HEALTH CARE SERVICES (Program); EXECUTIVE DIRECTION AND SUPPORT SERVICESGovernor's Recommendations
2025-26
Current Year Budget
2024-25
Difference
DollarsPositionsDollarsPositionsDollarsPositions
$468,371,342675.50$374,169,410671.50$94,201,9324.00
 
Budget Issues (Continuation and New)
 Show Funding SourceGovernor's Recommendations
2025-26
Current Year Budget
2024-25
Difference
 DollarsPositionsDollarsPositionsDollarsPositions
Policy Area: EXECUTIVE LEADERSHIP AND SUPPORT SERVICES
ADJUSTMENTS TO COST RECOVERY FUNDS      
 DIRECT BILLING FOR ADMINISTRATIVE HEARINGS$00.00($25,258)0.00$25,2580.00
ADJUSTMENTS TO CURRENT YEAR ESTIMATED EXPENDITURES      
 AGENCY DISCRETIONARY PAY INCREASE FOR FY 2023-24 - EFFECTIVE 10/1/2023$00.00$332,9830.00($332,983)0.00
 CORRECT FUNDING SOURCE IDENTIFIER FOR MEDICAID - ADD$1,793,6740.00$00.00$1,793,6740.00
 CORRECT FUNDING SOURCE IDENTIFIER FOR MEDICAID - DEDUCT($1,793,674)0.00$00.00($1,793,674)0.00
 CRITICAL SALARY MARKET ADJUSTMENTS CONTINUATION$5,434,5530.00$00.00$5,434,5530.00
 MEDICAID THIRD PARTY LIABILITY ACT SUPPORT$10,130,1020.00$00.00$10,130,1020.00
 REALIGNMENT OF OPERATING CAPITAL OUTLAY (OCO) BUDGET AUTHORITY - ADD$266,6570.00$00.00$266,6570.00
 REALIGNMENT OF OPERATING CAPITAL OUTLAY (OCO) BUDGET AUTHORITY - DEDUCT($266,657)0.00$00.00($266,657)0.00
ANNUALIZATION OF ADMINISTERED FUNDS APPROPRIATIONS      
 ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2024 - 25 - FIVE MONTHS OF ANNUALIZATION$442,6630.00$00.00$442,6630.00
ANNUALIZATION OF ISSUES PARTIALLY FUNDED IN PRIOR YEAR      
 ANNUALIZATION OF AGENCY DISCRETIONARY PAY INCREASE FOR FY 2023-24 - THREE MONTHS ANNUALIZATION$00.00$110,9940.00($110,994)0.00
BUDGET REDUCTIONS      
 BASE BUDGET REDUCTION($306,310)0.00$00.00($306,310)0.00
CONTAINING HEALTH CARE COSTS      
 ACHIEVED SAVINGS REBATE PROGRAM REPORT$00.00$1,000,0000.00($1,000,000)0.00
ENSURING ACCESS TO CARE      
 CMS MANDATORY ADULT BEHAVIORAL HEALTH AND CHILD CORE SET REPORTING$880,2540.00$00.00$880,2540.00
 FLORIDA MEDICAL SCHOOLS QUALITY NETWORK$00.00$250,0000.00($250,000)0.00
 INJUNCTION RELATED COMPLIANCE$1,150,0000.00$00.00$1,150,0000.00
 MEDICAID ENROLLEE HEALTH OUTCOMES AND SPENDING DATA STUDY$00.00$3,100,0000.00($3,100,000)0.00
 PRIVATE DUTY NURSING REDESIGN$00.00$300,0000.00($300,000)0.00
 STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP) REDESIGN$00.00$300,0000.00($300,000)0.00
ESTIMATED EXPENDITURES      
 ADJUSTMENT TO STATE HEALTH INSURANCE PREMIUM CONTRIBUTION - FY 2024-25 - EFFECTIVE 12/1/2024$619,7280.00$619,7280.00$00.00
 CASUALTY INSURANCE PREMIUM ADJUSTMENT$44,9500.00$109,2040.00($64,254)0.00
 ESTIMATED EXPENDITURES - OPERATIONS$372,070,261671.50$437,105,529623.00($65,035,268)48.50
 FLORIDA RETIREMENT SYSTEM - PENSION PLAN BENEFIT ENHANCEMENTS FOR FY 2024-25$15,0090.00$15,0090.00$00.00
 FLORIDA RETIREMENT SYSTEMS CONTRIBUTIONS FOR FY 2023-24$00.00$541,2030.00($541,203)0.00
 REALLOCATION OF HUMAN RESOURCES OUTSOURCING($2,520)0.00$8,8180.00($11,338)0.00
 SALARY INCREASE FOR FY 2024-25 - STATEWIDE PAY INCREASE - EFFECTIVE 7/1/2024$1,421,9820.00$1,421,9820.00$00.00
 SALARY INCREASE FY 2023-24 - STATEWIDE 5% PAY INCREASE - EFFECTIVE 7/1/2023$00.00$1,964,1300.00($1,964,130)0.00
FUND SHIFT      
 TRANSFER FROM MEDICAL CARE TRUST FUND TO GENERAL REVENUE - ADD$24,435,4630.00$00.00$24,435,4630.00
 TRANSFER FROM MEDICAL CARE TRUST FUND TO GENERAL REVENUE - DEDUCT($24,435,463)0.00$00.00($24,435,463)0.00
HUMAN RESOURCE ASSESSMENT REDUCTION      
 HUMAN RESOURCE ASSESSMENT REDUCTION($1,408)0.00$00.00($1,408)0.00
INTER-AGENCY REORGANIZATIONS      
 TRANSFER CHILDREN'S MEDICAL SERVICES (CMS) MANAGED CARE CONTRACT TO AHCA - ADD$423,0004.00$00.00$423,0004.00
NONRECURRING EXPENDITURES      
 ADDITIONAL FUNDING FOR THE MEDICAID PROGRAM$00.00($700,000)0.00$700,0000.00
 ASSESSMENT OF THE FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS)$00.00($5,000,000)0.00$5,000,0000.00
 FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS)($92,082,824)0.00($182,611,993)0.00$90,529,1690.00
 FLORIDA MEDICAL SCHOOLS QUALITY NETWORK($250,000)0.00$00.00($250,000)0.00
 HEALTH CARE - CH 2024-15, LOF (SB 7016)($3,446,842)0.00$00.00($3,446,842)0.00
 HEALTH CARE SERVICES($15,000,000)0.00$00.00($15,000,000)0.00
 MEDICAID ENROLLEE HEALTH OUTCOMES AND SPENDING DATA STUDY($3,100,000)0.00$00.00($3,100,000)0.00
 PRIVATE DUTY NURSING REDESIGN($300,000)0.00$00.00($300,000)0.00
 SICKLE CELL DISEASE MEDICATIONS, TREATMENT, AND SCREENING CH 2023-258, LOF (SB 1352)$00.00($250,000)0.00$250,0000.00
 STAFF AUGMENTATION SERVICES($750,000)0.00$00.00($750,000)0.00
 STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP) REDESIGN($300,000)0.00$00.00($300,000)0.00
 STATEWIDE MEDICAID MANAGED CARE PROCUREMENT SUPPORT$00.00($2,500,000)0.00$2,500,0000.00
PROGRAM OR SERVICE-LEVEL INFORMATION TECHNOLOGY      
 FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS)$189,958,7440.00$92,082,8240.00$97,875,9200.00
PROJECT FUNDING      
 HEALTH CARE SERVICES$00.00$15,000,0000.00($15,000,000)0.00
STATE FUNDING REDUCTIONS      
 ELIMINATE EXCESS BUDGET AUTHORITY$00.00($1,000,000)0.00$1,000,0000.00
SUPPLEMENTAL APPROPRIATIONS      
 HEALTH CARE - CH 2024-15, LOF (SB 7016)$00.00$4,618,35810.00($4,618,358)(10.00)
VETOED APPROPRIATIONS      
 ACHIEVED SAVINGS REBATE PROGRAM REPORT$00.00($1,000,000)0.00$1,000,0000.00
WORKLOAD      
 ADDITIONAL FUNDING FOR BEHAVIORAL HEALTH REDESIGN STAFFING$00.00$26,0060.00($26,006)0.00
 ADDITIONAL FUNDING FOR DUAL SPECIAL NEEDS PLAN (DSNP) STAFFING$00.00$1,327,1500.00($1,327,150)0.00
 ADDITIONAL FUNDING FOR FLORIDA HEALTH CARE CONNECTIONS (FX) STAFFING$00.00$4,680,55137.00($4,680,551)(37.00)
 ADDITIONAL FUNDING FOR LONG-TERM CARE FOR DEVELOPMENTAL DISABILITIES STAFFING$00.00$70,8540.00($70,854)0.00
 ADDITIONAL FUNDING FOR MEDICAID PROCUREMENT STAFFING$00.00$143,8400.00($143,840)0.00
 ADDITIONAL FUNDING FOR NURSING HOME AUDITS$700,0000.00$00.00$700,0000.00
 ADDITIONAL FUNDING FOR THE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) STAFFING$00.00$158,4900.00($158,490)0.00
 FUNDING FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) AUDITS$260,0000.00$00.00$260,0000.00
 INCREASE IN CONTRACTED SERVICES$00.00$994,5000.00($994,500)0.00
 INTELLECTUAL DEVELOPMENTAL DISABILITIES (IDD) PILOT EVALUATION$360,0000.00$00.00$360,0000.00
 STAFF AUGMENTATION SERVICES$00.00$750,0000.00($750,000)0.00
 STAFFING RESOURCES FOR INJUNCTION COMPLIANCE$00.00$224,5081.50($224,508)(1.50)
Total Policy Area: EXECUTIVE LEADERSHIP AND SUPPORT SERVICES$468,371,342675.50$374,169,410671.50$94,201,9324.00