Florida's Medicaid spending on emergency healthcare for undocumented immigrants has dropped significantly following the implementation of a new immigration law. The Florida Emergency Medical Assistance program for undocumented immigrants has seen a 54% drop in expenditures billed to Medicaid this year, with less than two months remaining in the fiscal year. This decrease in spending amounts to $81 million compared to the previous fiscal year.
The law, signed by Governor Ron DeSantis last year, requires hospitals that accept Medicaid to ask patients about their immigration status when they seek treatment. While patients are not required to answer, immigrant rights groups have expressed concerns that the mandate may deter undocumented immigrants from seeking necessary medical attention due to fear of repercussions.
The Florida Department of Children and Families has reported a decrease in authorizations for emergency Medicaid payments for undocumented immigrants. In fiscal year 2022, there were 147,000 authorizations; in 2023, this number dropped to 116,000. As of April 30 of this year, only 99,000 authorizations have been recorded.
Approximately half of the Emergency Medical Assistance spending goes towards pregnant women who have gone into labor. However, it is important to note that Florida's health care system is designed to serve and prioritize legal United States citizens. Undocumented immigrants with medical necessities will still be treated by a hospital.
Thomas Kennedy of the Florida Immigrant Coalition has reported signs of fallout from the law, including an exodus of migrants from Florida. Critics argue that there is no evidence directly linking the new law to the decrease in Medicaid spending, pointing instead to an overall decline in undocumented immigrants seeking medical care in the state.
Leonardo Cuello, Director of Health Policy at Georgetown University McCourt School of Public Policy's Center for Children and Families, has stated that there is no proof that the law has caused a decrease in Medicaid spending. He suggests that other factors, such as changes in immigration patterns or healthcare-seeking behavior, may be responsible for the decline.
Despite these differing opinions, it is clear that Florida's Medicaid spending on emergency healthcare for undocumented immigrants has experienced a significant reduction since the new immigration law took effect.