EXECUTIVE DIRECTION AND SUPPORT SERVICESGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
DollarsPositionsDollarsPositionsDollarsPositions
$394,692,058626.50$422,903,519626.50($28,211,461)0.00
 
Budget Issues (Continuation and New)
 Show Funding SourceGovernor's Recommendations
2026-27
Current Year Budget
2025-26
Difference
 DollarsPositionsDollarsPositionsDollarsPositions
Policy Area: EXECUTIVE LEADERSHIP AND SUPPORT SERVICES
ADJUSTMENTS TO COST RECOVERY FUNDS      
 DIRECT BILLING FOR ADMINISTRATIVE HEARINGS($624)0.00($24,354)0.00$23,7300.00
ADJUSTMENTS TO CURRENT YEAR ESTIMATED EXPENDITURES      
 CRITICAL SALARY MARKET ADJUSTMENTS CONTINUATION$00.00$5,434,5530.00($5,434,553)0.00
 MEDICAID THIRD PARTY LIABILITY ACT SUPPORT$00.00$10,130,1020.00($10,130,102)0.00
 REALIGNMENT OF OPERATING CAPITAL OUTLAY (OCO) BUDGET AUTHORITY - ADD$00.00$266,6570.00($266,657)0.00
 REALIGNMENT OF OPERATING CAPITAL OUTLAY (OCO) BUDGET AUTHORITY - DEDUCT$00.00($266,657)0.00$266,6570.00
ANNUALIZATION OF ADMINISTERED FUNDS APPROPRIATIONS      
 ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2024 - 25 - FIVE MONTHS OF ANNUALIZATION$00.00$442,6630.00($442,663)0.00
 ANNUALIZATION OF STATE HEALTH INSURANCE ADJUSTMENTS FOR FY 2025 - 26 - FIVE MONTHS ANNUALIZATION$387,5630.00$00.00$387,5630.00
BUDGET REDUCTIONS      
 OPERATIONAL EFFICIENCY($18,050,000)0.00$00.00($18,050,000)0.00
ENSURING ACCESS TO CARE      
 CMS MANDATORY ADULT BEHAVIORAL HEALTH AND CHILD CORE SET REPORTING$00.00$880,2540.00($880,254)0.00
 INJUNCTION RELATED COMPLIANCE$00.00$575,0000.00($575,000)0.00
 MEDICAID PAYMENT METHODOLOGY FOR SCHOOL BASED SERVICES$00.00$609,7000.00($609,700)0.00
 PROVIDER NETWORK AUDIT$6,852,2460.00$00.00$6,852,2460.00
ESTIMATED EXPENDITURES      
 ADJUSTMENT TO STATE HEALTH INSURANC E PREMIUM CONTRIBUTION - FY 2025-26 - EFFECTIVE 12/1/2025$542,5880.00$542,5880.00$00.00
 ADJUSTMENT TO STATE HEALTH INSURANCE PREMIUM CONTRIBUTION - FY 2024-25 - EFFECTIVE 12/1/2024$00.00$619,7280.00($619,728)0.00
 CASUALTY INSURANCE PREMIUM ADJUSTMENT($45,435)0.00($485)0.00($44,950)0.00
 ESTIMATED EXPENDITURES - OPERATIONS$421,252,101626.50$372,070,261671.50$49,181,840(45.00)
 FLORIDA RETIREMENT SYSTEM - PENSION PLAN BENEFIT ENHANCEMENTS$167,3330.00$182,3420.00($15,009)0.00
 MINIMUM PAY GRADE ADJUSTMENT- EFFECTIVE 7/1/2025$45,1110.00$45,1110.00$00.00
 REALLOCATION OF HUMAN RESOURCES OUTSOURCING($10,742)0.00($13,262)0.00$2,5200.00
 SALARY INCREASE FOR FY 2024-25 - STATEWIDE PAY INCREASE - EFFECTIVE 7/1/2024$00.00$1,421,9820.00($1,421,982)0.00
 SALARY INCREASE FY 2025-26 STATEWID E 2% PAY INCREASE - EFFECTIVE 7/1/2 025$952,5630.00$952,5630.00$00.00
INTER-AGENCY REORGANIZATIONS      
 TRANSFER CHILDREN'S MEDICAL SERVICES (CMS) MANAGED CARE CONTRACT TO AHCA - ADD$00.00$423,0004.00($423,000)(4.00)
NONRECURRING EXPENDITURES      
 FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS)($143,203,528)0.00($92,082,824)0.00($51,120,704)0.00
 FLORIDA MEDICAL SCHOOLS QUALITY NETWORK$00.00($250,000)0.00$250,0000.00
 HEALTH CARE - CH 2024-15, LOF (SB 7016)$00.00($3,446,842)0.00$3,446,8420.00
 HEALTH CARE SERVICES($2,252,746)0.00($15,000,000)0.00$12,747,2540.00
 INJUNCTION RELATED COMPLIANCE($575,000)0.00$00.00($575,000)0.00
 MEDICAID ENROLLEE HEALTH OUTCOMES AND SPENDING DATA STUDY$00.00($3,100,000)0.00$3,100,0000.00
 PRIVATE DUTY NURSING REDESIGN$00.00($300,000)0.00$300,0000.00
 QUALITY OF CARE IN NURSING HOMES($750,000)0.00$00.00($750,000)0.00
 STAFF AUGMENTATION SERVICES$00.00($750,000)0.00$750,0000.00
 STATEWIDE INPATIENT PSYCHIATRIC PROGRAM (SIPP) REDESIGN$00.00($300,000)0.00$300,0000.00
 TRANSFER CHILDREN'S MEDICAL SERVICES (CMS) MANAGED CARE CONTRACT TO AHCA - ADD($23,720)0.00$00.00($23,720)0.00
PROGRAM OR SERVICE-LEVEL INFORMATION TECHNOLOGY      
 FLORIDA MEDICAID MANAGEMENT INFORMATION SYSTEM (FMMIS)$124,404,3480.00$143,203,5280.00($18,799,180)0.00
PROGRAM REDUCTIONS      
 VACANT POSITION REDUCTIONS$00.00($3,684,835)(49.00)$3,684,83549.00
PROJECT FUNDING      
 HEALTH CARE SERVICES$00.00$2,651,2970.00($2,651,297)0.00
PROMOTING QUALITY OF CARE      
 QUALITY OF CARE IN NURSING HOMES$00.00$750,0000.00($750,000)0.00
VETOED APPROPRIATIONS      
 HEALTH CARE SERVICES VETO$00.00($398,551)0.00$398,5510.00
WORKLOAD      
 ADDITIONAL FUNDING FOR NURSING HOME AUDITS$00.00$700,0000.00($700,000)0.00
 ASSESSMENT OF MEDICAD PROGRAM ENROLLEES$3,500,0000.00$00.00$3,500,0000.00
 FUNDING FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) AUDITS$00.00$260,0000.00($260,000)0.00
 INTELLECTUAL DEVELOPMENTAL DISABILITIES (IDD) PILOT EVALUATION$00.00$360,0000.00($360,000)0.00
 STATE MONITORING OF NON-FEDERAL SHARE LOCAL GOVERNMENT FUNDING SOURCES$1,500,0000.00$00.00$1,500,0000.00
Total Policy Area: EXECUTIVE LEADERSHIP AND SUPPORT SERVICES$394,692,058626.50$422,903,519626.50($28,211,461)0.00