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Background on Florida Expansion


Florida has decided NOT to expand Medicaid.
Florida has not currently opted into participation in Medicaid Expansion under provisions of the Affordable Care Act (ACA).

The ACA contained a provision expanding Medicaid in every state to 133% of the Federal Poverty Level (FPL) with no eligibility criteria. The Medicaid Expansion provision became optional for states after the Supreme Court's ruling on the Affordable Care Act (ACA).
State officials can choose to join in Medicaid Expansion at any time. The federal government will pay for 100% of the cost of the expansion in a state for the first two years of the program. However, funding levels reduce after that point. Funding levels available to the State will be determined by the year the State joins the expansion.
Florida Medicaid Eligibility Criteria
The Medicaid website provides detailed information about the criteria for enrollment in Medicaid. This information can be found on their website:
Recent Developments:
Below is a summary of Medicaid Expansion developments in Florida since the law’s passage:
  • In the past the Governor’s office has stated that Florida will not expand entitlement programs like Medicaid because the state cannot afford to do so, but more recently Governor Scott has been open to discussion.
  • In 2012 Florida was one of the states that sued for repeal of the ACA.
  • Attempts to pass an amended version of the Medicaid Expansion has failed to pass in the state house. Though a bipartisan solution had recently seemed promising, the current stalemate has no end in sight.
  • Governor Scott was initially very firm in his opposition to the ACA evidence in his statements, but more recently the state has show willingness to compromise as the Republican House Speaker admitted the state would look at funding expansion alternatives. The Governor came to support an expansion of Medicaid.
Additional Information: