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October 31, 2025
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The Florida Guardianship Data Transparency System (FLGDT)
database and public facing website officially launched in
2024. As of June 2025, 338 users had access to FLGDT. OPPAGA
found FLGDT to be operational, but underlying data was
incomplete. Clerks implemented approaches proposed by the
Florida Clerks of Court Operations Corporation to capture
missing data elements, but the absence of a unique
identifier that links individual guardians to their cases
continues to inhibit accurate reporting of guardianship
data. Due to the lack of a unique identifier, OPPAGA used a
subset of cases to generate professional guardian caseload
statistics. OPPAGA received data extracted from the FLGDT
database—which included 6,478 active professional
guardianship cases—and identified the specific professional
guardian in 56% of the cases. Analysis of these cases
indicated that most guardians are appointed to 10 or fewer
cases, but 40% of wards were served by guardians with
caseloads of more than 30 cases. Active caseloads for
professional guardians ranged from 1 ward to an outlier of
275 wards. OPPAGA interviewed officials in four states;
these officials emphasized the importance of collecting
accurate, statewide guardianship data and reported that data
cleanup is a challenging step in that process. Both
Pennsylvania and Minnesota created statewide guardianship
portals that allow guardians to enter required reports
online and allow court staff to monitor and oversee
guardians’ activities; Nevada is developing a statewide
portal, and New Mexico collects statewide data using unique
status codes in its existing case management system.
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Source: OPPAGA
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States across the country are adopting Assisted Outpatient
Treatment (AOT) programs at a record pace, bolstered by
nearly $150 million in federal funding since 2016. AOT laws
authorize courts to mandate community mental health
treatment, including psychotropic medication, for
individuals with lived experience of mental health
conditions, typically without a judicial finding of current
dangerousness or incapacity to make rational treatment
decisions. Proponents praise AOT as a means of addressing
unmet treatment needs, reducing homelessness, and curbing
violence. Yet, they extend state authority to override
competent treatment refusals based on speculative
predictions of future dangerousness and questionable
assertions of efficacy. This article provides the first
comprehensive, empirical examination of the two primary
justifications for AOT; the first, coined the “thank-you
theory,” theorizes that involuntary treatment restores a
person’s autonomy and that recipients will, in hindsight, be
grateful for it. The second is a consequentialist argument:
AOT is warranted when an individual lacks insight into their
need for treatment, their condition poses a risk of future
harm, and the expected benefits of treatment outweigh the
harm to personal liberty. These theories depend upon three
assumptions: (1) that individuals lack meaningful autonomy
prior to involuntary intervention, (2) that recipients are
generally grateful in hindsight, and (3) that AOT reliably
produces beneficial outcomes. Drawing from quantitative and
qualitative empirical studies, the article finds each
unsupported by strong evidence. The article then proposes
two alternative paths. First, it suggests a narrowing of AOT
criteria through stricter consent requirements, procedural
justice enhancements, and restrictions of eligibility to
target populations. Second, it endorses the global shift
away from involuntary community treatment toward
high-quality, voluntary community-based services.
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Source: University of Florida Levin College of Law
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Dual enrollment allows students to take postsecondary
coursework and simultaneously earn credit toward a high
school diploma, a career certificate, an associate or
baccalaureate degree. There is a growing consensus that dual
enrollment should be more than just an early taste of
college; it should serve as a purposeful pathway to
career-connected postsecondary education and training,
particularly for students who might not otherwise go to
college after high school. But to realize the potential of
this approach, the business model for dual enrollment must
enable colleges and K-12 schools to scale practices for
improved outreach, better course alignment, individual
advising and planning, and high-quality instruction and
support in a way that is financially sustainable but does
not shift the cost burden to students and families. The
report shows how, even in states that provide little or no
direct funding for dual enrollment, colleges are shifting
from the conventional low-cost model, which involves lighter
student support but generates less downstream revenue, to
one that requires higher upfront costs but generates more
downstream revenue by providing increased supports that
propel more students to pursue postsecondary education after
high school. Accompanying the report is an inquiry and
action guide that includes
instructions, activities, and discussion to help college
leaders conduct a self-study and gap analysis, identify
needed resources, and plan allocation strategies to
implement priority improvements at scale.
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Source: Columbia University, Community College Research
Center
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Extreme heat poses challenges for an increasing number of
schools each year. This analysis across three years of six
states’ fall testing administrations found that math scores
decrease significantly on hotter test days, with significant
negative effects on test scores for temperatures 80°F and
above. The largest effects were observed on 101° to 110°
days, when students experienced decreases in math scores of
approximately 0.06 standard deviations. We also found that a
hotter testing day relative to a school’s average testing
temperature in a term had a small but negative effect on
math scores. Importantly, we found that schools that serve
higher poverty student populations (or have greater than 75%
eligible for free or reduced-price lunch) are more severely
affected by test-day heat than lower-poverty schools in
math. These differences may be linked to disparate
conditions of school facilities, as higher resourced schools
may be able to prioritize updated HVAC systems. While the
review did not observe the same effects in reading, the math
findings underscore how environmental conditions can
compound existing educational inequities. Taken together
with recent research, findings suggest that systemic
inequities in education extend to how schools are affected
by high temperatures. Geographic factors, such as the
intensified impact of heat in cities, are also important to
consider. As extreme weather becomes more common, ensuring
that every school can provide a safe, climate-resilient
learning environment is not just a facilities issue but is
fundamental to educational equity and student success.
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Source: NWEANWEA
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Section 216.0153, Florida Statutes, requires the Florida
Department of Environmental Protection and the Florida
Department of Management Services to provide a list of real
property disposition candidates, which are all lands and
facilities owned, leased, otherwise occupied, disposed of,
and/or in the surplus process by all state agencies, water
management districts, universities, and colleges. The
properties are listing in four categories; 1) Candidate for
Disposition — Identified by the current manager as no longer
needed and unmanaged properties that may be available for
surplus pending a completed review; 2) Candidate for
Disposition, Government Noticing Activities — includes
parcels that are in the noticing process or noticing has
been completed and responses are being reviewed and
evaluated; 3) Disposition, Process Review Activities —
Premarketing evaluations and approvals, available for sale
to the public, actively being marketed for sale or available
for exchange only; and 4) Disposition, In Process — This
includes property that is currently under contract. As of
June 30, 2025, there were 268 properties that were
candidates for disposition or in the disposition process,
containing an estimated 263 acres with an estimated value of
$9.8 million. In the same period, there were 142 properties
that were candidates for disposition or in the disposition
process, containing an estimated 27,511 acres with an
estimated value of $56.9 million. For Fiscal Year 2024-25,
11 Board of Trustees properties were disposed of, with six
being sales, four being transfers, and one being an exchange
of property. The total revenue received from the
dispositions was $9.6 million, involving over 700 acres of
land.
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Source: Florida Department of Environmental Protection
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Research shows that almost half of taxpayers who itemize
deductions on their tax returns are not aware that
charitable donations can reduce their taxable income.
Furthermore, taxpayers often use their average tax rate as
an estimate of their marginal tax rate, which leads many to
underestimate how much charitable giving could reduce their
taxes. A taxpayer’s incentive to donate is related to their
marginal tax rate, which is the highest rate applied to
someone’s income. When taxpayers underestimate their
marginal tax rate, they often donate less because they
underestimate how much it could reduce their taxes.
Extending the charitable deduction deadline to tax filing
day would allow taxpayers to consider the benefits of
additional donations while calculating their taxes.
Currently, a donation made in January 2025 can be deducted
only when a taxpayer files their tax return in the spring of
2026. That means it would take more than a year for a
taxpayer to see the effects of their charitable giving. By
comparison, a tax-day deduction would let people who donate
in April 2026 see a reduction in their taxes owed almost
immediately, helping them become aware of their charitable
deductions. Tax preparers or tax software could also help
facilitate this by showing taxpayers how their taxes owed
would change with additional donations. A tax-day deduction
is tax-efficient for the government because it promotes
charitable contributions without increasing the subsidy.
Research on tax-day deductions implemented in the wake of a
natural disaster showed that the policy increased charitable
giving. The benefits of a tax-day deduction outweigh the
drawbacks. The 2017 Tax Cuts and Jobs Act substantially
increased the standard deduction, reducing the share of
taxpayers who itemize mainly to those with higher incomes.
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Source: Urban Institute
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On average, early educators in the United States earn low
wages and have few employer-provided benefits. Inadequate
compensation may deter people from entering the field and
may contribute to high turnover, possibly exacerbating the
supply shortage. This article focuses on analyzing
pre-pandemic Census Current Population Survey data to
compare privately employed early educators and public K–8
teachers with bachelor’s degrees along several dimensions of
job quality. Consistent with other research, this article
finds that compared with public K–8 teachers with bachelor’s
degrees, private early educators with similar work patterns
and educational attainment earned less and lacked critical
employer-sponsored benefits such as health insurance and
retirement accounts. When looking at job quality,
researchers find that only 3.7% of private early educators
with bachelor’s degrees had a good job (one with a decent
wage, employment-based health insurance, and retirement
benefits), compared to nearly 51% of public K–8 teachers.
The combination of low wages and inadequate benefits
explains why so few early educators were employed in good
jobs. Although public K–8 teachers, like private early
educators, were disproportionately women, they were much
more likely to hold a good job, reflecting better access to
decent wages and health and retirement benefits.
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Source: U.S. Bureau of Labor Statistics
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The federal Affordable Care Act (ACA) introduced the medical
loss ratio (MLR) requirement to the individual, small group,
and large group markets with the stated goal of improving
the value and affordability of health insurance benefits by
capping insurers' profit margins and administrative costs.
The requirement requires insurers to spend a large
percentage of premium revenue on medical services—80% for
individual and small group plans, and 85% for large group
plans—thereby limiting administrative costs and profits to
the remaining 15-20%. In 2025, approximately 24 million
individuals obtained health insurance through exchanges,
with four out of five (19 million) enrollees' monthly net
premiums at $10 or less after subsidies. These enrollees
received an estimated $98 billion and $107 billion in
subsidies in the form of premium payments to insurance
companies in 2024 and 2025, respectively. If an insurer's
medical loss ratio falls below the required thresholds, the
ACA requires refunds to be paid to enrollees. These refunds
have totaled hundreds of millions of dollars—$192.2 million
to 2.7 million enrollees in 2012 and $491.0 million to 3.6
million enrollees in 2023. Yet, in many cases, these
payments go to enrollees whose premiums were already almost
entirely subsidized by the federal government, even though
the government was the party that paid the extra premium.
While more regulatory oversight and transparency may
temporarily ease these consequences, they cannot feasibly
address the medical loss ratio requirement’s structural
flaws that distort insurer incentives. In the short term,
policymakers should at least consider a range of options to
mitigate the medical loss ratio requirement’s negative
impacts on competition and patient choice. For example, in
markets with robust competition and for small/new entrants,
they should allow medical loss ratio relief, such as a
reduction in required thresholds or a time-limited
suspension.
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Source: RAND Corporation
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Sleep problems have been identified as a risk factor for
suicidal thoughts and behaviors during adolescence, yet a
lack of longitudinal mechanistic investigation into
contributing factors (e.g. cognitive functioning) limits
understanding of the temporality and specificity of this
relationship. This study investigates the impact of sleep
problems on subsequent reported suicide attempt, and whether
risk-taking and decision-making moderate this relationship.
This analysis utilized data from waves 6 (14 years) and 7
(17 years) in the Millennium Cohort Study, a UK
population-representative longitudinal study of youth born
between 2000 and 2002. Self-reported sleep items assessed at
14 years were used to calculate total time in bed on school
and non-school nights, social jetlag, sleep onset latency,
and frequency of night awakenings. Self-reported attempting
suicide was measured at 17 years.. Shorter total time in bed
on school and more frequent night awakenings were
prospectively associated with subsequent reported suicide
attempt, even when controlling for demographic and clinical
covariates. Rational decision-making moderated the
association between night awakenings and attempted suicide.
Shorter total time in bed and more frequent night awakenings
heightened suicide risk in adolescents, and this latter
relationship was modified by rational decision-making. These
results provide insight into the etiology of adolescent
suicide behavior and highlight sleep deprivation and
fragmentation as potential preventative targets for suicide
attempts.
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Source: Sleep Advances
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Physician organization (PO) affiliation with health systems
and its association with health care disparities for
dual-eligible Medicare and Medicaid beneficiaries, who face
significant barriers to care, remains underexplored. The
research team set out to estimate the association of health
system affiliation with disparities in quality of care and
health care utilization for dual-eligible beneficiaries
relative to non–dual-eligible Medicare beneficiaries and to
decompose these associations into within-PO and between-PO
components. This cohort study used data from 2013 to 2019 on
primary care POs and beneficiaries enrolled in traditional
Medicare from April 2024 to March 2025. Eight quality
measures assessing receipt of preventive services, chronic
condition management, medication adherence, and care
coordination and continuity and 5 measures of health care
utilization in different settings and with different
physician specialists.. Health system affiliation by primary
care POs was associated with both positive and negative
associations with disparities for dual-eligible
beneficiaries and did not reduce the largest preaffiliation
disparities. Health systems must strengthen their care
delivery models to expand access to specialists and avoid
exacerbating disparities in follow-up care. Health systems
could identify factors associated with improved care at
high-percentage dual POs for replication.
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Source: JAMA Network
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Government Program Summaries (GPS) provides descriptive information on Florida state agencies, including funding, contact information, and references to other sources of agency information.
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A publication of the Florida Legislature's Office of Program Policy Analysis and Government Accountability.
Click here to subscribe to this publication.
As a joint legislative unit, OPPAGA works with both the
Senate and the House of Representatives to conduct
objective research, program reviews, and contract
management for the Florida Legislature.
PolicyNotes, published every Friday, features reports, articles, and websites with timely information of interest to policymakers and researchers. Any opinions, findings, conclusions, or recommendations
expressed by third parties as reported in this publication are those of the author(s) and do not necessarily reflect OPPAGA's views.
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PolicyNotes provided that this section is preserved on all copies.
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