Questions swirl around Centene’s $10M donation to Florida charity

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Florida lawmakers are raising concerns about the legality of a $10 million donation from Centene to a nonprofit associated with Gov. Ron DeSantis, the Tampa Bay Times reported April 9.

According to the report, Centene’s $10 million donation in September 2024 was directed to a charity supporting “Hope Florida,” and was part of a broader $67 million settlement to resolve allegations of overbilling Florida’s Medicaid program for pharmacy services. Centene has settled with more than 20 states over similar allegations for a total of $1.25 billion.

Hope Florida is an initiative developed by Florida First Lady Casey DeSantis in 2021 and “serves as a connection point for community collaboration between the public and private sector, faith-based communities, and nonprofits.”

Florida state law stipulates that settlement funds must be deposited into a trust fund or the state’s general fund, but the $10 million donation was cleared by the Agency for Health Care Administration as part of the larger settlement and not disclosed to the legislature, according to the Times.

On April 8, Republican House Speaker Daniel Perez said the move “looks as though it could be illegal,” per the Miami Herald.

“First of all, this was a settlement,” Gov. DeSantis said April 10, per the Florida Phoenix. “It was a good deal that was negotiated. When you do settlements, you can try to get as much money as you can, but this was in addition to what they were getting. This is kind of like a cherry on top, where they agreed to make an additional contribution, and so we were served well by what AHCA did.”

Centene is the largest managed Medicaid plan in Florida, with more than one million members. Becker’s has reached out to the company for comment and will update this article if more information becomes available.

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