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Justin Senior to Leave Top ACHA Post in January

November 28, 2018 - 6:00am
Justin Senior
Justin Senior

The state’s top health-care regulator is stepping down effective Jan. 7.

Justin Senior, the secretary of the Florida Agency for Health Care Administration, sent an email to his staff Tuesday afternoon saying he was leaving the agency to pursue an “outside opportunity.”

“I do not have words to describe how much I have enjoyed working at AHCA and with all of you --- it just has been an incredible experience and one that I will always deeply appreciate,” he wrote in the email. “The work that you do positively impacts the lives of millions of Floridians and I have had the good fortune and opportunity to work with some of the smartest, nicest and most dedicated people in the country on a daily basis.”

Senior had been seen as a potential agency head who might survive the transition from the administration of Gov. Rick Scott to the new administration of Republican Gov.-elect Ron DeSantis. AHCA houses the state’s Medicaid program but also is charged with regulating health-care facilities such as hospitals and nursing homes.

Congressman Matt Gaetz, who is part of the DeSantis transition team, said no decision has been finalized on who will replace Senior. He said the transition team has conducted interviews, but it is “not close to an announcement on anyone.”

Senior, whose resignation is effective the day before DeSantis is inaugurated, has been the head of AHCA since October 2016, when he took over for veteran state official Liz Dudek. Before he moved into the top job at the agency, he was Florida’s Medicaid director for five years. Prior to that, he worked in the agency’s general counsel’s office.

While Senior’s email said he’s leaving to pursue an outside opportunity, he didn’t specify what position he is considering.

The Safety Net Hospital Alliance of Florida is meeting this week in Orlando, where its board of directors is considering whether to offer Senior the position of president, hospital lobbyist Jan Gorrie told The News Service of Florida

That post currently is held by Lindy Kennedy, who was made president following the retirement of long-time leader Tony Carvalho.

If chosen as the alliance’s president, Senior would be precluded from lobbying AHCA but would not be banned from lobbying lawmakers. The alliance lobbies on behalf of 14 hospital and health systems across the state, including public, children’s and teaching hospitals that treat some of the poorest patients. Combined the hospitals provide nearly 50 percent of all Medicaid hospital care.

At the agency, Senior advocated for steep reductions in the amount of Medicaid payments to safety-net hospitals. While hospitals complained about the reductions, Senior, echoing his boss, Scott, repeatedly told lawmakers that hospitals made money.

Senior also helped oversee the state’s transformation of its massive Medicaid program from a fee-for-service program to one that now enrolls most patients in privately-run health maintenance organizations.

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