Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
Updated 1:02 PM MT
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State Policy·FL·July 17, 2026

Florida Counties Face $420M Medicaid Bill as Property Tax Revenue Declines

Florida's 67 counties will pay nearly $420 million toward state Medicaid spending this fiscal year, according to state economists. Miami-Dade County faces the largest share at $69.4 million, followed by Broward at $34.7 million and Hillsborough County. The county obligation comes as Florida counties anticipate declining property tax revenue. This county-level Medicaid cost-sharing arrangement represents mandatory local government contributions to the state's Medicaid program budget.

Why it matters

County-level Medicaid financing obligations affect overall state program funding stability and can influence benefit design, provider rate adequacy, and managed care capitation levels in Florida's $30+ billion Medicaid program.

Finance · Managed Care

Read the full article at floridaphoenix.com

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