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Healthy State tells the stories you need to know to stay well, with a special focus on Florida.We'll bring you the latest fitness trends, new research on preventing and treating disease, and information about how health policy impacts your pocketbook.We report on health using all the tools at our disposal -- video, audio, photos and text -- to bring these stories to life.Healthy State is a project of WUSF Public Media in Tampa and is heard on public radio stations throughout Florida. It also is available online at wusfnews.org.

Medicaid Impasse Sparks Rebellion

Scott Keeler
/
Tampa Bay Times

Democrats are so angry over House Republicans' refusal to accept federal funds to expand health coverage that they deliberately caused action on the floor to grind to a halt. The deliberate slowdown, which started  Tuesday afternoon, continued Wednesday, threatening to reduce the number of bills that will get a vote before Friday's end of the legislative session. 

Meanwhile, U.S. Rep. Debbie Wasserman Schultz, who was visiting Tallahassee, took the opportunity to blast House Republicans' refusal to accept the funds, the Tampa Bay Times reported. She said they were acting like spoiled children, pouting over the loss of the 2012 election.

She also called out Gov. Rick Scott for his "deathbed conversion" to Medicaid expansion, demanding that he put some muscle into the fight for the funds.

Democrats are in the minority, but they had enough votes to require that every bill be read in entirety, not just summarized-- a maneuver that takes so much time it could block many bills from getting a vote if the stall continues. The session is scheduled to end Friday. 

As the South Florida Sun-Sentinel reported, House Speaker Will Weatherford ordered the use of an auto-reader software application the speaker's office said was called "Mary." The robot-like voice can read the bills more swiftly than a human can.

In a statement released to the press, House Democratic Leader Perry Thurston suggested his caucus  reached this point reluctantly, unable to keep playing nice when so much is at stake -- more than $50 billion in federal funds for Medicaid expansion under the Affordable Care Act.

Under state Sen. Joe Negron's Healthy Florida plan, the money would be used to provide private health-insurance coverage to an estimated 1.1 million of the state's low-income uninsured. According to a recent report by the Agency for Health Care Administration, the expansion would actually save the state money because it would no longer need some of the programs it now funds.

Calling it a "bipartisan plan," senators passed Healthy Florida on Tuesday with only one dissenting vote and sent it to the House. Having rejected the concept last week on a vote that mostly followed party lines, the House is not expected to take up the bill itself.

"It’s unfortunate that we have had to take such unusual action today, but my Democratic colleagues and I believe that a drastic situation requires drastic tactics," Thurston said.

He said the many uninsured people who could gain coverage may not even be aware that their fate could depend on the outcome of this standoff.  "Today, I want them to know that the 44-member House Democratic Caucus stands in support of them," he said.

Meanwhile, speaking to reporters, Gov. Rick Scott said he still has hopes that the House will pass the Senate plan. "There's a few days left in session and I'm very optimistic," he said. (In the video belowcomments on Medicaid are at 1:20.)

But Negron, sponsor of the Senate plan, said Monday that reaching agreement with the House was "unlikely."

Carol Gentry, founder and special correspondent of Health News Florida, has four decades of experience covering health finance and policy, with an emphasis on consumer education and protection.After serving two years as a Peace Corps volunteer in Colombia, Gentry worked for a number of newspapers including The Wall Street Journal, St. Petersburg Times (now Tampa Bay Times), the Tampa Tribune and Orlando Sentinel. She was a Kaiser Foundation Media Fellow in 1994-95 and earned an Master's in Public Administration at Harvard’s Kennedy School of Government in 1996. She directed a journalism fellowship program at the Centers for Disease Control and Prevention for four years.Gentry created Health News Florida, an independent non-profit health journalism publication, in 2006, and served as editor until September, 2014, when she became a special correspondent. She and Health News Florida joined WUSF in 2012.
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