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.
A Florida tattoo shop is facing backlash following a social media post from the shop that said active-duty military members and veterans are not welcome at the company, prompting online criticism.
A June 23 post from Revival Tattoo Collective in Largo, Florida, read, “People all in their feelings because I expressed my opinion of the military and law enforcement. My opinion is that the military is a bunch of war criminals and law enforcement kills babies and unarmed citizens in the street. If you don’t like my opinion cool, but you’re not going to change it. Call me short, post records from 20 years ago, threaten the health dept, use homophobic slurs. That only proves my point and shows the true character of our military. Thanks for showing your true colors.”
The post added, “Once again for the slow ones the military. Pretty simple if you are ex military or currently serving just don’t come to the shop. You will be turned away.”
The shop was founded by Brady Martinson, who is described on the website as “a tattooist and sign painter — script, blackletter, and custom typography on skin. He treats every word as architecture: measured, weighted, and built to live a lifetime.”
A few of the replies to the controversial post appeared to agree with the sentiment, with one woman saying, “The military preys on underprivileged youth by luring them in with promises to pay for college and makes it sound like it’s their only opportunity to get ahead in life. ACAB.”
ACAB is an abbreviation for “all cops are b—-ds.”
But many of the replies were negative.
One person wrote, “This kind of thinking is disappointing and immature. Judging an entire group by the actions of a few is the same type of prejudice I’m sure you claim to oppose. (IE: Against a race, the lgbtq community, etc…) There are good and bad people in every profession and every walk of life.”
They added, “I’ve served alongside people of every background imaginable and some of the most selfless, compassionate individuals I’ve met wear a uniform. Reducing millions of military members and law enforcement officers to the worst examples among them isn’t being “woke” or smart — it’s just bias. If you are going to reject stereotypes, you should reject them consistently. Heal yourself and break this never-ending cycle of conflict among humans.”
Another person replied, “Lmao it must be so peaceful being this ignorant.”
“I don’t agree with your opinion, but that doesn’t mean I won’t fight for your right to say it. Please keep in mind that the First Amendment merely proyects [sic] you from being punished by the government for your speech. It does not protect you from the consequences of what you say,” another commentator wrote.
One person replied to the post with a gif that said, “Stop breaking the law a–hole.”
Another posted a reply saying, “I’ll go and just wont tell you till after lmao,” and Revival Tattoo Collective responded to the post with, “No you won’t.”
In a statement to Fox News Digital, a spokesperson for the shop said, “Yeah I’m booked up I can’t take any clients military or civilian. Thanks for your interest on my opinion.”
Archive photos show a sea of green in Florida. What usually causes harmful algal blooms along the Sunshine State’s coasts?
Harmful algal blooms — out-of-control colonies of microscopic algae — are a “growing problem” in every “U.S. coastal and Great Lakes state,” according to the National Oceanic and Atmospheric Administration.
They affect the “health of people and marine ecosystems,” and can also have a detrimental effect on the economy, according to NOAA, especially in coastal communities that are particularly dependent on fishing and tourism.
Climate change, along with increases in nutrient pollution, could cause harmful algal blooms (HABs) to occur more frequently, according to the agency.
Harmful algal blooms can “produce toxic or harmful effects on people, fish, shellfish, marine mammals and birds,” NOAA’s website states. Human illnesses caused by HABs are rare, but they can be “debilitating or even fatal.”
Sea of green? Aerial photos show toxic algae blooms, including in Florida waters
What are harmful algal blooms composed of?
Harmful algal blooms can be caused by a range of organisms, NOAA states, including “toxic and noxious phytoplankton, cyanobacteria, benthic algae, and macroalgae.”
Some HABs can make wildlife-killing toxins that negatively affect fish, mammals and birds, and can also cause human sickness or death in “extreme cases.” Other blooms, while nontoxic, can consume “all of the oxygen in the water as they decay, clog the gills of fish and invertebrates, or smother corals and submerged aquatic vegetation.” Additionally, some algae can discolor water, pile up on beaches or contaminate drinking water.
What usually causes harmful algal blooms along Florida’s coasts?
In the Gulf of Mexico, especially along the west coast of Florida, HABs are most often caused by Karenia brevis, which can turn the surface of the ocean a deep red.
Although there’s no way to predict exactly when a Karenia brevis overgrowth might occur, scientists can forecast the movement of a “red tide” when it does crop up by using wind and water data, according to the Florida Fish and Wildlife Conservation Commission.
They can last “as little as a few weeks or longer than a year,” and how long a bloom persists in “nearshore Florida waters” depends on a variety of factors, including nutrients, salinity and sunlight, reads the FWC’s website.
Sarah Perkel is a South Florida Connect Reporter for the USA TODAY Network’s Florida Connect team. You can get all of Florida’s best content directly in your inbox each weekday day by signing up for the free newsletter, Florida TODAY.
EA Sports released its official team ratings for College Football 27, and the Florida Gators checked in at No. 19 with an 84 overall rating.
Jon Sumrall’s team was granted an 84 offensive rating and a 83 defensive rating, indicating balance on both sides of the ball. Florida is one of 10 SEC programs to crack the top 25. Oregon leads the field with an overall rating of 91. The Ducks are followed by Ohio State (90), Indiana (90), Notre Dame (89) and Texas (89). UF joins nine other SEC teams rated inside the top 25.
The rating continues a major thrust of positive sentiment around Sumrall and the Gators. During this offseason, Florida has been pegged as a CFB playoff dark horse, an SEC wild card and one of sport’s biggest sleepers. The valuation is likely fueled by the Orange and Blue’s transfer portal additions and the retention of key pieces, including junior running back Jadan Baugh, who notched Second-Team All-SEC honors last season.
Sumrall’s cultural reset in Gainesville has started a buzz around college football that has continued to grow louder by the month. Despite a massive roster overhaul and the departure of a five-star quarterback, the Gators have seen a jolt in their national perception.
To reestablish a championship standard, UF will have to navigate an arduous nine-game conference schedule. The Gators face No. 17-rated Missouri (85) in Week 5, No. 5-rated Texas (89) in Week 7, No. 9-rated Georgia (87) in Week 8 and No. 10-rated Oklahoma (87) in Week 9.
Follow us @GatorsWire on X, formerly known as Twitter, as well as Bluesky, and like our page on Facebook to follow ongoing coverage of Florida Gators news, notes and opinions.
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