This post is part of the “Florida Budget Proposals in Brief” blog series, where FPI highlights some of the key components of the House and Senate budget proposals — where they align, how they differ, and what it means for Floridians, communities, and the state economy. Overall, the Senate and House budget proposals for FY 2024-25 are quite similar. Unlike previous years, the joint budget conference committees will not have many significant differences to negotiate. Still, there are some notable variances, and the funding decisions have both fiscal and policy implications for the state.
The Florida Senate passed its fiscal year (FY) 2024-25 budget proposal (SB 2500), which totals $115.9 billion and represents a $578 million (or a 0.50 percent) reduction from the current budget.[1] The Florida House’s FY 2024-25 budget proposal (HB 5001) totals $115.5 billion and represents a $969 million (or a 0.83 percent) reduction compared to the current budget.
The next step in the budget process will be for a Joint Budget Commission to meet and reconcile any differences to propose a General Appropriations Act (GAA) for FY 2024-25. Both chambers will then vote on the proposed GAA, and once it is passed, it will be sent to the governor, who can make line item vetoes and sign the bill into law. The Legislature can then override vetoes if two-thirds of the members, in each chamber, vote to do so. The final budget will be enacted as of July 1, 2024.
The Temporary Assistance for Needy Families program (TANF) provides cash assistance on a temporary basis to families with children at a time when the family is most in need. Oftentimes, Florida families turn to TANF after parents or caregivers experience a medical crisis, divorce, or other loss of income. The program is supposed to help struggling families provide essentials for their children, like diapers, soap, school supplies, and clothes, without having to resort to foster care, an alternative that costs the state much more than TANF and breaks up families just because of their financial situation. However, Florida is neglecting its TANF program, as well as the children in families who turn to the program for help. TANF benefit payments in Florida have not changed in three decades. For a family of three, Florida provides a maximum of $303 a month in assistance monthly — or only 14 percent of poverty — one of the lowest in the country.
Yet, neither the House nor the Senate propose to increase TANF payment levels. Instead, both budgets would reduce the overall funding for cash assistance payments to TANF families. Although the current budget funds cash assistance payments at $123.5 million, the FY 2024-25 Senate proposal suggests funding it at just over $120 million, while the House budget only proposes funding at $106 million. While the proposed reductions in the appropriation for cash assistance payments for FY 2024-25 should not result in reduced payments to individual families, lawmakers have not budgeted for any increase to current payment allotments.
In addition, neither the House nor the Senate appropriates funds to provide TANF to newborns. Some newborns are currently denied some or all assistance because their parents already receive TANF for another child under a Florida law commonly referred to as “family cap.” Like family cap laws in other states, Florida’s family cap statute was enacted based on false racist and sexist stereotypes that have since been debunked. However, to date, Florida is one of only seven states that have not repealed the family cap. A bill is currently pending in the Legislature that would repeal this antiquated and harmful law. However, without an accompanying appropriation, that effort is likely doomed.
The Supplemental Nutrition Assistance Program (SNAP) provides monthly grocery assistance to low income households that cannot afford necessities because they live on fixed incomes or low wages, have lost jobs, or are unable to work due to a health crisis. The Department of Children and Families (DCF) relies heavily on technology to administer SNAP and other safety net programs, including operating customer call centers for participants to access if they have problems with their benefits or need to talk to a DCF worker.
Although customer call centers (CCC) are critical to the operation of Florida’s SNAP program, inadequate staffing and a spike in demand are wreaking havoc on the ability of call centers to meet the needs of people who are applying for or participating in the program. DCF estimates not only that wait times for people calling the CCC had grown to over 31 minutes as of July 2023, but also that the number of callers asking to speak with a live agent swelled by 29 percent in 2023.[2] Consequently, the House budget expressly provides $12 million in funding to address the staffing shortage at call centers. The Senate budget contains no such directive, even though DCF was notified by the U.S. Department of Agriculture’s Food and Nutrition Service on February 8, 2024 that the state’s rate for timely processing SNAP applications was an unacceptable 66 percent.
The Summer Electronic Benefit Transfer program (Summer EBT) is a food assistance program established for children by Congress in the Consolidated Appropriations Act of 2023. Summer EBT provides each eligible child approximately $40 per month in grocery assistance during the summer, when school is out, to supplement summer meal programs. Summer EBT is important because, although many children with low income have access to free lunch during the school year through the National School Lunch Program (NSLP), they do not have access to the program when school is not in session. Summer EBT was created to ensure that families continue to have resources to keep these children from going hungry during the summer.
As FPI mentioned in a previous blog post, in 2024, Florida chose not to participate in Summer EBT, even though the program would have provided over 2 million hungry children with roughly $259 million in federal food assistance. This was a missed opportunity for all Florida children who face food insecurity. However, although hunger affects children of all races and ethnicities in the state, children of color are disproportionately harmed by Florida’s decision to pass on Summer EBT for 2024. The money that participating families would be spending at area grocery stores, farmer’s markets, and farm stands is estimated to have an economic impact to the state of as much as $466 million.
Although 50 percent of administrative costs must be borne by the state, the federal government pays 100 percent of the cost of Summer EBT benefits, as well as the remainder of a state’s administrative expenses in running the program. For Florida to participate in Summer EBT in 2025, the 2024 Legislature would have to either appropriate the administrative costs for running the program or give the governing agency flexibility to submit a budget amendment to increase budget authority to administer the program. Neither the House nor the Senate budget do this.
Approximately 1 in 7 children in Florida face hunger. Fortunately, food banks, which distribute food to people in need throughout the state, play a large part in combating food insecurity. Yet both the House and Senate miss opportunities to more robustly address food insecurity among households who continue to struggle to put food on the table, particularly in areas where it is difficult to buy affordable, nutritious food. For example, the Senate proposes to fund Feeding Florida, which is a network of nine member food banks that provides millions of pounds of food to Floridians facing hunger, at $7.5 million. The House budget, in contrast, would only fund Feeding Florida at $5.27 million. Both proposals represent a decrease to current funding levels (for FY 2023-24, Feeding Florida received approximately $9 million).[3]
Farm Share, which partners with farmers across the state to receive fruits and vegetables for distribution to people in need free of charge, also helps fight food insecurity in Florida. The House proposes to fund Farm Share at $3.25 million while the Senate would fund the program at $6.5 million, down from the program’s current funding of $8.75 million for FY 2023-2024 .
Notes
[1] For analysis of top-line budget figures, FPI uses the current General Appropriations Act (FY 2023-24), including vetoes, for sections 1-7, which totals $116.5 billion. However, this does not include back-of-the-bill sections. For the current GAA, including vetoes, plus back-of-the-bill appropriations, supplemental appropriations, and transfer totals, please see the Florida Legislature’s “Fiscal Analysis in Brief: 2023 Legislative Session: Chart 8.”
[2] The Florida Department of Children and Families, on p. 367 of its agency request for FY 2024-25, provides a narrative detailing the challenges with the Customer Care Center wait times.
[3] Some organizations within Feeding Florida’s network also received a direct appropriation by lawmakers in FY 2023-2024.
American Rescue Plan Act Changes. The American Rescue Plan Act of 2021 extended PEUC and PUA benefits through the week ending September 6, 2021. It also increased the maximum duration of PEUC benefits ($300 a week) to 53 weeks and the maximum duration of PUA to 79 weeks. Although PEUC and PUA did not end until September 6, 2021, Florida withdrew from the Federal Pandemic Unemployment Compensation Program (FPUC) effective June 26, 2021. FPUC provided persons who were out of work due to COVID-19 with an additional $300 a week in unemployment insurance.
Reemployment Assistance weeks reverted to 12 effective January 1, 2022. DEO determines the maximum number of weeks available to RA claimants based on a statutory formula that looks at the average unemployment rate for the most recent third calendar year quarter (i.e., July, August, and September). Based on the downturn in unemployment, the maximum number of weeks for RA reverted to 12 effective January 1, 2022.
RA work-search and work registration requirements reinstated on May 30, 2021. Persons filing an application for RA benefits beginning March 15, 2020, are not required to complete work registration in Employ Florida through May 29, 2021. In addition, work search requirements for individuals requesting benefits for the weeks beginning March 15, 2020, were also reinstated on May 30, 2021.
RA biweekly reporting requirements reinstated. Although previously waived, biweekly reporting was reinstated effective May 10, 2020. DEO’s guide to claiming weeks is here.
Mobile app deployed. DEO has deployed a mobile app for RA applications.
DEO announces extended benefits. DEO announced implementation of Extended Benefits (EB).
Resources and guidance. For a list of resources and guidance from the United States Department of Labor on unemployment insurance and COVID-19, go here.
For DEO’s “Reemployment Assistance Frequently Asked Questions and Additional Resources,” updated 12/30/2020, go here.
For DEO’s latest claims data, go here.
DCF opens offices. DCF has reopened its brick-and-mortar storefronts, which were previously closed due to coronavirus.
DCF adds call center numbers. DCF has added a call center number for Monday through Friday, from 7 a.m. to 6 p.m. Call center numbers now include 850-300-4323, 866-762-2237, or TTY 1-800-955-8771.
Certification periods extended by 6 months only through August 2020. Certification periods for cash, food and medical assistance were extended by 6 months for individuals and families scheduled to recertify in April through August 2020. FNS’ approval of the SNAP extension for August is here. However, effective September 1, 2020, SNAP, TANF and Medicaid recertifications have been reinstated, although DCF says that no one will lose Medicaid due to recertification.
DCF allows phone interviews. Phone interviews are now being used for TANF cash and SNAP food assistance.
Mandatory work requirements suspended only through May 2021. Under a directive from Governor DeSantis to waive work requirements for safety net programs, DCF waived work requirements for individuals participating in the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) through May 2021. To do this, DCF explains that it partnered with the Department of Economic Opportunity to apply “good cause” statewide for TANF and SNAP recipients who would otherwise be subject to participation in mandatory work requirements as a condition of receiving those benefits. Through May 2021, persons who were sanctioned in the past due to work requirements will be able to reapply and participate in SNAP or TANF again.
Work requirements were reinstated effective June 1, 2021.
Emergency allotments (EA) ended. DCF automatically supplemented SNAP allotments of current recipients up to the maximum for a household’s size for July 2021. However, EA was discontinued beginning August 1, 2021.
The SNAP benefits increase by 15 percent ended in October 2021. Floridians who participate in SNAP to put food on the table will receive a temporary 15 percent supplement to SNAP under COVID relief passed by Congress and extended by the American Rescue Plan Act through September 2021.
FNS permanently increases SNAP through revamp of the Thrifty Food Plan. Effective October 2021, FNS has mandated a permanent increase to SNAP through a revamp of the Thrifty Food Plan. DCF says that the increase amounts to about 6% for Floridians.
Time limits suspended. SNAP time limits are suspended during the COVID-19 public health emergency. No one in Florida should be barred from SNAP due to time limits, even if they exhausted their time limit in the past.
Florida granted waiver to allow families to purchase groceries online. DCF has been granted a federal waiver to permit the State of Florida to launch a pilot project statewide effective April 21, 2020, that allows families to purchase groceries online with their Electronic Benefit Transfer (EBT) card instead of going into stores.
No Medicaid terminations from March 2020 through the end of the federal public health emergency. The national public health emergency has existed since January 27, 2020 and has been renewed by the Secretary of the U.S. Department of Health & Human Services in 90-day increments since that time. The most recent renewal is effective January 16, 2022.
On March 31, 2020, AHCA alerted providers and DCF posted on the ACCESS website that:
Redetermination/recertification times are reinstated. As of October 1, 2020 AHCA's website is alerting recipients that the Department of Children and Families is now mailing letters for case reviews to check if a household is still eligible for Medicaid and/or Medically Needy. AHCA is urging people receiving these letters to take steps now to re-apply. But note, Medicaid coverage will not end during the COVID-19 Public Health Emergency. In January 2021 DCF conducted one-year “automated renewals” for people whose sole income is social security and SSI and are enrolled in an SSI-related Medicaid program (e.g., MEDS/AD, Medically Needy and Medicare Savings Programs). People getting VA income were not included in the automated renewal.
Extended application time. Effective with applications filed in February 2020, the time for submitting documentation required to process an application is extended for 120 days from the date of the application and eligibility will still be effective the first day of the month the application was received. Effective July 1, 2021, this policy has been rescinded. Medicaid applications submitted on or after July 1, 2021 may be denied on the 30th day after application or the day after verification information is due. Applications filed prior to July 1, will be allowed 120 days to provide requested verification to establish Medicaid eligibility.
Exclusion of additional unemployment payments in determining eligibility. The $600/week of additional unemployment insurance payments under the CARES Act will not be counted as income in determining Medicaid eligibility. (However, these payments will be counted as income in determining marketplace subsidy calculations.)
Coverage of Medicaid services during the state of emergency
COVID-19 Vaccines for Medicaid Enrollees. In an executive order published March 16, 2021 Governor DeSantis revised the vaccine distribution plan, which applies to the general public including Medicaid enrollees, to lower the age requirement to 40 effective March 29, 2021 and then effective April 5, 2021 all Floridians are eligible to receive any COVID-19 vaccination approved by the Food and Drug Administration.
Medicaid enrollees eligible to receive the vaccine may visit myvaccine.fl.gov to find a location distributing the vaccine and to schedule an appointment.
On March 12, 2021, AHCA published instructions for Medicaid enrollees on how to obtain Medicaid transportation once they have scheduled an appointment for a vaccine. AHCA states: "Florida Medicaid will take you to get the COVID-19 vaccine at no cost. All you need to do is set up a time to get your vaccine. Next, let your Medicaid plan know you need a ride and they will take care of the rest. If you are not enrolled in a plan, call the Medicaid Helpline at 1-877-254-1055 to find out the name and phone number for a transportation service."
The state has also recently launched a new email system to help bring COVID-19 vaccines to homebound seniors. Seniors will be able to sign up to have the vaccine come to them by emailing a request to HomeboundVaccine@em.myflorida.com.
AHCA has posted Medicaid Alerts and FAQs providing more detail on Medicaid service changes in response to COVID-19. They address a wide range of topics including, but not limited to: telemedicine guidance for medical, behavioral health, and early intervention services providers; long-term care provider network flexibilities allowing more types of providers to deliver specified long term care services; and continuity of care for adult day care center enrollees during the time these centers are closed.
AHCA is loosening coverage restrictions for behavioral health services. Effective May 5, 2020, all prior authorization requirements for mental health or substance use disorder treatment are waived and service limitations (frequency and duration) are lifted. For behavioral analysis services, current authorizations will be extended through an "administrative approval process" which does not require providers to reassess beneficiaries currently getting services. Effective July 1, 2021 service limits will be reinstated for behavioral health services and effective July 15, 2021 Medicaid prior authorization requirements will be reinstated for behavioral health services.
Per a May 29, 2020 provider alert, during the state of emergency AHCA will be reimbursing providers for telemedicine well-child visits provided to children older than 24 months through age 20. Providers are directed to actively work to schedule follow-up in-person visits to administer immunizations and other physical components of the exam which cannot be accomplished through telemedicine.
Coverage of home and community-based waiver services (HCBS) - In response to the public emergency, Florida obtained approval from the federal government to make changes in HCBS waiver programs, including the Long Term Care and Developmental Disabilities programs. The changes are effective retroactively from January 27, 2020 to January 26, 2021. Details can be found here. They include, but are not limited to:
Note on COVID-19 testing, treatment, and vaccines for the uninsured. Florida has not opted to receive 100 percent federal Medicaid funding for COVID-19 testing of people without health insurance. Under the 2021 American Rescue Plan Act this option has been expanded to cover COVID-19 treatment and vaccines for the uninsured as well. Since the state has not taken up this option Floridians must look to an uneven patchwork of free testing, treatment, and vaccine resources scattered around the state. AHCA advises that uninsured people may receive free testing from their county health department or a federally qualified health center and that “many communities provide testing for free for individuals who do not have insurance. Please [click here] to find a test site in your area. Uninsured individuals should ask before the test whether testing is free of charge." There are no state agency instructions on where uninsured people can receive free treatment. However, more information on possible sources for free treatment is available here.
Residency proof no longer required at some vaccine sites, “paving the way for migrants.” - On April 29, 2021 Surgeon General Rivkees issued a new public health advisory specifying that COVID-19 vaccines are available to “a Florida resident” or someone “who is present in Florida for the purpose of providing goods or services for the benefits of residents and visitors of the State of Florida.” This new policy applies to all state-run and federally supported vaccination sites. It rescinds an advisory issued in January that had restricted vaccinations to people who could show proof of Florida residency
2021 unemployment compensation claimants can access free or reduced cost health insurance through the ACA marketplace. The Affordable Care Act (ACA) Marketplace was re-opened in February 2021 to give people who need health insurance a new “special enrollment" opportunity to get covered. The 2021 American Rescue Plan eliminated or vastly reduced premiums for many people with low or moderate incomes.
Starting July 1, 2021, people who received or have been approved for unemployment compensation for any week beginning in 2021 can access free or reduced cost comprehensive health insurance plans through the ACA marketplace. This benefit is available regardless of someone's current income. To get this benefit, people must enroll in the marketplace no later than August 15, 2021. For help with enrollment, contact Covering Florida at 877-813-9115.
School children in distance learning still eligible for free or reduced cost meals. Students in distance learning for 2020-21 can still receive school meals through the National School Lunch Program if they are eligible. The student or parent/guardian may pick up meals at the school but should contact their school for more information.
For a list of current child nutrition program waivers for Florida from USDA, go here.
Congress allows increased fruit and vegetable benefits. At present, WIC provides $9 for children and $11 for women monthly for fruits and vegetables. The American Rescue Plan Act makes funding available for a four-month increase in the benefit of up to $35 monthly, if a state chooses to do so.
DOH attains waiver allowing remote issuance: Department of Health (DOH) obtained a waiver of the requirement that participants pick up their EBT cards in person at recertification or during nutritional education appointments.
WIC participants allowed to substitute certain food. Under a waiver from USDA, WIC participants in Florida are allowed to substitute milk of any available fat content and whole wheat or whole grain bread in package sizes up to 24 oz. when 16 oz. packages are unavailable.
USDA waived physical presence requirements: Although the scope and logistics are unclear at this time, USDA has given DOH permission to waive the requirement that persons be physically present at each certification or recertification determination in order to determine eligibility under the program through May 31, 2020.
USDA extends certification periods through May 31, 2020, for some participants.
For a list of current WIC waivers for Florida from USDA, go here.
HHS provides guidance. HHS has issued guidance on the flexibilities in TANF to respond to COVID-19.