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2021 County Delegation Project

HCAF's policy team is gearing up for the 2022 Florida Legislative Session, which begins on January 11, 2022. The home care sector's top policy priority is to have legislators address the detrimental impact that the minimum wage increase is having on home- and community-based care providers at this very moment.

Specifically, the Legislature must take steps to minimize the fallout of the forthcoming $15 an hour minimum wage, especially for Medicaid providers whose rates are contractually fixed by state contracts and federal regulations.

County legislative delegations — which include every State Senator and Representative who represents a given county — hold public hearings each year to afford local officials, members of the public, and other interested parties the opportunity to present legislative proposals or express opinions on state issues.

Find out when your county’s Legislative Delegation is meeting so you can share your priorities with your legislators (we continue to update the list of meetings as new information is available). A listing of meetings and talking points to help you craft your message are below. If your agency is located in or serves a county that is holding a meeting — or if you are a resident of the county — please consider attending a meeting and speaking up.

If this is your first time advocating for your industry, no worries! HCAF will be sure you are armed with talking points and prepared to make your case.

Please let us know if you plan to attend a meeting and direct any questions to Kyle Simon, Director of Government Affairs and Communications, at ksimon@homecarefla.org or call (850) 222-8967.

Thank you for your leadership and advocacy!

Talking Points

On November 3, 2020, more than 60% of Florida voters effectively increased the state minimum wage from $8.56 to $15.00 in 2026. Amendment 2 will increase the minimum wage based on the following schedule.

  • $10 on September 30, 2021
  • $11 on September 30, 2022
  • $12 on September 30, 2023
  • $13 on September 30, 2024
  • $14 on September 30, 2025
  • $15 on September 30, 2026

Beginning on September 30, 2027, there would be an annual adjustment to the minimum wage based on increases to the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W).

The following messaging is a high-level overview of the challenges that home care providers are already facing, which will only compound as the minimum wage climbs to $15 an hour in 2026. Your personal story and on-the-ground experiences are the most impactful — use these talking points and your agency and workers' experiences throughout the COVID-19 public health emergency and the ongoing health care workforce shortage crisis.

  • The average hourly wage for Florida’s 76,040 home health and personal care aides is $11.84, according to the U.S. Department of Labor.
  • Home health aides and personal care aides help people with disabilities, chronic illnesses, or cognitive impairment by assisting in their daily living activities. These are not and should not be considered minimum wage jobs, but wages for these front-line workers are dictated by outdated and low reimbursement rates from payers, including Medicare, Medicaid, and private health insurance plans.
  • The associated cost of a $15 minimum wage per home care agency varies significantly across geography, size, and type of provider. For example, the minimum wage increase makes no distinction between different regions across the state. The cost of living in Miami, Tampa, or Orlando is far different than in Live Oak, Chipley, or Sebring. Providers in smaller, less expensive areas are disproportionately impacted by this sweeping increase in the minimum wage.
  • Home care agencies already operate on slim margins. While private pay home care agencies and other non-health care businesses can choose to offset their losses by raising prices for consumers, that’s not an option for health care providers whose services are largely reimbursed by Medicare and Medicaid.
  • Specifically looking at Florida Medicaid, the fee-for-service reimbursement rates have remained stagnant for over a decade while the costs of living and doing business have increased. Medicaid’s maximum reimbursement for a “home health aide visit unassociated with skilled nursing services” is $17.46 per visit, which leaves little or no profit for the home care agency to cover other necessary business expenses (e.g., licensure, accreditation, insurance, office space, marketing, technology, employee education and training, background screening fees, etc.).
  • In addition to already low Medicaid fee-for-service rates, Statewide Medicaid Managed Care (SMMC) health plans traditionally reimburse providers at even lower rates. Moreover, approximately 80% of Florida's more than four million Medicaid recipients are enrolled in a private health plan through the SMMC program. Although a $15 minimum wage increase could spur lawmakers into increasing State fee-for-service reimbursement rates, SMMC health plans are not required to follow suit, thus forcing providers to provide the same level of high-quality care with even less reimbursement for servicing the vast majority of the Medicaid population.
  • Without a proportional increase in reimbursement, the ripple effect will be quick and significant and could turn back the progress Florida has made in transitioning Medicaid recipients from institutional care to the community. For example, in 2013 the state reported that six out of 10 Medicaid long-term care program recipients resided in a nursing facility that year. By 2018, six out of 10 Medicaid long-term care program recipients resided in the community.
  • The home care industry has long experienced challenges with recruiting and retaining caregivers in order to develop and grow this essential workforce. The current reimbursement structure and a $15 minimum wage will further compound home care agencies' ability to offer competitive wages with a growing number of private companies (e.g., Amazon, Starbucks, Bank of America) already paying $15 or more per hour.
  • The bottom line — Without a proportional increase in reimbursement rates, the resulting unintended consequences could mean:
    • Agencies forced to change their service offerings or close their doors for good
    • Caregivers lose their jobs
    • Patients experience barriers to accessing services and supports

Meeting Schedule

Tuesday, September 14, 2021

Lafayette County

  • Time: 10:00-11:00 AM ET
  • Location: Lafayette County Courthouse, County Commission Room 206, 120 W Main St, Mayo, FL
  • Instructions: For additional information or to be placed on the agenda for the hearing, contact Senator Jennifer Bradley's office at (386) 719-2708, or email her staff at Shays.Tonya@flsenate.gov. Seating at the venue will provide for appropriate social distancing and the use of facial coverings is encouraged.

Dixie County

  • Time: 1:00-2:30 PM ET
  • Location: Dixie County Commission Chamber, 214 NE Hwy 351, Cross City, FL 32628
  • Instructions: For more information, contact Ellen Boukari, Legislative Aide for Representative Clemons at (352) 313-6542 or ellen.boukari@myfloridahouse.gov.

Gilchrist County

  • Time: 3:30 PM ET
  • Location: Gilchrist County Commission Chamber, 209 SE 1st St, Trenton, FL 32693
  • Instructions: For more information, contact Ellen Boukari, Legislative Aide for Representative Clemons at (352) 313-6542 or ellen.boukari@myfloridahouse.gov.

Wednesday, September 15, 2021

Clay County

  • Time: 4:00-6:00 PM ET
  • Location: Board of County Commissioners Administration Building, 477 Houston St, Green Cove Springs, FL 32043
  • Instructions: Anyone interested in addressing the delegation should contact Senator Bradley’s office at (904) 278-2085 or email Heffley.Katelyn@flsenate.gov. Seating at the venue will provide for appropriate social distancing and the use of facial coverings is encouraged.

Thursday, September 16, 2021

Martin County

  • Time: 9:00 AM-12:00 PM ET
  • Location: Indian River State College Chastain Campus, Wolf Technology Center, 2400 SE Salerno Road, Stuart, FL, 34997
  • Instructions: Anyone interested in addressing the delegation must submit the participation form here and three copies of any materials that you will be providing. All materials must be submitted no later than September 3, 2021. Please contact Sarah Powers at (772) 545-3481 or via email at Sarah.Powers@MyFloridaHouse.gov to schedule a time to drop off materials. If you have any questions regarding local bills or legislation, please contact Sarah Craven at Sarah.Craven@myfloridahouse.gov.

Hamilton County

  • Time: 5:00-7:00 PM ET
  • Location: Hamilton County Courthouse, Main Court Room, 207 NE First St, Jasper, FL 32052
  • Instructions: For additional information or to be placed on the agenda for the hearing, contact Representative Chuck Brannan’s office at (386) 758-0405 or email staz.guntek@myfloridahouse.gov.

Tuesday, September 28, 2021

Seminole County

  • Time: 9:00 AM-12:00 PM ET
  • Location: Seminole County Government County Services Building, Board of County Commission Chambers, 1101 E 1st St, Sanford, FL 32771
  • Instructions: A Speaker Request Form is required for all members of the public who wish to speak. The form can be accessed online and by contacting State Representative David Smith’s district office at (407) 971-3750 or zachary.myers@myfloridahouse.gov.

Wednesday, September 29, 2021

Seminole County

  • Time: 9:00 AM-12:00 PM ET
  • Location: Seminole County Government County Services Building, Board of County Commission Chambers, 1101 E 1st St, Sanford, FL 32771
  • Instructions: A Speaker Request Form is required for all members of the public who wish to speak. The form can be accessed online and by contacting State Representative David Smith’s district office at (407) 971-3750 or zachary.myers@myfloridahouse.gov.

Sumter County

  • Time: 9:00 AM-1:00 PM ET
  • Location: Sumter County Government Offices (Room 102), 7375 Powell Road, Wildwood, FL 34785
  • Instructions: Those wishing to address the Sumter County delegation must contact State Representative Brett T. Hages office at (352) 315-4445 no later than Monday, September 27, 2021. If you plan to distribute presentation materials, please bring two copies to the meeting for the delegation members.

Brevard County

  • Time: 3:00-7:00 PM ET
  • Location: Brevard County Government Center County Commission Chambers (Building C, first floor), 2725 Judge Fran Jamieson Way, Viera, FL 32940
  • Instructions: The submission deadline for appearance request forms is Monday, September 20, 2021, at 5:00 PM. Click here to complete and submit an appearance request form. Inquiries may be directed to Senator Mayfield’s office at (321) 409-2025 or by email to smith.karly@flsenate.gov.

Thursday, September 30, 2021

Sarasota County

  • Time: 3:00-7:00 PM ET
  • Location: Brevard County Government Center County Commission Chambers (Building C, first floor), 2725 Judge Fran Jamieson Way, Viera, FL 32940
  • Instructions: The submission deadline for appearance request forms is Monday, September 20, 2021, at 5:00 PM. Click here to complete and submit an appearance request form. Inquiries may be directed to Senator Mayfield’s office at (321) 409-2025 or by email to smith.karly@flsenate.gov.

Friday, October 1, 2021

Flagler County

  • Time: 3:00-5:00 PM ET
  • Location: Flagler County Commission Chambers, 1769 E Moody Blvd., Bldg 2, Ste 102, Bunnell, Florida 32110
  • Instructions: To speak before the delegation, call the office of Senator Travis Hudson at (386) 446-7410 no later than two weeks prior to the meeting.

St. Johns County

  • Time: 8:30 AM-12:30 PM ET
  • Location: St. Johns County Administration Building, 500 San Sebastian View, St. Augustine, FL 32084
  • Instructions: To speak before the delegation, complete the speaker form, which can be submitted to Senator Hutson’s aide, Danielle Curbow, at curbow.danielle@flsenate.gov.

Tuesday, October 5, 2021

Levy County

  • Time: 9:30-10:30 AM ET
  • Location: Williston City Hall Community Room, 50 NW Main St, Williston, FL 32696
  • Instructions: To speak before the delegation, call the office of Senator Jennifer Bradley at (904) 278-2085 or email Tonya Shays at shays.tonya@flsenate.gov.

Union County

  • Time: 9:30-10:30 AM ET
  • Location: Lake Butler City Hall, 200 SW 1st St, Lake Butler, FL 32054
  • Instructions: To speak before the delegation, call the office of Senator Jennifer Bradley at (904) 278-2085 or email Tonya Shays at shays.tonya@flsenate.gov.

Bradford County

  • Time: 4:30 PM ET
  • Location: Johns Conference Center, 1610 N Temple Ave, Starke, FL 32091
  • Instructions: To speak before the delegation, call the office of Senator Jennifer Bradley at (904) 278-2085 or email Tonya Shays at shays.tonya@flsenate.gov.

Wednesday, October 6, 2021

Lake County

  • Time: 9:00 AM-1:00 PM ET
  • Location: Venetian Center, 1 Dozier Circle, Leesburg, FL 34748
  • Instructions: If you would like to speak and be placed on the printed agenda, please fill out the online form and send any documents for the delegation to HDIS031@myfloridahouse.gov before noon on Wednesday, September 30, 2021.

Volusia County

  • Time: 9:00 AM-1:00 PM ET
  • Location: DeLand City Hall, Commission Chambers, 120 S Florida Ave, DeLand, FL 32720
  • Instructions: Each individual or organization addressing the delegation will have three minutes to present. Appearance cards and any documents you would like to distribute to the delegation members must be received by Wednesday, September 15 at 5:00 PM. Supplemental documents must be mailed or delivered. Please send nine copies to the address below by the deadline. Supplemental documents that are emailed will not be printed. If you do not have any supplemental documents to provide the members, you may fill out an online form here. Please be aware that adherence to certain COVID-19 precautions may be required for entry into the DeLand City Hall. As of now, this meeting will be open to both presenters and the public. Details are subject to change as we conform to the latest recommendations from our officials and healthcare professionals with regard to COVID. Contact Robbie Vogan at Vogan.Robbie@flsenate.gov if you have any questions.

Office of Senator Jason Brodeur
922 Williston Park Point, Suite 1300
Lake Mary, FL 32746

Broward County

  • Time: 12:30-2:30 PM ET (School Board will meet from 10 AM to 12 PM in the same room)
  • Location: Broward County School Administrative Office, Kathleen C. Wright Building Main Boardroom, 600 SE Third Ave, Fort Lauderdale, FL 33301
  • Instructions: Click here to sign up to speak. More information is available at Broward.org/legislative or call at (954) 357-6555. Mask required.

Thursday, October 7, 2021

Marion County

  • Time: 1:00 PM ET
  • Location: College of Central Florida, Klein Conference Center, 3001 SW College Rd, Ocala, FL 34474
  • Instructions: To speak before the delegation, call the office of Senator Jennifer Bradley at (904) 278-2085 or email Tonya Shays at shays.tonya@flsenate.gov.

Monday, October 25, 2021

Santa Rosa County

  • Time: 5:30-7:00 PM CT
  • Location: Santa Rosa County Board of County Commission Chambers, 6495 Caroline St, Milton
  • Instructions: To be placed on the meeting agenda, you must submit a speaker form no later than 5 PM CT on Monday, October 18. Forms may be requested from Representative Andrade’s Legislative Aide, Katie Doughty, at Katie.Doughty@myfloridahouse.gov.

Tuesday, October 26, 2021

Broward County

  • Time: 10:00 AM-12:30 PM ET
  • Location: Broward MPO, 100 W Cypress Creek Rd, 6th Floor, Suite 650, Fort Lauderdale, FL 33309-2181
  • Instructions: Click here to sign up to speak. More information is available at Broward.org/legislative or call at (954) 357-6555. Mask required.

Thursday, October 28, 2021

Palm Beach County

  • Time: 9:00 AM-12:00 PM ET
  • Location: The Clayton E. Hutcheson Agricultural Services Center, 559 North Military Trail, West Palm Beach, FL 33415
  • Instructions: Click here for details.

Tuesday, November 9, 2021

Broward County

  • Time: 4:00-6:30 PM ET
  • Location: JAFCO, 5100 North Nob Hill Rd, Illuminate Ballroom, Sunrise, FL 33351
  • Instructions: Click here to sign up to speak. More information is available at Broward.org/legislative or call at (954) 357-6555. Mask required.

Wednesday, November 10, 2021

Charlotte County

  • Time: 9:00 AM-12:00 PM ET
  • Location: Military Heritage Museum, 900 West Marion St, Punta Gorda 33950
  • Instructions: More details to be released closer to the meeting. For questions, email Cynthia Beckett, District Aide to Representative Michael J. Grant at Cynthia.Beckett@myfloridahouse.gov.

Wednesday, December 8, 2021

Palm Beach County

  • Time: 10:00 AM-12:00 PM ET
  • Location: Dolly Hand Cultural Arts Center, 1977 SW College Dr, Belle Glade, FL 33430
  • Instructions: Click here for details.