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Congresswoman Frederica Wilson

Representing the 24th District of Florida

Congresswoman Wilson`s letter to Governor Scott on Medicaid expansion

July 19, 2012

Dear Friend,

I wanted to bring your attention to the letter I sent to Governor Scott about how important it is for Florida to participate fully in the Affordable Care Act's (aka Obamacare's) Medicaid expansion provision. Under Obamacare, people under the age of 65 who are making less than 133 percent of the federal poverty level (FPL) will be eligible for Medicaid starting in 2014. To get a sense of the impact this will have, 133 percent of the 2012 FPL for individuals is $14,856, for couples it is $20,123, and for a family of four it is $30,657.

It is imperative that Governor Scott ensures that Florida implements Obamacare's Medicaid expansion provisions. We need for him to show that he cares about the more than one million Floridians who will have affordable quality healthcare under this plan. It's common-sense fiscal policy, and it's the right thing to do.

Below is the text of the letter. For more information on how Obamacare is making a difference for the people of Florida, visit: https://www.healthcare.gov/law/resources/fl.html


Frederica S. Wilson

Congresswoman, 17th District of Florida

July 17, 2012

The Honorable Rick Scott
State of Florida
400 South Monroe Street
Tallahassee, FL  32399-0001

Dear Governor Scott:

As you are aware, the Supreme Court upheld the constitutionality of the Affordable Care Act (ACA) on a 5-4 ruling with Chief Justice Roberts offering the majority opinion.  This ruling is a victory for Florida residents who will have access to affordable, quality health insurance, and for small businesses which will receive tax credits to reduce expenses, making them more competitive in the global economy.    Specifically, I am writing to you today with respect to the Supreme Court’s decision giving states the opportunity to opt out of the ACA’s Medicaid expansion provisions.  Under the ACA, Medicaid eligibility is expanded to include adults with annual incomes up to 133 percent of the poverty level.  The federal government will pay 100 percent of the costs of covering those eligible for the expansion in 2014, 2015, and 2016; 95 percent in 2017; 94 percent in 2018; 93 percent in 2019; and 90 percent in 2020 and thereafter.  Rejecting these federal funds would be detrimental to the residents and businesses of Florida, and I strongly urge you to ensure that the State of Florida implements the Medicaid expansion provisions in the ACA.

According to the Florida Center for Fiscal and Economic Policy, Medicaid expansion can be expected to increase enrollment in Florida Medicaid by 1.02 million people over the next decade.  All of the newly enrolled will be very low income Floridians, 88% of which are uninsured and the remainder having unaffordable or inadequate coverage.  Further, Medicaid expansion can be expected to increase total state spending for Medicaid by only 1.8 percent through 2023 and will result in a net savings to Florida taxpayers once reductions in costs are factored in that are associated with the delivery of uncompensated medical care to the formerly uninsured.

According to the Kaiser Family Foundation, states will have relatively small increases in state Medicaid spending, but these increases will be offset by the new federal dollars that the states will receive.  The new federal dollars going to the states that participate in the Medicaid expansion will reduce the number of uninsured, create jobs, and slash uncompensated care costs.  Opting out of this expansion would severely burden Florida hospitals, particularly those like Jackson Memorial in Miami and other disproportionate share hospitals that have spiraling uncompensated costs.

Governor Scott, by not opting out of the ACA Medicaid expansion, you will be able to preside over a historic expansion of access to health care that also reduces the burden on small businesses, Florida taxpayers and hospitals.  In addition to being good fiscal policy, participating in the ACA Medicaid expansion is the humane and right thing to do. Public officials like you and me have excellent health insurance, and we should be working to ensure that all of our constituents have coverage as well.  Health care reform is now known as “Obamacare”, and the State of Florida now needs to show that it too cares.  If we demand that every car owner must have automobile insurance, then we certainly should ensure that every person has health insurance.  Everyone, including Republicans, gets sick, needs surgery and feels pain.  Republicans too hurt, mourn and weep.  Access to affordable health care is a basic human right. It’s not a Republican right, a Democratic right or an Independent right. It is a basic right for all Americans.

With your leadership, by participating in the ACA Medicaid expansion, more than one million Floridians will gain access to quality health care.  I strongly urge you to take advantage of this historic opportunity that will benefit the residents and businesses of Florida.


Frederica S. Wilson
Member of Congress

Cc: Hon. Jeff Atwater, Chief Financial Officer, State of Florida
       Hon. Mike Haridopolos, President, Florida Senate
       Hon. Dean Cannon, Speaker, Florida House of Representatives