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Push for Medicaid expansion in Florida delayed until 2028 due to new state law

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Carl Lisciandrello
/
WUSF

Florida Decides Healthcare, which was trying to get the issue on the 2026 ballot, said the Legislature's new statute on ballot initiatives “deliberately undermined” its campaign.

A campaign to expand Medicaid in Florida is delaying its push to get the issue on the ballot until 2028, citing a new state law restricting the process to get constitutional amendments before voters.

The group Florida Decides Healthcare had been working to get the measure on the 2026 ballot, while challenging the law in a federal court. That case is slated to go to trial in January.

On Thursday, the campaign said that by passing the new law known as HB 1205, Gov. Ron DeSantis and the GOP-controlled Legislature “changed the ballot initiative rules mid-campaign” in a way that “deliberately undermined” the group's push to gather enough petition signatures from Florida voters to get the measure on the 2026 ballot.

ALSO READ: Appeals court upholds Florida law barring noncitizens from gathering voter petitions

“HB 1205 imposed roadblocks that made signature gathering nearly impossible on a 2026 timeline,” the campaign said in a statement.

Representatives for DeSantis did not immediately respond to a request for comment.

The law signed by DeSantis in May sets new limits on how many petitions Florida voters can collect in their effort to get a constitutional amendment on the ballot, a provision punishable by a felony if voters violate it. The measure also bars non-U.S. citizens and non-Florida residents from gathering signed petitions for ballot initiatives.

ALSO READ: DeSantis quickly signs bill restricting citizens' initiative process

The Legislature pushed the changes months after a majority of the state's voters supported ballot initiatives to protect abortion rights and legalize recreational marijuana, though the measures fell short of the 60% needed to pass. Lawmakers argued that the restrictions are needed to reform a process they claim has been tainted by fraud.

“HB 1205 wasn’t about transparency, it was sabotage aimed directly at citizen-led ballot initiatives. This law may have delayed us until 2028, but it will not stop us,” said Mitch Emerson, executive director of Florida Decides Healthcare.

Nearly 150 bills were introduced across 15 state legislatures this year seeking to make it harder for initiatives to qualify for the ballot or win approval by voters — nearly double the amount of just two years ago, according to the Fairness Project, a progressive group that has backed dozens of ballot initiatives in states. Voting rights advocates say the trend betrays the promise of direct democracy.

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