The wide-ranging array of proposed regulations would mandate annual inspections of the facilities and increase the size of financial penalties that the state can levy for failures in care. The proposals would also step up mandatory training for assisted living employees, require facilities to employ registered nurses in some instances and demand that California post inspection results online for the public to review.
Medicaid and Medicare
The Florida Legislature still has the opportunity this year to draw down $51 billion in federal dollars already sent to Washington to help pay the cost of health insurance for those who cannot afford it, argues Floridfa Hospital Flagler CEO Ken Mattison.
Thousands of previously uninsured Floridians woke up Wednesday morning with peace of mind for the first time in years. More than half of Florida’s nearly 4 million uninsured are projected to qualify for coverage through the Marketplace. Another million would qualify if the Florida Legislature would permit it.
The Supreme Court allowed states to opt out of the Medicaid expansion under Obamacare, as Florida did, but the law didn’t include subsidies for people in those states who earn less than the federal poverty level to buy coverage through the exchanges. They were supposed to be covered under Medicaid. And Medicaid is not there for them.
Consumer groups, hospitals and insurers are clamoring for Florida to take the $51 billion in federal funds that have been offered to the state over the next decade to provide health coverage to the working poor. But those who are tuned in politically — even those who desperately want it to happen — say it’s very unlikely in 2014.
A fire that started at about 3:15 this afternoon in a vacant, two-level house at 3518 North A1A, in Painter’s Hill, was fueled by 40 mph winds off the ocean and had quickly engulfed the structure in flames by the time firefighters arrived at the scene.
While most of the uninsured will be able to get subsidized health coverage Jan. 1 under the Affordable Care Act, the poorest adults under 65 will be out of luck in many states, including Florida. Many are women in their 50s and 60s, too old to have children still at home so they can’t qualify for Medicaid. But they’re not yet 65 so they don’t qualify for Medicare, either.
Kathleen Sebelius has visited Florida half a dozen times since June, trying to get the word out to the state’s millions of uninsured to sign up for a health plan., but she hopes the Florida Legislature reverses its opposition to expanding Medicaid and accepting $51 billion over the next 10 years.
A Florida Senate panel Tuesday instructed the Agency for Health Care Administration to draft legislation — fast — that would allow the state to shut down unlicensed assisted-living facilities as quickly as possible.
Opponents of Obamacare think that by doubling down on hurting Americans through a shut-down, they might stun them into submission. They must be stupider than they let on. The Affordable Care Act has its issues. Lacking for moral high ground isn’t among them.