Maternal health outcomes are getting worse, not better, and are marked by unacceptable racial disparities.  Medicaid expansion has been shown to improve outcomes for mothers and babies. Florida cannot afford to ignore this opportunity.

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Decades of disinvestment in the state’s mental health care system has led to the institutionalization of the severely mentally ill in Florida prisons and jails, depriving individuals of essential care, and straining state and local budgets.

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As the 2019 novel coronavirus (COVID-19) continues to plague our nation, it has highlighted
existing structural inequities. Over the past few weeks, a number of reports, both in mainstream
media and among policy analysts, have documented evidence of the disproportionate negative
impact of COVID-19 on low-income communities of color. Florida, one of the nation’s most
diverse states, and one of just 14 states that have not expanded Medicaid, is uniquely
susceptible to health disparities amid the COVID-19 crisis.

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Expanding Medicaid, the public program that has for decades provided health insurance to millions of low-income individuals and families, is a central strategy to improving health outcomes and lowering costs for uninsured South Floridians. Florida is currently one of just 14 states that have not expanded Medicaid, leaving large numbers of low- income residents without health coverage, including over a million people in South Florida.

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The report provides a brief primer on Medicaid expansion under the ACA, touches upon its health and fiscal benefits, and concludes by discussing the number of potential beneficiaries of Medicaid expansion in the Miami metropolitan area and its component counties.

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