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Florida
Assisted living claims victories in Florida budget, sees promise in future talks
Senior living industry experts are calling Florida’s $117 billion state budget a mix of hits and misses regarding programs supporting older adults.
Increasing the Medicaid reimbursement rate and personal needs allowance were two wins state associations are celebrating.
The 2024-2025 state budget, which was passed recently by lawmakers at the end of the 2024 legislation session, included a $1.3 million Medicaid increase for Assistive Care Services, which includes services provided by assisted living communities.
“We are immensely grateful to the legislature and their collaborative efforts that resulted in a budget that not only addresses immediate needs, but also builds upon a solid foundation for the future of elder care in our state,” LeadingAge Southeast Vice President of Advocacy Susan Langston said in a statement. “From nursing homes, assisted living facilities, home- and community-based services, to affordable senior housing and workforce, these investments reflect a commitment to sustaining programs and services that provide high quality care for Florida’s older adults as they age across the continuum.”
Florida Assisted Living Association CEO Bijou Ikli explained that the ACS increase will help offset some of the costs associated with providing care for low-income residents. That daily rate had been $13.37, which Ikli said wouldn’t cover an hour of child care or even boarding for a pet, let alone coverage for assisting an older adult with activities of daily living. The latest budget increase will bump that daily rate by 15%.
The low reimbursement rate previously led many assisted living providers to forgo acceptance of ACS residents. Ikli said that a bump in the rate might incentivize others to accept this type of reimbursement and potentially reduce instances of earlier transitions of residents to skilled nursing facilities.
The Florida Senior Living Association said it supported the rate increase.
“Consistent Medicaid increases are necessary for the future of assisted living,” Jason Hand, FSLA vice president of public policy and legal affairs, told McKnight’s Senior Living. “Each assisted living community in Florida is unique and provides many types of services, and we are grateful for every investment made toward securing the continued future of our amazing communities and their residents.”
Increasing the personal needs allowance
The budget also includes $6.7 million to increase the personal needs allowance for individuals receiving Florida Optional State Supplementation in an assisted living community, adult family care home or mental health treatment center. The OSS program helps qualified low-income individuals pay for room and board in those settings.
Ikli said that the increase is a significant win, as the personal needs allowance — which allows residents to retain a portion of their personal income to pay for personal expenses such as haircuts, toiletries, clothing and snacks — has remained $54 per month for assisted living residents for the past 20 years. The state budget increase brings that monthly figure up to $160 to match the amount nursing homes residents receive.
“We thought it was important to address, because we thought it must be an oversight,” Ikli said, adding that many assisted living providers who choose to supplement their residents’ needs faced the prospect of going out of business because they couldn’t maintain those expenses.
Assisted living part of ‘promising’ discussions
One area that didn’t gain traction in the latest legislative session was addressing the statewide Medicaid managed care long-term care wait list, or SMMC-LTC.
Individuals are living longer, so many older adults who move into private-pay assisted living are running out of money and have to go through the process of applying for long-term care managed care. Those individuals eventually are placed on the SMMC-LTC waitlist for the communities they once called home.
Ikli said that the system creates a level of unnecessary stress and disruption for residents. Although proposals to rework the system did not make it to the committee level, she said that “promising” conversations have occurred about developing a plan to discuss the issue in a rules setting.
In addition, there also is an effort in the state to free up beds in skilled nursing facilities by transitioning more individuals into the greater community by identifying community-based alternatives. Ikli said that she is excited about that effort and believes it presents an opportunity for assisted living providers to help with some of those transitions.
“There is a lot of room for assisted living to help with saving the system a lot of money, especially for individuals who can’t be alone but also don’t need 24-hour nursing care, to have a place to go,” she said.
The key to being successful, she said, is going to be demonstrating the value of assisted living. Ikli said that the sector needs to be able to document its value, show the benefit and work as collaborative partners with various agencies and provider types on the healthcare continuum.
Florida
South Florida officers sue Ben Affleck and Matt Damon, claiming details in ‘The Rip’ are too real
Entertainment
“The Rip” features Affleck and Damon as South Florida police officers who find millions of dollars inside a house. Parts of the movie were inspired by a real 2016 case.
MIAMI (AP) — Two South Florida police officers claim Ben Affleck and Matt Damon’s recent action thriller “The Rip” used too many real-life details in its fictionalized narrative, causing harm to the officers’ personal and professional reputations, according to a defamation lawsuit.
Jason Smith and Jonathan Santana, sergeants in the Miami-Dade Sheriff’s Office, filed the lawsuit in Miami federal court earlier this month against Artists Equity, a film production company owned by Affleck and Damon. Court filings don’t say how much the officers are suing for, but the civil complaint says they’re seeking compensatory damages, punitive damages and attorney fees, as well as a public retraction and correction.
“The Rip” features Affleck and Damon as South Florida police officers who find millions of dollars inside a house. Parts of the movie were inspired by a real 2016 case, where police found over $21 million linked to a suspected marijuana trafficker in a Miami Lakes home.
An attorney for Artists Equity declined to comment when reached Monday by The Associated Press. But in a March 19 response to the plaintiffs’ demand letter, Leita Walker, an attorney for Artists Equity, wrote that the film does not purport to tell the true story of that incident or portray real people, which had been stated by a disclaimer in the film’s credits.
Although Smith and Santana aren’t named in the film, the lawsuit claims that Santana was serving as the lead detective assigned to the real case, and Smith was the sergeant who supervised the investigative team. The film’s inclusion of real details about the case gives the impression that the characters are based on the plaintiffs, the suit said.
And this, the lawsuit claims, has given friends, family members and colleagues the impression that the plaintiffs committed the criminal acts that appear in the film, which include (SPOILER ALERT) conspiring to steal seized drug money, murdering a supervising officer, communicating with cartel members, committing arson in a residential neighborhood, endangering the lives of civilians, repeatedly violating core law-enforcement protocols and executing a federal agent rather than making an arrest.
Walker wrote in March that the plaintiffs haven’t even identified which particular character is supposed to be based on Smith or Santana, so even if “The Rip” was actually about a real-life narcotics team, there’s no way to connect any of the characters to the plaintiffs.
“The Rip,” directed by Joe Carnahan, debuted in January on Netflix. It’s currently rated 78% Fresh on Rotten Tomatoes.
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Brevard County couple gets married in NICU after birth of premature twins
A Florida couple, told they may not be able to have children, welcomed premature twins and had an impromptu NICU wedding.
Provided by AdventHealth for Children
Ben and Danielle Cassidy were told they likely wouldn’t be able to have children.
But this year they will celebrate Mother’s Day just months after having an impromptu wedding in the AdventHealth for Children hospital’s neonatal intensive care unit shortly after Danielle gave birth to twins prematurely — a week before the Palm Bay couple was scheduled to get married.
Both babies, Joshua and Rhett, are doing well despite arriving nine weeks ahead of schedule on Jan. 19, 2026, just one day after their scheduled baby shower. With a proper wedding out of the question with two premature babies in the NICU, a nurse took action.
Issabel Kenkel, the nurse behind the ceremony, said she was already in wedding planning mode for her own upcoming nuptials when she found out the Cassidy family’s ceremony would be interrupted.
“I couldn’t just let them do something small. They needed decorations and something fun, so I spoke to the music therapist and the chaplain,” Kenkel said. In short order, a wedding was being planned for their hospital room and the couple was saying their vows in the company of their safely delivered newborns.
“When we found out we could request staff members to be on our team, that’s when we requested Issabel and having that kind of consistency from someone who has such a big heart and is so kind,” Danielle said.
The hospital ceremony was all the more special because of the Cassidy family’s own health struggles.
“I have five autoimmune diseases and didn’t really think I would have kids. It’s been a rough journey. When Ben and I met, we were floored at how much a miracle it was to have kids,” Danielle said.
Ben, who battled and beat cancer, said he was worried that his prior treatment would result in negative health outcomes for his future children. Having twins for him was an unexpected blessing.
“When we found out we were pregnant, we found it so shocking. We said, wouldn’t it be great if it was twins? It filled out our hopes and dreams list,” Ben said. “They’ve been miracles for sure.”
The Cassidy couple said there was so much fear and uncertainty when their twins were born nine weeks early. Being able to get married right away just made them feel all the better about the future.
“It was nice getting married because we didn’t have to wait any longer to make it official. It made it that much harder for her to get rid of me,” Ben said.
“The unknown made it scary,” Danielle added. “We had no idea how long we would be in the hospital. Our wedding was going to be at the beach with immediate family and parents. Having NICU babies, we realized we’d never be able to get to the beach. It was really special having the people who care for our babies be part of the ceremony.”
The couple hadn’t even planned to have a band at their wedding ceremony and now the hospital’s music therapist was performing live for them and the chaplain was conducting the ceremony, something nurse Kenkel said was just part of her job.
“The babies are going to have the best outcomes if the families are taken care of and going home happy,” she said. “Being in the NICU is already so stressful. This is just one more thing I could do to take care of my patients.”
Tyler Vazquez is the Growth and Development Reporter at FLORIDA TODAY. Contact Vazquez at 321-480-0854 or tvazquez@floridatoday.com. X: @tyler_vazquez.
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