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State agency says it needs that much to keep Canadian Rx importation efforts alive

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The Gov. Ron DeSantis administration may ask the Legislature for an additional $4 million to maintain a warehouse in Lakeland for the state’s Canadian Prescription Drug Importation Program.

The Agency for Health Care Administration (AHCA) seeks the support in its legislative budget request for Fiscal Year 2025-26. Florida law requires agencies to submit spending requests that can serve as a sneak peak of what the Governor will include in his recommended budget for the coming year.

Without the annual $4 million bump, “AHCA would be unable to implement the program as directed by the Legislature and no longer have the infrastructure required to support the Program,” the agency wrote in its budget request.

Florida was the first state to gain approval to import prescription drugs from Canada when the Food and Drug Administration gave the state the green light in January 2024 for a two-year pilot project.

But it continues to face delays in implementation.

AHCA is required to submit a report annually to the Legislature and the Governor’s Office with a lengthy list of data requirements and documentation showing “the program provides cost savings to the state on imported prescription drugs. “

The Florida Phoenix requested copies of annual reports from 2021, 2022, 2023 and 2024, but the agency did not respond.

The $4 million request coincides with the Lakeland Ledger’s dive into the payments the DeSantis administration has made to LifeScience Logistics, which holds the contract with the state to administer the yet-to-be implemented program.

Four years after LifeScience Logistics built a warehouse in Lakeland, the Ledger reported the “facility is a quiet place.” The lack of activity belies a financial footprint that shows LifeScience Logistics received $77.2 million in Fiscal Year 2025. That was a sharp increase from the $51.7 million the company collected for the contract between Fiscal Years 2021 through 2024.

“Since July 1, the start of fiscal year 2026, the state has paid the company $3.7 million. That includes three deposits on Sept. 2 totaling $1.3 million for construction services,” the Ledger reported.

Alex Azar is Chair of the Board for LifeScience Logistics. Azar served as U.S. Secretary of Health and Human Services under President Donald Trump’s first administration.

Medicaid survey

AHCA’s request also shows that the state wants a baseline analysis of its Medicaid population’s health and social services “to support informed policy decisions and allocation of resources to support individual Medicaid enrollees on their path towards stability, economic self-sufficiency, and graduation from enrollment.”

There were 4.07 million people enrolled in Florida’s Medicaid program in August 2025, the latest available data. Florida’s top economists routinely meet to analyze Florida Medicaid data and to project costs, utilization, and enrollment trends. The group, known as the Social Services Estimating Conference, examines Medicaid costs with the exception of those related to people with intellectual or developmental disabilities.

The budget narrative says AHCA would competitively procure the $3.5 million contract.

Network provider audits

AHCA relies on Medicaid managed care plans to care for the majority of people in the safety net program. The August data show 2.96 million enrolled in some sort of state-contracted Medicaid managed care plan.

The plans are required to maintain a network of providers to meet the health care access standard set by the state. Plans must establish and maintain an accurate and complete electronic database of contracted providers, locations, and hours of operation, plus specialty credentials, among other things. Each managed care plan is required to submit quarterly reports to the Agency identifying the number of enrollees assigned to each primary care provider.

In its budget narrative, AHCA says it needs $6.8 million to hire an outside vendor to audit the provider networks “and any other activities to verify provider networks as identified by the Agency.”

Unlike other spending proposals, that $6.8 million isn’t coming from public coffers, per se. “The managed care plans will pay the Agency for the expenses of the vendor’s network review, at the rates established by the Agency, proportionate to the managed care plan’s enrolled population. The Agency will then transfer payment to the vendor for services rendered,” the budget notes.

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Christine Sexton reporting. Florida Phoenix is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Florida Phoenix maintains editorial independence. Contact Editor Michael Moline for questions: [email protected].


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While St. Pete Beach residents were locked out after Hurricane Helene, the Mayor was already having repairs done

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One day after Hurricane Helene skirted past the Tampa Bay area on Sept. 26, 2024, leaving devastating flooding, St. Pete Beach residents were still blocked from returning to their homes to survey damage, as crews worked to ensure it was safe to return.

Yet even as residents grew anxious to see what remained of their homes and communities, St. Pete Beach Mayor Adrian Petrila was already on the island and, it appears, already taking steps to repair his flooded home.

On Sept. 27, 2024, the city of St. Pete Beach posted a warning on Facebook informing residents that access points to the local barrier islands “remain closed today” as “crews from the county and impacted municipalities continue to work on clearing impassable roadways, removing dangerous debris, restoring power, and addressing other infrastructure issues including returning power to our sanitary sewer system.”

The post went on to caution residents that they “should plan to spend multiple days away from their houses.”

That same day, a local resident who had remained on the island to weather the storm captured video at Petrila’s home of what appears to be crews bringing in fans to dry flood areas.

Donna Miller had stayed on the island with a neighbor — a decision she said many residents made after weathering numerous storms without much damage and with no risks to safety. This time was different, as flooding impacted much of the island, leaving homes badly damaged.

She told Florida Politics that she and others who had stayed behind were unable to obtain water, food or other supplies as the barrier islands remained closed because they were told they could leave the island, but would not be able to return until access was restored. Not wanting to miss out on time to address flood damage, many continued to stay.

Instead, Miller and a friend hopped in her car to check on other neighbors. In doing so, they came across Petrila’s home, where video Miller took shows a crew carrying several large fans into the home. The video is just 10 seconds long, but Petrila’s address is visible in the footage and metadata on the video confirms it was taken the day after the hurricane. Petrila is also visible in the garage.

Miller said she stopped filming to confront the homeowner. Said she didn’t realize it was the Mayor until after the confrontation.

Miller told Florida Politics that during the interaction, she asked Petrila, “How is it that you have workers cleaning out your house when people need food and supplies?”

He responded, according to Miller, that the men had already been on the island, a claim Miller said she doubts.

“It seemed like he played the Mayor card to get them in,” she said.

Florida Politics reached out to Petrila on Monday via his city email asking about the video. The email included questions about how workers were able to bring supplies to his house. As of Wednesday, he had still not responded.

Miller, meanwhile, has sent letters to the Pinellas County Sheriff’s Office and to U.S. Rep. Anna Paulina Luna complaining about what she perceived as Petrila misusing his authority as Mayor for personal benefit.

“A Mayor who puts himself before the people needs to find another career,” Miller told Florida Politics. “What he did was horrible. Instead of getting trucks on the island with emergency supplies, he got blowers and workers on the island.”

Petrila, a Republican, is up for re-election this year. He faces fellow Republican Scott Tate in what is expected to be a tight race. Petrila is the top fundraiser in the race, but only barely. Tate has nearly matched Petrila’s fundraising, with new fourth-quarter totals showing he has brought in just over $14,000, only $1,300 less than Petrila.

The tighter-than-usual fundraising in a beach town election cycle that is more often than not a quiet affair comes as Petrila faces criticism for proposing to impose tolls at the north, central and southern access points to the island to fund ongoing infrastructure repairs and improvements following back-to-back hurricanes in 2024 that devastated the island.

Despite his plan exempting residents, employees and business owners, it has been controversial, with some worrying such tolls would reduce tourism and other revenue-generating traffic on St. Pete Beach.

And Petrila, like neighboring St. Petersburg Mayor Ken Welch, who is also facing intraparty opposition for his re-election, is also earning resident frustration over a permitting backlog following the hurricanes that is ongoing as residents continue to rebuild. While Tate has not directly weighed in on the tolling issue, he has lamented that the permitting red tape is a failure of leadership.

Petrila is facing his first re-election contest after first being elected in 2023, when he unseated then-incumbent Alan Johnson.

The St. Pete Beach municipal election is March 10.



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Jane Castor says Tampa will ‘finish strong’ amid construction and transit plans

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With just over a year remaining in her second and final term, Tampa Mayor Jane Castor’s administration is shifting into a “finish strong” phase to wrap up major redevelopment projects while positioning the city for continued growth under its next Mayor.

Castor told Florida Politics that she is focused on completing long-planned initiatives in the coming year, and creating what she called “project launch pads” for the next administration after nearly seven years of rapid development and population growth.

“We’ve accomplished a great deal in just a bit less than seven years,” Castor said. “Our city’s grown dramatically. We’re focused on finishing up some of those projects and getting other projects ready for the next administration.”

Castor said recent city budgets have emphasized investment in transportation, affordable housing and workforce development.

Transportation remains Tampa’s biggest challenge, she said, calling it the city’s “Achilles heel.” Castor pointed to the defeat of Hillsborough County’s voter-approved transportation surtax as a major setback for the region, though she emphasized that local governments have continued pursuing alternatives.

“We mourned the loss of that, but we didn’t stop,” Castor said. 

Instead, Tampa and regional partners turned to grants and federal funding, securing nearly $4 million through a U.S. Department of Transportation program known as the Regional Infrastructure Accelerator. The grant supports planning for large-scale, multicounty transportation projects across Hillsborough, Pinellas and Pasco counties, including both local and regional transit options.

One proposal under consideration would expand Tampa’s streetcar system beyond its current footprint in Ybor City, Channel District and downtown, extending north into Tampa Heights. Castor said the city is also examining longer-term regional transit connections, including potential airport links and public-private partnerships to help finance future projects.

Meanwhile, construction across Tampa continues at a rapid pace, particularly along the riverfront and in historically underserved neighborhoods.

Castor highlighted projects nearing key milestones, such as the West River redevelopment in West Tampa — where a new Riverwalk extension is under construction. Castor also noted the Rome Yard project near Rome Avenue and Columbus Drive, a 16-acre mixed-use development now rising out of the ground.

In East Tampa, the city recently held a ribbon-cutting for the new East Tampa Recreation Center, a sprawling, multiblock complex that Castor said will be among the best facilities in Tampa’s parks system once completed later this year.

Downtown and surrounding neighborhoods are also seeing a wave of new residential construction. Castor cited multiple high-rise developments near downtown, additional riverfront condominiums along Kennedy Boulevard, student housing tied to the University of Tampa, and the long-anticipated opening of the five-star Pendry Hotel near the river this year.

Ybor City and the Channel District remain hot spots for redevelopment as well, with Water Street Tampa entering its second phase and developer Darryl Shaw advancing residential, office and retail projects, including a food hall, near the Gas Worx site.

“The city is just on fire,” Castor said. “I keep saying I’m going to change our city bird to the crane, there’s cranes all over the city.”

As lawmakers convene in Tallahassee for the ongoing Legislative Session, Castor said her top request is simple: leave property taxes alone. 

Property taxes remain the primary revenue source for cities and counties, she said, and are already constrained by Florida’s Save Our Homes cap, which limits annual increases regardless of rising property values.

“Any cuts to property tax would be cuts to police and fire, to our parks and recreation, and to all the other city departments that rely on property tax funding,” Castor said.

Castor also addressed ongoing discussions surrounding professional sports facilities, noting that planned improvements to Raymond James Stadium and Benchmark International Arena are already accounted for through Hillsborough County’s voter-approved Community Investment Tax extension. She said city and county officials are meeting with the Tampa Bay Rays as discussions continue around a potential baseball stadium site near Hillsborough Community College.

Looking beyond her tenure, Castor said she does not plan to seek another political office, but intends to remain active in civic life after leaving City Hall.

“I don’t have any plans politically, but I definitely will stay involved in the community,” Castor said. “I was born and raised here in Tampa, so I’ll always be involved — participate on boards, volunteering, whatever way I can — to help continue to grow this great city.”



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Shared services agreement falls flat with Broward voters

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If something isn’t broken, don’t fix it — especially not behind closed doors.

That’s the message coming through in a new poll by The Tyson Group gauging public sentiment on a proposed shared services agreement between the North and South Broward Hospital districts.

The survey asked likely Broward County voters whether they approve or disapprove of the health care services currently available in the county. Nearly two-thirds (65%) say they approve, including 30% who strongly approve. Just 22% say they disapprove of Broward’s health services.

When asked whether the North and South Broward Hospital Districts should be allowed to change how they operate “without triggering the legal requirements, transparency, or voter approval normally required for a full merger,” nearly three-quarters of respondents (73%) said no, including 62% who said “definitely no.”  Only 16% say the Districts should be allowed.

The polling comes after Sarasota Republican Sen. Joe Gruters and Dania Beach Republican Rep. Hillary Cassel filed bills that would authorize two or more special hospital districts to jointly form, participate in, or control a wide range of collaborative health care ventures — including public or private, for-profit or nonprofit entities — anywhere within their combined boundaries.

Notably, the legislation would explicitly give the Districts and their partners immunity from state action, allowing them to collaborate regardless of anticompetitive effects or potential conflicts with state or federal antitrust laws.

When similar bills were filed last Session, critics warned that it amounted to a backdoor merger that would bypass public scrutiny, regulatory review and possibly a countywide referendum otherwise required under state law. Memorial Healthcare System employees, physicians and community advocates raised alarms about transparency, governance and the potential shifting of financial burdens from North Broward’s struggling Broward Health system onto South Broward taxpayers.

“Once voters understood that the shared services agreement would go into effect without public review or voter approval, it was impossible to generate support. Each message we tested reinforced the negative perception that the shared services agreement was a shady deal designed to circumvent quality control,” the polling memo reads.

Messaging tests in the survey included transparency, lack of a taxpayer vote, financial mismanagement, and consolidation of power — on each front, more than 60% of those polled express concern while no more than 10% are unbothered.

By the end of the poll, just 21% said they supported a shared services agreement, with 63% in opposition, including 47% who say they “strongly oppose” the deal.

The survey was conducted Dec. 8-10. The sample includes 500 likely voters in Broward County and carries a margin of error of 4.38 percentage points.

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Jesse Scheckner of Florida Politics contributed to this report.



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