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New Report Slashes Cost Estimate on Medicaid Expansion

Agency for Health Care Administration

After two days of heavy criticism, Gov. Rick Scott’s administration released  a new, much smaller estimate of the cost of expanding Florida Medicaid late Wednesday night. The new report pegs the price tag at about $3 billion.

At the most, if all those eligible signed up, it would cost the state $5 billion over a decade, the new report says. That is less than one-fifth the cost that Scott has been citing.

Over the same time span, the expansion would bring in about $30 billion in federal funds, the new analysis says, enough to cover 910,000 uninsured low-income Florida adults. In other words, Florida would get about $10 in federal funds for every $1 it put into the expansion, the new estimate says.

It was released by the Agency for Health Care Administration, which governs the state Medicaid program and comes under the governor’s office. The release from AHCA Secretary Liz Dudek said only that the new numbers had been provided to the Florida House of Representatives. A budget analyst there, Eric Pridgeon, told AHCA in December that the first estimates were unacceptable, and state chief economist Amy Baker agreed.

The Florida Legislature and Scott will decide this spring whether Florida will accept extra federal funds to cover more of the uninsured under Medicaid as part of the Affordable Care Act.

A more detailed version of this story is at www.HealthNewsFlorida.org.

Health News Florida, journalism for a healthy state, is a service of WUSF Public Media. Contact Carol Gentry at 813-974-8629 or 727-410-3266 or cgentry@wusf.org.

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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