Expanding Medicaid to cover thousands of uninsured Floridians has mostly been ignored by Republicans during this year's legislative session, but U.S. Sen. Bill Nelson is making a last-ditch effort to get it done.
Medicaid is a joint state-federal program, though most of the expansion called for under the Affordable Care Act would be funded by Washington. Still, Florida Republicans have balked, claiming that in the future, the burden on state funds would be too great.
Politics may be an even bigger problem than money, since Medicaid expansion is key to the success of President Obama's signature health law.
For months, Nelson has sought a way around the opposition while still meeting federal requirements. He thinks he has found it in a never-tried-before plan: Using health care dollars raised by counties to get the $3.5 billion needed to draw down $51 billion in federal funding.
"If you really want to get it done, and if your reason for opposing it really was that you didn't want to commit state tax dollars in the out years to expanding Medicaid, then this is the opportunity to do that," Nelson said Wednesday.