Florida, due to its lack of action on the matter, has 30 years of data and success rates around the country and around the world to verify that Needle-exchange programs work as they take yet another year to make a decision to start one.
Considering the importance of the Medicaid expansion question, it's critical to allow discussion of any expansion bills. Otherwise, the Affordable Care Act will be, for the most part, yet another unfunded mandate that Florida cannot afford.
Some offers are easy to reject using just common sense. I had assumed that the decision regarding taking billions of federal funds for Medicaid Expansion was in that same category, but for many legislators, the choice is not so straight-forward.