tampa Mayor Jane Castor told Florida Politics the city and Hillsborough County have been in ongoing discussions with the Tampa Bay Rays as the team explores long-term stadium options — including the potential Hillsborough College site. She emphasized that any future stadium proposal would require coordination among multiple governments and would be evaluated alongside existing contractual obligations related to other major sports facilities.

No timeline for construction, campus relocation or final land disposition was discussed Tuesday. College officials emphasized that any binding agreements would return to the Board of Trustees for approval at a future public meeting.

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A.G. Gancarski and Janelle Irwin Taylor of Florida Politics contributed to this report.



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House panel approves bill to expand James Uthmeier’s power to target physicians

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A House subcommittee approved a bill to give Attorney General James Uthmeier expanded power to investigate health care professionals for taking care of transgender youth.

The Criminal Justice Subcommittee passed HB 743 with a 12-5 vote as Democrats and LGBTQ+ advocates rallied against it.

Under the bill, Uthmeier would be allowed to investigate and sue health care practitioners who give puberty blockers, hormones or other prescriptions to minors, or perform surgical procedures. Each violation could bring up to a $100,000 fine.

Uthmeier’s amplified authority would come after the state previously banned gender-affirming care for minors in 2023.

But Rep. Kelly Skidmore warned lawmakers that it was dangerous to give Uthmeier more power following the Hope Florida scandal.

“No disrespect to the folks who are here about gender-affirming care, but that’s not what this bill is about,” the Boca Raton Democrat said. “It is about giving one individual and maybe his successors authority that they don’t deserve and they cannot manage. They’ve proven that they cannot be trusted. This is a terrible bill.”

Uthmeier, then Gov. Ron DeSantis’ Chief of Staff, chaired a political committee that was funneled millions of dollars from a $10 million state Medicaid settlement. Critics have accused DeSantis and Uthmeier of misappropriating the money to use for political purposes. Uthmeier has denied wrongdoing.

But at Tuesday’s hearing, Rep. Taylor Yarkowsky argued Uthmeier is doing “unprecedented work” to protect kids. The lawmaker added that he is against minors transitioning until they are 18 years old and can legally decide for themselves.

“I understand this is a tough situation and I know that these feelings and emotions are real,” the Montverde Republican said. “But we have to uphold the principles and standards that made this country great, biblical, constitutional law and order at all costs. And sometimes that stings.”

HB 743 would also update the law to add that a health care practitioner who “aids or abets another health care practitioner” giving gender-affirming prescriptions or doing procedures to minors would now be charged with a third-degree felony. That could mean pharmacists filling prescriptions at Publix or Walgreens could potentially be charged for crimes, said Rep. Lauren Melo, the bill sponsor.

Melo said her bill comes as some minors are trying to skirt state law.

“What we’re seeing is there’s coding that’s actually being used that is becoming the problem, and hundreds of thousands of dollars is spent per child for them to transition and codes are being misrepresented where they are saying that it’s an indoctrination disorder instead of saying it’s a gender identity disorder,” Melo said.

Minors who have been receiving gender-affirming care continuously since May 2023 are exempt from state law, so the bill’s changes would only be applied to minors receiving care for the first time, the Naples Republican added.

Rep. Mike Gottlieb, who also believed the bill was giving Uthmeier too much power, said it could have other unintended consequences. The bill could scare doctors from prescribing medicine that helps women with bad menstruation symptoms — which has nothing to do with gender-affirming care, he said.

“You’re going to see doctors not wanting to prescribe those kinds of medications because they’re now subject to a $100,000 penalty,” the Davie Democrat said. “We really need to be cautious. I get where many of us sit in this battle. … We pass some of these laws, it’s a knee-jerk reaction. … We’re really not considering what we’re doing and some of the collateral harms that it’s having.”

He said he worried the bill would force more physicians to leave Florida.

But Melo argued her legislation was important because “unfortunately, what’s happening is there are physicians that are actually committing fraud.”

“This gives us an avenue to pursue and punish the people that are committing fraud against a minor child,” she said.

Shawna Flager, a mom advocating for her child who is transgender, criticized the bill during Tuesday’s debate.

“I feel like it introduces ambiguity. It also uses the government to create fear and intimidate our health care providers,” said Flager, of St. Augustine.



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Florida shouldn’t gamble with patient safety on false promises

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Florida lawmakers are once again being asked to expand unsupervised anesthesia practice, this time under the familiar banner of “access,” “cost savings,” and “modernization.” We are told this is inevitable — that “48 states already have similar laws,” and Florida is simply behind the curve.

That claim collapses under even minimal scrutiny.

Let’s be clear about what is being proposed: allowing Certified Registered Nurse Anesthetists to practice independently, without physician anesthesiologist supervision, in all settings. This is not a minor regulatory tweak. It is a fundamental change in how anesthesia care — one of the riskiest aspects of modern medicine — is delivered.

If lawmakers want to make policy based on evidence rather than talking points, three facts matter most.

Physician-led anesthesia care is the safest model.

Anesthesia is not just about “putting patients to sleep.” It involves managing complex physiology, responding to sudden, life-threatening emergencies, and caring for patients with multiple comorbidities — often when things go wrong quickly. Physicians who practice anesthesiology complete four years of medical school, four years of residency, and often additional fellowship training. That depth of training matters when seconds count.

The safest anesthesia outcomes consistently occur in physician-led teams, where anesthesiologists work alongside Certified Registered Nurse Anesthetists. Team-based care maximizes patient safety by matching expertise to the complexity of each patient’s care. Eliminating physician oversight does not improve safety; it removes a critical layer of protection.

Florida should be strengthening team-based care — not dismantling it.

Unsupervised anesthesia is not more cost-effective.

Proponents often claim that removing physician supervision lowers costs. The data do not support this. Medicare pays the same for anesthesia services regardless of whether a physician anesthesiologist is involved. Further, having an anesthesiologist present to manage complications helps control costs by reducing hospital stays and downstream medical expenses.

The cheapest anesthesia is the one that goes right the first time — and the safest model is also the most cost-effective in the long run.

These laws do not help rural communities.

This is where rhetoric diverges most sharply from reality. State “opt-out” laws allowing unsupervised anesthesia have been studied for more than a decade. The conclusion is consistent: they do not increase access to anesthesia services in rural or underserved areas.

Certified Registered Nurse Anesthetists, like all health care professionals, tend to practice where hospitals are well-resourced and professionally supportive. Opt-out states did not see a meaningful expansion of anesthesia services in rural hospitals. Workforce shortages remained unchanged.

If unsupervised practice were the solution, rural access problems would already be solved. They are not.

Supporters now claim that nearly every state has “similar” laws — a creative redefinition that lumps together wildly different regulatory frameworks. Supervised practice, delegated authority, limited opt-outs, and emergency exceptions are being counted as “unsupervised care.” Florida should not make major patient-safety decisions based on inflated numbers and fuzzy definitions.

This proposal is not about modernization. It is not about rural access. And it is not about saving money. It is about replacing the safest, most cost-effective anesthesia model with one that offers no proven benefit — and real risk.

Florida’s patients deserve policies grounded in evidence, not exaggeration. Lawmakers should reject unsupervised anesthesia and instead invest in physician-led, team-based care that puts safety first — every time.

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Rebekah Bernard, M.D., is a family physician in Fort Myers and a Board member of Physicians for Patient Protection.



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