The Florida House adjourned its annual session three days early because of budget impasse with the Senate over Medicaid expansion.
 
House Speaker Steve Crisafulli, R-Merritt Island, said Tuesday afternoon that his members had done all they could and felt it was best to return later with a clean slate.

Roughly 180 of over 1,600 bills filed actually passed the legislative session, including the budget. The Florida Legislature is constitutionally obligated to pass a budget every year. Among the bills are ones to buy Florida Everglades land to help clean up the water supply, legalizing medical marijuana, a bill to reform the Public Service Commission, bills to cut taxes, ban fracking in Florida and more.

Many of those bills may now never make it out of the Florida Legislature, which means lawmakers will have to try all over again next year.

Attorney John Morgan issued this statement Tuesday on the failure to pass medical marijuana:

"... I continue to have tremendous faith in the compassion of the people of Florida to do what the politicians refused to. Today marks the first day of the 2016 campaign for medical marijuana."

The 60-day legislative session began March 3.

"We have done all that we can do for this session," Crisafulli said. "I do not see a need to keep you here waiting around, away from your families, away from your businesses, until the Senate decides they are ready to negotiate with us. And so, having accomplished all that we can do, it's time for us to go home."

The Florida Senate said it will continue to work through the end of the session, even though the House chamber will sit empty.

"Nobody should be high-fiving after today," said Senate President Andy Gardiner, R-Orlando. "This was not a victory for the House, this wasn't a victory for the Senate. This is just really an unfortunate day for the taxpayers of Florida that expected us to come up here and do things, and when you look at the amount of good policy that's going to fall off the table, it's just unfortunate."
 
The House has been adamantly opposed to expanding Medicaid to more than 800,000 Floridians, even though the Senate has proposed a plan that would allow the state to eventually privatize Medicaid and require recipients to work or attend school.
 
Florida's Medicaid expansion fight also extends to a $1 billion pot of federal money that helps hospitals that treat Medicaid and uninsured patients. The Obama administration has signaled they are unlikely to extend the hospitals funds if the state doesn't expand Medicaid.
 
Gov. Rick Scott is suing the federal government over the issue.

WHAT CAUSED THE STALEMATE?

Florida wants the federal government to give it $1 billion a year for hospitals that care for patients who are uninsured or on Medicaid. This is also known as the low-income pool or LIP. The feds want Florida to expand Medicaid insurance to more than 800,000 low-income Floridians as part of the agreement to extend the hospital funds, which is part of the Affordable Care Act also known as Obamacare. But Florida Gov. Rick Scott and House Republicans are adamantly opposed to expanding Medicaid.

WHAT WILL HAPPEN NEXT?

Nothing at first. The state fiscal year does not end until June 30. But the pressure will mount for legislators to pass a budget to avoid a potential shutdown of state government.

Lawmakers could extend their current session to work out a deal. But with no agreement in place, it's more likely that the Legislature will have to hold a special session sometime in the next two months to pass a budget. Scott has said he will call legislators back to town if they adjourn without passing a budget. Legislative leaders can also call a special session, but there has to be an agreement between the House speaker and Senate president.

Senate President Andy Gardiner says he will not allow a shutdown, but he also wants the extra time so Florida can find out whether the federal government plans to eliminate the hospital funding altogether or gives the state a smaller amount.

WHAT IS LIP?

The low-income pool, also known as LIP, is a pot of money that the federal government gives nine states to help hospitals that care for patients who are on Medicaid or uninsured. The money is given through a waiver, and the federal government has broad discretion on whether or not to grant the funds.

Florida's LIP money is the first to expire on June 30, but other states are watching closely to see what the federal government decides and how their funds may be affected. Florida has sent a proposal to renew the funding, but federal officials are not obligated to render a decision by the time the state's fiscal year ends.

WHY IS THE ADMINISTRATION INSISTENT ON EXPANDING MEDICAID?

The federal government says they want taxpayers to get the best bang for their buck. They say it's much more cost-effective to help people buy insurance directly instead of paying hospitals for caring for the uninsured after the fact.

WHY ARE SCOTT AND HOUSE REPUBLICANS AGAINST MEDICAID EXPANSION?

The governor and House Republicans say Medicaid is a broken program that does not improve health outcomes. They also are worried that the federal government won't make good on its promise to pay the cost of expanding Medicaid, leaving the state on the hook for billions of dollars. The federal government has said it will never pay less than 90 percent of the bill.

WHAT HAS THE SENATE PROPOSED?

Gardiner and Senate leaders have proposed expanding the state's Medicaid program this year, but they want to use the federal money to pay for a program where 800,000 Floridians would receive private insurance. Recipients would have to work and attend school, and pay a small monthly premium.

IS SCOTT SUING THE OBAMA ADMINISTRATION?

Florida Gov. Rick Scott has filed a lawsuit against the Obama administration, accusing them of coercing the state to expand Medicaid in order to get $1 billion in federal hospital funds.

Scott filed the lawsuit Tuesday in a Pensacola federal court. The governor points to a 2012 Supreme Court decision that the federal government can't coerce states to expand Medicaid, which is what he says the Obama administration is doing by withholding hospital funds.

Legal experts say that case doesn't necessarily apply. That's because the hospital funds Scott wants are part of an optional program the federal government has broad discretion over.

Florida previously led the way in challenging the Affordable Care Act and was eventually joined by about two dozen other states.

The fight over the hospital funds has also stalled the Florida Legislature.

WHAT WILL HAPPEN IF THE STATE DOESN'T EXPAND MEDICAID?

The federal government has said it wants Medicaid expansion if it's going to extend the hospital funds, but experts don't think the Obama administration will immediately yank all the money even if Florida doesn't do that. Florida hospital officials have said they need both Medicaid expansion money and LIP to survive. Several hospitals have said they will be forced to cut services or close without the LIP funds.

The Associated Press contributed to this report.