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Assisted living claims victories in Florida budget, sees promise in future talks

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Assisted living claims victories in Florida budget, sees promise in future talks


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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. 

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“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.

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“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. 

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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.

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Gas prices rise in South Florida amid U.S. and Israel’s conflict with Iran, as the stock market also reports a dip

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Gas prices rise in South Florida amid U.S. and Israel’s conflict with Iran, as the stock market also reports a dip



Four days into the Iranian conflict, gas prices are rising at many stations in South Florida.

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“I’ve traveled all over the United States,” says Stacey Williams. CBS Miami spoke to him as he was gassing up on the turnpike. He paid $66 for 20 gallons of diesel to fill his pickup truck. Williams has noted the fluctuations in fuel as he drives to locations for his work on turbines. He just spent three weeks at the Turkey Point Nuclear Power Plant south of Miami.

“The salary we get paid per hour does not add up to what we pay for gas, housing, and food,” he says.

Mitchell Gershon is also dealing with the higher gas prices. He has to fill three vehicles constantly for his business—Thrifty Gypsy, a pop-up store at musical venues. He’s back and forth from Orlando to Miami and says fuel is costing him 20% more. When asked how he handles these fluctuations, he said, “Have a little backup cash so you are ready for it.”

The rise in oil prices contributed to a drop in the stock market on Tuesday, which means some retirement accounts dipped, too. CBS Miami talked to Chad NeSmith, director of investments at Tobias Financial Advisors in Plantation, for perspective on the drop.

“We are seeing most of the pullback today. Yesterday was a shock,” he says. He’s not expecting runaway oil prices but says investors should stay in the loop: “Pay attention to your portfolio. Stick to your goals. Have a plan because these things are completely unpredictable.”

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That unpredictability has Williams adjusting his budget. “You just cut back, cut corners, all you can do,” he says.



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Man convicted of 1991 fatal shooting of a police officer is set to be executed in Florida

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Man convicted of 1991 fatal shooting of a police officer is set to be executed in Florida


STARKE, Fla. (AP) — A man convicted of fatally shooting a police officer with his own service weapon during a traffic stop is set to be executed Tuesday evening in Florida.

Billy Leon Kearse, 53, is scheduled to receive a three-drug injection starting at 6 p.m. at Florida State Prison near Starke. Kearse was initially sentenced to death in 1991 after being convicted of first-degree murder and robbery with a firearm.

The Florida Supreme Court found that the trial court failed to give jurors certain information about aggravating circumstances and ordered a new sentencing. Kearse was resentenced to death in 1997.

Kearse awoke at 6:30 a.m. He declined a last meal and has remained compliant throughout the day, corrections spokesman Jordan Kirkland said during a news conference. Kearse met with a spiritual adviser during the day but had no other visitors.

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This is Florida’s third execution scheduled for 2026, following a record 19 executions last year. Republican Gov. Ron DeSantis oversaw more executions in a single year in 2025 than any other Florida governor since the death penalty was reinstated in 1976. The highest number before then was eight executions in both 1984 and 2014, under former governors Bob Graham and Rick Scott, respectively.

According to court records, Fort Pierce Police Officer Danny Parrish pulled over Kearse for driving the wrong way on a one-way street in January 1991. When Kearse couldn’t produce a valid driver’s license, Parrish ordered Kearse out of his vehicle and attempted to handcuff him.

A struggle ensued, and Kearse grabbed Parrish’s firearm, prosecutors said. Kearse fired 14 times, striking the officer nine times in the body and four times in his body armor. A nearby taxi driver heard the shots and used Parrish’s radio to call for help.

Parrish was rushed to a nearby hospital, where he died from the gunshot wounds, officials said. Meanwhile, police used license plate information that Parrish had called in before approaching Kearse to identify the attacker’s vehicle and home address, where Kearse was arrested.

Last week, the Florida Supreme Court denied appeals filed by Kearse. His attorneys had argued that he was unconstitutionally deprived of a fair penalty phase and that his intellectual disability makes his execution unconstitutional.

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The U.S. Supreme Court rejected Kearse’s final appeals Tuesday afternoon without comment.

A total of 47 people were executed in the U.S. in 2025. Florida led the way with a flurry of death warrants signed by DeSantis, far outpacing Alabama, South Carolina and Texas which each held five executions.

Besides the two Florida executions this year, Texas and Oklahoma have each executed one person so far.

Two more Florida executions have already been scheduled for this month. Michael Lee King, 54, is scheduled to die on March 17, and the execution of James Aren Duckett, 68, is set for March 31.

All Florida executions are carried out via lethal injection using a sedative, a paralytic and a drug that stops the heart, according to the Department of Corrections.

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Man convicted of 1991 fatal shooting of police officer is set to be executed in Florida

Published

on

Man convicted of 1991 fatal shooting of a police officer is set to be executed in Florida


STARKE, Fla. (AP) — A man convicted of fatally shooting a police officer with his own service weapon during a traffic stop is set to be executed Tuesday evening in Florida.

Billy Leon Kearse, 53, is scheduled to receive a three-drug injection starting at 6 p.m. at Florida State Prison near Starke. Kearse was initially sentenced to death in 1991 after being convicted of first-degree murder and robbery with a firearm.

The Florida Supreme Court found that the trial court failed to give jurors certain information about aggravating circumstances and ordered a new sentencing. Kearse was resentenced to death in 1997.

This is Florida’s third execution scheduled for 2026, following a record 19 executions last year. Republican Gov. Ron DeSantis oversaw more executions in a single year in 2025 than any other Florida governor since the death penalty was reinstated in 1976. The highest number before then was eight executions in both 1984 and 2014, under former governors Bob Graham and Rick Scott, respectively.

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According to court records, Fort Pierce Police Officer Danny Parrish pulled over Kearse for driving the wrong way on a one-way street in January 1991. When Kearse couldn’t produce a valid driver’s license, Parrish ordered Kearse out of his vehicle and attempted to handcuff him.

A struggle ensued, and Kearse grabbed Parrish’s firearm, prosecutors said. Kearse fired 14 times, striking the officer nine times in the body and four times in his body armor. A nearby taxi driver heard the shots and used Parrish’s radio to call for help.

Parrish was rushed to a nearby hospital, where he died from the gunshot wounds, officials said. Meanwhile, police used license plate information that Parrish had called in before approaching Kearse to identify the attacker’s vehicle and home address, where Kearse was arrested.

Last week, the Florida Supreme Court denied appeals filed by Kearse. His attorneys had argued that he was unconstitutionally deprived of a fair penalty phase and that his intellectual disability makes his execution unconstitutional.

Final appeals were pending Tuesday before the U.S. Supreme Court.

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A total of 47 people were executed in the U.S. in 2025. Florida led the way with a flurry of death warrants signed by DeSantis, far outpacing Alabama, South Carolina and Texas which each held five executions.

Besides the two Florida executions this year, Texas and Oklahoma have each executed one person so far.

Two more Florida executions have already been scheduled for this month. Michael Lee King, 54, is scheduled to die on March 17, and the execution of James Aren Duckett, 68, is set for March 31.

All Florida executions are carried out via lethal injection using a sedative, a paralytic and a drug that stops the heart, according to the Department of Corrections.

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