While the Florida Legislature has appropriated some new general revenue for combating the opioid epidemic, the source of most new funding is through time-limited federal grants due to expire in 2020.
But there are significant shortcomings to grant funding, which is not nearly enough to meet the need. Plus, such funding is not guaranteed from year to year — this makes providers hesitant to expand services and make longer term investments in new treatment sites.
Once federal grant funding ends, Florida will face a significant "funding cliff," presenting a large budget challenge for the state Legislature. Medicaid expansion would fill this budget hole and increase the state's capacity to meet the needs of residents.