GOP Wins Big In Northwest Florida House District In First Vote Since Rejecting Medicaid Expansion

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GOP wins big in Northwest Florida House district in first vote since rejecting Medicaid expansion Florida Democrats hoping the fight over Medicaid expansion and the sequester would win them support with those who depend on federal funding won’t find much encouragement in Tuesday’s special election for House District 2.

In the first referendum since House Republicans bypassed more than $50 billion in federal aid for health care, Mike Hill, a 55-year-old tea party Republican insurance agent, won 57.9 percent of the vote in a Northwest Florida district that has an economy dominated by hospitals as well as the military -- which is weathering a sequester deal rife with budget cuts forced by congressional Republicans.

Hill’s Democratic opponent, Jeremy Lau, mustered 42.1 percent of the vote in a special election held after Rep. Clay Ford died in March. Lau, a 40-year-old aircraft mechanic for L-3 Com Vertex Aerospace, a military contractor at Pensacola Naval Station, had made Medicaid expansion his No. 1 issue.

“The failure of the Legislature to expand Medicaid has cost our district jobs,” Lau said. “It’s a huge issue here.”

A University of Florida study concluded that expansion of Medicaid would create an average of 1,619 full-time and part-time jobs in Escambia County annually over the next 10 years and help provide coverage for county’s residents, 20 percent of whom don’t have health insurance.

But Lau couldn’t overcome the district’s conservative demographics (Mitt Romney won 59 percent of the vote here in 2012) and Hill’s overwhelming financial advantage. The district, which covers parts of Escambia and Santa Rosa counties, leans so hard right that no Democrat ran in either 2010 or 2012 against Ford. Hill raised $200,000 compared to Lau’s $29,500, getting plenty of help from the GOP, which chipped in $51,000. Democrats could manage only $1,090 for Lau.

Hill also made the Medicaid expansion a key issue, but as a way to spruce up his conservative credentials.

“I’m so proud of Speaker (Will Weatherford) and the House for turning that down,” Hill said. “We can’t afford that in Florida.”

Hill, a veteran of the U.S. Air Force, becomes the first black Republican in the Florida House since Jennifer Carroll served there between 2003 and 2010. He’s also the first black legislator from Northwest Florida since Reconstruction.

“I know the historical significance,” Hill said. “But it doesn’t matter to me if I’m the first black this or that. I don’t want to be chosen based on my skin color. I want to be chosen based on my character and my value system.”

 

Hill founded the Northwest Florida Tea Party in 2010. He summarizes his value system succinctly: “Limited government, low taxes, personal freedom and individual responsibility.”

He said he will aim to eliminate the corporate tax rate, reduce the state sales tax and eliminate rules and regulations for business.

“People want jobs, they want business to expand,” Hill said.

He lists his net worth, as of April 1, at $1.1 million, deriving about $424,000 a year from his State Farm Insurance agency. He makes another $8,000 a year sitting on the board of Pride Enterprises, which is a St. Petersburg company that makes state license plates using prison inmates. Hill said he supports the program as a board member, but said that as a legislator, he will evaluate the contract independently of his association with PRIDE. Upon running, however, he did step down from his board position with Integrity Florida, a public watchdog group in Tallahassee.

This is the first elected office held by Hill, who ran and lost in 2010 a senate race against Greg Evers. He recently got a shout-out from MSNBC talking head Joe Scarborough for his support in his congressional campaigns from the early 1990s.

Hill is new to District 2. He moved last week to a Pensacola Beach condo so he could qualify. Florida law requires candidates to live in the district upon getting elected. Hill said he actually lived in Ford’s district, but was drawn out of it when the boundaries were reconfigured last year.

He will have a year more in the Legislature than the next class of rooking lawmakers, giving him a headstart in the race for House Speaker. Other recent “red-shirt” freshmen to become speakers or speaker designates are Marco Rubio, who served as speaker in 2008 and 2009, and Jose Oliva, who is designated to become speaker in 2018.

But Hill wouldn’t say if he will vie for the Speaker job in 2020.

“I don’t know what it means to be Speaker,” Hill said. “I don’t know if it’s something I want.”

In a statement from the Republican Party of Florida, Weatherford welcomed Hill.

"Representative Hill will be a strong voice for limited government and individual liberty," Weatherford stated.

 "His election sends a clear message that Floridians want smaller government, lower taxes, and the freedom to pursue the American Dream," said Rep. Steve Crisafulli, R-Merritt Island, in a statement. "Representative Hill will be a strong conservative voice in our caucus."

Crisafulli, who is set to become Speaker in 2014, shares political consultants with Hill: Meteoric Media Strategies, founded by former Gov. Rick Scott spokesmen Brian Hughes and Brian Burgess.

Posted by Michael Van Sickler at 9:40 PM on Tuesday, Jun. 11, 2013 in 2013 FLORIDA LEGISLATURE, Will Weatherford | Permalink

The Miami HeraldCopyright 2013 The Miami Herald. All rights reserved. This material may not be published, broadcast, rewritten or redistributed. Comments

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A lot of Hill's money came from the Insurance Industry. You can expect him to continue the attacks on Citizens and the overblown estimates of storm exposure in Floriduh. In other words, you can expect him to continue the inflated premiums and the corporate welfare system Republicans hold near and dear to their hearts and wallets (that's a redundant statement).

Posted by:Anti-Tallahassee |June 12, 2013 at 12:34 AM

Just what Florida needs--another Tea Party Legislator.

Posted by:M.A. Salfinger |June 12, 2013 at 07:26 AM

One more nut for the fruitcake in Tallahassee!!

Posted by:Doug Watson |June 12, 2013 at 10:09 AM

Glad to know that corporate welfare will continue to be the primary mission of the Florida Legislature. West Florida has always been much more a part of Alabama than Florida. No real loss if we just partitioned the state at the Apalachicola River.

Posted by:Can't take anymore |June 12, 2013 at 01:12 PM

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OpinionsExpanding Medicaid coverage is not a cure-all By Roberta Capp, Roberta CappJun 13, 2013 11:52 PM EDT

The Washington Post

Roberta Capp is a Robert Wood Johnson clinical scholar fellow at Yale University, where she practices emergency medicine and is researching health care delivery for patients with Medicaid and Medicare insurance.

The debate over “Obamacare” has focused largely on the number of uninsured Americans and how the regulations will be implemented. Not enough attention is being paid to the difficulties our health-care system imposes on those with Medicaid insurance, which is being extended to millions who lack coverage.

Frequently, people blame patients for using emergency departments “inappropriately.” But some Medicaid patients do everything they can to see a doctor, to no avail, and must resort to emergency department visits. My own experience has been instructive.

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Tom Toles on health care:?A collection of cartoons on the debate.

One Monday a few months ago, the waiting room of the emergency department (ED) where I work had 30 patients, some of whom had waited 12 hours to be seen. My first patient was a woman with chest pain. She has Medicaid insurance. Her medical problems include diabetes, previous heart attacks, asthma and acid reflux. I ordered an electrocardiogram and saw from her file that she had been evaluated in the ED for chest pain 14 times in the past year and hospitalized on seven of those occasions. After reading her previous diagnostic tests and treatments, I was confident that her chest pain was not caused by a heart or lung problem. I was also curious about how her care was being coordinated.

The first time this woman had chest pain, she said, she called our hospital’s primary-care clinic, where she had seen a different doctor at each previous appointment. After holding for more than 30 minutes, she hung up and went to the emergency department. That visit resulted in a hospital admission for a heart stress test, the results of which were normal. But this woman continued to experience pain. She later saw a doctor at our primary-care clinic who prescribed an acid-reflux medication and told her to return to the ED if she had more pain.

This woman prefers to see a ­primary-care doctor, she told me, which is why she would call the clinic when she had pain. But often she was either unable to get an appointment right away or couldn’t get a person on the phone. When she did reach someone, once she said “chest pain,” she was almost always told to call 911 immediately and go to the ED.

The patient’s records showed that in the past year she had had two cardiac stress tests, one coronary catheterization procedure and two CT scans of her chest, all of which were normal. Simply put, she received the best care possible — and doctors assessing her were reassured that she did not have heart disease or a clot in her lungs. But she also underwent duplicate testing, which increased her costs without providing additional benefits, exposed her to more radiation and raised the potential for false-positive test results.

When this patient was able to get an appointment quickly, she then had to arrange transportation. Medicaid will pay for taxi service, she told me, but she has to call at least three days ahead to schedule the ride. Ultimately, she told me, she has concluded that “the only way to see a doctor soon enough is to call an ambulance” and go to the ED.

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