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Florida Medicaid Expansion Amendment (2016)

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Florida
Medicaid Expansion Amendment
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TypeAmendment
OriginCitizens
TopicHealthcare
StatusNot on ballot


Not on Ballot
Proposed ballot measures that were not on a ballot
This measure was not put
on an election ballot

Voting on Healthcare
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Local Measures


The Medicaid Expansion Amendment (#15-23) was an initiated constitutional amendment that did not make the Florida ballot on November 8, 2016.

The measure would have created the Healthy Florida Plan to expand Medicaid eligibility to low-income residents and established a revenue account to accept federal funds.[1]

Text of measure

Ballot title

The ballot title was as follows:[1]

“ Creation of a Healthy Florida Plan[2] ”

Ballot summary

The ballot summary was as follows:[1]

“ Creates the Healthy Florida Plan, which expands eligibility for Florida’s Medicaid program for low income individuals to 133% of the federal poverty line as permitted by federal law. The Healthy Florida Plan creates a special revenue account to accept federal funds. This law terminates if federal funding of the program drops below the levels in current federal law.[2] ”

Constitutional changes

The measure would have added Section 29 to Article X of the Florida Constitution.

Full text

The full text of the measure was as follows:[1]

“ ARTICLE X, SECTION 29.- HEALTHY FLORIDA PLAN. –

(a) PURPOSE AND INTENT. The purpose of the Healthy Florida Plan is to:
(1) expand eligibility for health coverage in the Florida Medicaid program under Section 409.902, Florida Statutes (2015) to Floridians whose income is at or below 133% of the federal poverty line as permitted by 42 U.S.C. §1396a(a)(10)(A)(i)(VIII) (2010);
(2) create a special revenue account to accept federal funds for the Healthy Florida Plan; and
(3) draw down and utilize the increased Federal Medical Assistance Percentage available under §42 U.S.C. 1396d(y)(1) (2010) to help cover the cost of newly eligible individuals.
(b) HEALTHY FLORIDA PLAN SPECIAL REVENUE ACCOUNT.
(1) Federal dollars must be deposited into the account in the amounts paid to the state from federal sources for the purposes of implementing Medicaid provisions of the Patient Protection and Affordable Care Act (Public Law 111-148) and the Health Care and Education Reconciliation Act of 2010 (Public Law 111-152) that are received after the effective date of this act.
(2) Federal dollars and state matching funds shall be appropriated by the legislature for the purposes of implementing the Florida Medicaid program as provided in Section 409.902, Florida Statutes (2015). The funds may not be allocated for any other purpose.
(c) CONTINGENT TERMINATION.
(1) The Healthy Florida Plan terminates on the date that the federal medical assistance percentage for medical services provided to individuals eligible for Medicaid pursuant to the eligibility requirements of 42 U.S.C. 1396a(a)(10)(A)(i)(VII) is set below the amount provided for in 42 U.S.C. 1396d(y)(1) (2010) as that statute reads on the effective date of this act.
(2) The Healthy Florida Plan special revenue account terminates 15 months after the contingency provided for in subsection (1) of this section occurs.
(d) EFFECTIVE DATE.
The Healthy Florida Plan is effective July 1, 2017.[2]

”

Support

Florida Health Solutions sponsored the measure.

Arguments in favor

U.S. Rep. Corrine Brown (D-5) argued:[3]

“ You can put it on the ballot, but the person gotta be registered and gotta vote. They have to understand they have a dog in the fight. And what we’re gonna do is encourage people to soldier up, do their part.[2] ”

Opposition

Arguments against

Rep. Blaise Ingoglia (R-35) argued:[4]

“ Who's going to have that conversation with parents and say 'you know what, we cannot send your kids to college, even though they may be the first ones in the history of your family that have made it on to college, we can't do that because we don't have the money. Why? Because we chose to expand a broken system.'[2] ”

Path to the ballot

See also: Laws governing the initiative process in Florida
  • Supporters needed to collect a minimum of 683,149 valid signatures by February 1, 2016, in order to qualify the measure for the November 2016 ballot.
  • By February 1, 2016, petitioners had submitted 2,056 valid signatures, according to the secretary of state.[1]
  • Supporters did not collect enough signatures by the deadline to reach the ballot.

State profile

Demographic data for Florida
 FloridaU.S.
Total population:20,244,914316,515,021
Land area (sq mi):53,6253,531,905
Race and ethnicity**
White:76%73.6%
Black/African American:16.1%12.6%
Asian:2.6%5.1%
Native American:0.3%0.8%
Pacific Islander:0.1%0.2%
Two or more:2.4%3%
Hispanic/Latino:23.7%17.1%
Education
High school graduation rate:86.9%86.7%
College graduation rate:27.3%29.8%
Income
Median household income:$47,507$53,889
Persons below poverty level:19.8%11.3%
Source: U.S. Census Bureau, "American Community Survey" (5-year estimates 2010-2015)
Click here for more information on the 2020 census and here for more on its impact on the redistricting process in Florida.
**Note: Percentages for race and ethnicity may add up to more than 100 percent because respondents may report more than one race and the Hispanic/Latino ethnicity may be selected in conjunction with any race. Read more about race and ethnicity in the census here.

Presidential voting pattern

See also: Presidential voting trends in Florida

Florida voted Republican in five out of the seven presidential elections between 2000 and 2024.

Pivot Counties (2016)

Ballotpedia identified 206 counties that voted for Donald Trump (R) in 2016 after voting for Barack Obama (D) in 2008 and 2012. Collectively, Trump won these Pivot Counties by more than 580,000 votes. Of these 206 counties, four are located in Florida, accounting for 1.94 percent of the total pivot counties.[5]

Pivot Counties (2020)

In 2020, Ballotpedia re-examined the 206 Pivot Counties to view their voting patterns following that year's presidential election. Ballotpedia defined those won by Trump won as Retained Pivot Counties and those won by Joe Biden (D) as Boomerang Pivot Counties. Nationwide, there were 181 Retained Pivot Counties and 25 Boomerang Pivot Counties. Florida had three Retained Pivot Counties and one Boomerang Pivot County, accounting for 1.66 and 4.00 percent of all Retained and Boomerang Pivot Counties, respsectively.

More Florida coverage on Ballotpedia

See also

Footnotes

  1. ↑ 1.0 1.1 1.2 1.3 1.4 Florida Department of State, "Constitutional Amendment Petition Form," accessed November 17, 2015
  2. ↑ 2.0 2.1 2.2 2.3 2.4 Note: This text is quoted verbatim from the original source. Any inconsistencies are attributable to the original source.
  3. ↑ Health News Florida, "Ballot Measure Proposed For FL Medicaid Expansion," November 30, 2015
  4. ↑ Bay News 9, "Medicaid expansion advocates hoping to get issue on 2016 ballot," November 27, 2015
  5. ↑ The raw data for this study was provided by Dave Leip of Atlas of U.S. Presidential Elections.
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