TALLAHASSEE, Fla. - As lawmakers tackle another year of budgets and bills, advocates for older Floridians want to make sure vital services are preserved and consumer protections for people of all ages are in place.

Since the vast majority of older people would prefer to age in place, Jack McRay, AARP Florida advocacy manager, said his group is working for increased funding for programs and services that allow people to stay in their homes. He said it makes financial sense for the state, as an alternative to the high cost of nursing homes and other long-term care facilities.

"If we could get more people into home- and community-based services, you could serve more people with the same amount of money," he said, "or you could serve more people at a lower cost for the state."

Last year, legislators approved an increase of about 200 slots for Medicaid waivers for programs and services that help older people maintain their independence. However, McRay noted that there is a wait-list of more than 59,000 people for those types of services.

Along with measures to ensure affordable-housing options, McRay said, one of the more promising pieces of legislation that could help people age in place involves "telehealth": using technology to allow more health-care providers to offer routine visits and check-ups via computers, telephones and smartphone apps.

"With this advance in technology, there are all sorts of things that can be done to help people remain in their homes even longer, and avoid institutionalization, perhaps altogether," he said, "and that's the most expensive care that there is."

Analysts estimate that if telehealth could reduce costly medical interventions such as emergency-room use and length of hospital stay by just 1 percent, McRay said, the state would realize a cost savings of more than $1 billion.

This week, a measure to expand telehealth services in Florida was approved by the Senate Health Policy Committee. The bill, SB 1686, is online at flsenate.gov.More information is at aarp.org/FL.


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Missouri's House of Representatives approved a budget of about $51 billion just before a Friday 6 p.m. deadline.

Gov. Mike Parsons has labeled it the "largest supplemental budget in Missouri's history," and can either accept it as-is or make cuts.

Rep. Cody Smith, R-Carthage, the House budget chair, expressed satisfaction for managing to boost funding for education and infrastructure without risking budget shortfalls. He mentioned a surplus of more than $1.5 billion in general revenue, to be used for potential growth or future projects.

"We've got a balanced budget, we've got less spending than we did have last year, and we've got a healthy rainy day fund," Smith outlined. "I think that package is what I'm most proud of."

Smith is especially pleased with the infrastructure spending for Interstate 44 repairs but expressed disappointment in the budgeting process, due to the lack of a conference committee and challenges in the final weeks. Still, he described the final budget as "strong."

Sen. John Rizzo, D-Independence, the Senate Minority Leader, told reporters a special session could be needed due to the budget being "rushed" and the possibility of other issues coming up.

Rep. Crystal Quade, D-Springfield, the House Minority Leader, also shared her dissatisfaction with the budgeting process.

"We cannot allow the 'new normal' for spending taxpayer money to become just two guys writing a budget in secret and then jamming it through the process at the very last minute, full of pork and appeasing lobbyists," Quade stressed.

Quade described the budget as being completed in the "technical sense" but feels lawmakers deliberately low-balled spending, as several are competing in Republican primaries for statewide offices. She pointed out it is a strategy allowing them to claim credit for cutting overall state spending.


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Child care advocates are pushing for increased funding as the budget deadline approaches this Friday.

Robyn Schelp, director of policy and advocacy for Kids Win Missouri, said ensuring increases to child care subsidies remain in the budget are vital for every Missourian whether they have children or not.

"It impacts the entire workforce," Schelp pointed out. "We have to stop thinking that this is a parent's issue. It isn't. If we want teachers in the classroom and doctors at their offices and whatnot, we have to make sure there's childcare for their kids."

The legislature adjourned after just about 10 minutes on Monday, following a record 41-hour filibuster which went to 4 a.m. Thursday without agreeing on a budget. Missouri lawmakers have only missed the budget deadline one time, in 1977.

Sen. Cindy O'Laughlin, R-Shelbina, the Senate Majority Leader said on social media Friday the Missouri Freedom Caucus only yielded the floor under the threat of a motion to end debate. She tried to introduce the Federal Reimbursement Allowance, which she said is crucial for funding to offset general revenue and vital for Medicaid services.

The budget includes child care subsidies under House Bill 2002. Schelp noted the House's proposal would support only 23,000 children, restricting expansion and compliance with federal guidelines.

"Our hope is that it stays with the governor's recommendation, of that $52 million," Schelp emphasized. "Allowing them to go to that 100th percentile of payment for infants and toddlers and then the 65th percentile for preschool and afterschool."

Sen. Bill Eigel, R-Weldon Spring, is leading an effort to convince fellow members of his party to approve abortion restriction legislation and a bill on ballot initiatives in Missouri before agreeing to a vote on the reimbursement allowance.

A plan to use public money to fund vouchers for students to attend private schools is drawing pushback from Louisiana teachers, who say the plan could devastate the public school system.

The program making its way through the Louisiana Legislature would be first available to low-income students and by the 2027-2028 school year, it would be available to all students.

Larry Carter, president of the Louisiana Federation of Teachers, predicts the plan could cause significant budget cuts for public schools.

"These universal voucher bills are a step in the wrong direction," Carter argued. "We've seen in other states around the country, like Arizona and Ohio, where these bills have been passed, they're now facing a budget crisis, and we're hoping that we cannot go down that same road."

Carter pointed out the education savings account program known by the acronym LA GATOR would allow as much as $7,500 per student from families below 250% of the Federal Poverty Line, and $5,000 for those who make more.

The plan, House Bill 745 and companion Senate Bill 313, has been approved by the state House. The Senate is expected to vote on it by Friday or Monday.

Carter explained teachers are concerned classroom standards currently mandated for public schools would not be upheld in private or parochial schools.

"We want to make sure it has some accountability," Carter emphasized. "We think that's at least giving all education stakeholders and parents an opportunity to talk about whether this program is successful or not. And through accountability practices, we think that will help."

There is concern the plan would force public schools to eliminate many positions and needed programs. Carter fears the loss of funds could deprive students of the benefits of a public school education.

"If we're cutting that funding stream, Louisiana students will have fewer nurses and counselors, less options for after school program, and certainly limited access to field trips and AP courses that help prepare them for their next step in life," Carter outlined.