Rick Scott
Richard Lynn Scott (born December 1, 1952) is an American businessman and Republican politician serving as the junior United States senator from Florida since 2019, currently in his second term following re-election in 2024.[1][2][3] Prior to his Senate tenure, Scott served two terms as the 45th governor of Florida from January 2011 to January 2019, focusing on economic recovery through tax reductions exceeding $10 billion and deregulation that spurred job growth and positioned Florida as a leader in business-friendly policies.[4][2][3] Scott's pre-political career centered on healthcare management, where he founded the Columbia Hospital Corporation in 1987, expanding it through acquisitions into Columbia/HCA, which became one of the nation's largest hospital chains with revenues surpassing $20 billion by the mid-1990s.[3] However, during his tenure as CEO, the company faced intense scrutiny for systemic overbilling of Medicare and other government programs, leading to federal investigations that uncovered practices such as upcoding patient diagnoses and unbundling services to inflate reimbursements.[5][6] Scott resigned in 1997 before the full scope emerged, and Columbia/HCA ultimately settled civil and criminal charges by paying $1.7 billion between 2000 and 2003—the largest healthcare fraud settlement in U.S. history at the time—without Scott facing personal criminal liability, though critics have questioned the adequacy of internal compliance under his leadership.[6][7] As governor, Scott navigated Florida through post-recession recovery, achieving record-low unemployment rates and population influx while vetoing billions in spending and expanding school choice programs, though his administration drew controversy over environmental policies amid events like the 2010 Deepwater Horizon oil spill response and resistance to federal healthcare expansions.[2][8] In the Senate, he defeated incumbent Democrat Bill Nelson in a razor-thin 2018 election decided after a recount, 50.1% to 49.9%, and has advocated for stringent border security, opposition to expansive federal entitlements, and probes into government waste, including authoring plans to overhaul federal budgeting amid ballooning national debt.[9][2] His tenure reflects a consistent emphasis on private-sector efficiency in governance, informed by his business experience, though it has sparked debates over the influence of corporate interests in public policy.[2]Early Life and Education
Family Background and Childhood
Richard Lynn Scott was born on December 1, 1952, in Bloomington, Illinois, as Richard Lynn Myers, the second child of Esther (née Fry) Myers and her first husband.[1] His biological parents divorced shortly after his birth, and he never knew his biological father.[10] Scott was adopted as a toddler by his mother's second husband, Orba George Scott Jr., who became his legal father.[10] Scott's adoptive father, a World War II veteran who served in the 82nd Airborne Division, worked as a truck driver and city bus operator after the war.[2] [11] His mother held multiple jobs, including as a clerk at J.C. Penney, to support the family amid financial hardships.[2] [12] The family resided in public housing during part of Scott's early childhood in the Midwest, though records indicate this period lasted approximately three years, a detail Scott has emphasized in describing his upbringing as one of economic struggle.[2] [13] Raised primarily in North Kansas City, Missouri, Scott graduated from North Kansas City High School in 1970, later reflecting that early jobs taught him self-reliance rather than dependence on government programs.[1] [14]Higher Education and Early Influences
Scott enlisted in the United States Navy following high school graduation from North Kansas City High School in 1970, serving as a radar technician aboard the USS Glover during the Vietnam War era; this experience, combined with financial hardships from his working-class upbringing, instilled a strong emphasis on self-reliance and entrepreneurship.[1][2] After his honorable discharge in 1974, he utilized the G.I. Bill to finance his higher education, reflecting the causal link between military service benefits and upward mobility for veterans from modest backgrounds.[2] Scott earned a Bachelor of Arts in business administration from the University of Missouri–Kansas City in 1975, where he demonstrated early business acumen by purchasing and operating a donut shop during his studies to provide employment for his mother, who had faced economic instability as a store clerk.[3][15] This venture underscored influences from his family's struggles in public housing, where his adoptive father, a World War II veteran and truck driver, and mother prioritized hard work amid limited opportunities, shaping Scott's view that private enterprise, rather than government programs, drives personal success.[2][16] He subsequently obtained a Juris Doctor from Southern Methodist University's Dedman School of Law in Dallas, Texas, in 1978, focusing on legal training that would later inform his healthcare business strategies, though no specific mentors from this period are prominently documented in biographical accounts.[3][4] These formative years, marked by bootstrapped education and initial forays into ownership, reinforced a worldview prioritizing operational efficiency and risk-taking, evident in his post-law school decision to forgo traditional legal practice for business opportunities.[17]Business Career
Founding and Growth of Columbia Hospital Corporation
In October 1987, on the day of the stock market crash, Rick Scott and investor Richard Rainwater each contributed $125,000 to establish Columbia Hospital Corporation, borrowing additional capital to pursue acquisitions of underperforming hospitals.[18] The company targeted distressed facilities for turnaround, beginning with the purchase of two hospitals in El Paso, Texas, from Healthtrust in 1988 for approximately $61 million, utilizing seller financing to minimize upfront costs.[19][20] Under Scott's leadership as CEO, Columbia emphasized operational efficiencies, such as centralized purchasing, standardized management practices, and revenue optimization through better patient referrals and billing processes, which facilitated rapid expansion via acquisitions.[21] By the end of 1989, the company operated four hospitals with 833 beds.[18] Growth accelerated in the early 1990s; by 1991, Columbia managed 12 hospitals, followed by the 1992 acquisition of Basic American Medical, adding eight facilities.[20] In 1993, Columbia acquired Galen Health Care, incorporating 71 hospitals and significantly scaling operations to 94 general and specialty hospitals with 21,627 beds by October of that year, positioning it as one of the largest for-profit hospital chains prior to its merger with Hospital Corporation of America (HCA).[20][22] This expansion was driven by Scott's aggressive acquisition strategy, aiming for 35 to 50 deals annually to consolidate market share in a consolidating industry, though it later drew scrutiny for aggressive revenue practices.[20]Merger and Expansion of Columbia/HCA
In 1994, Columbia Hospital Corporation, founded by Rick Scott in 1987, merged with Hospital Corporation of America (HCA) to form Columbia/HCA Healthcare Corporation, with Scott assuming the roles of chairman and chief executive officer.[23] The transaction, accounted for as a pooling of interests, combined Columbia's approximately 94 hospitals with HCA's 97 facilities, establishing Columbia/HCA as the largest for-profit hospital operator in the United States with around 190 hospitals and annual revenues exceeding $11 billion.[19] Post-merger, Columbia/HCA pursued an aggressive expansion strategy under Scott's direction, acquiring dozens of hospitals and healthcare facilities annually to consolidate market share in the for-profit sector.[20] By the mid-1990s, the company had grown to operate more than 300 hospitals across 38 states, Tennessee, England, and Switzerland through targeted purchases that capitalized on industry fragmentation and opportunities in underperforming assets.[24] Scott emphasized vertical integration by adding ambulatory surgery centers, imaging facilities, and physician practices, which enhanced revenue streams and operational control; for instance, the firm reported acquiring or developing over 100 such ancillary sites in 1995 alone.[23] This phase of growth was fueled by Scott's focus on cost efficiencies, including centralized purchasing and standardized management protocols, which improved profit margins amid shifting reimbursement landscapes from Medicare and private insurers.[20] Columbia/HCA's market capitalization surged to approximately $14 billion by 1996, reflecting investor confidence in its scale-driven model, though Scott publicly targeted ownership of 500 to 1,000 hospitals over the subsequent decade via 35 to 50 acquisitions per year.[20][24] The expansion positioned the company as a dominant force in reshaping for-profit healthcare delivery, prioritizing high-volume, low-cost operations in urban and suburban markets.[19]Operational Achievements and Industry Impact
Under Rick Scott's leadership, Columbia Hospital Corporation, founded in 1987 with an initial investment of $125,000 each from Scott and investor Richard Rainwater to acquire two hospitals, rapidly expanded through aggressive acquisitions and operational efficiencies.[18][25] By emphasizing cost controls, standardized management practices, and vertical integration—including home health services and outpatient facilities—the company grew its revenue from modest beginnings to billions, transforming underperforming assets into profitable operations.[26] In 1994, Scott orchestrated the merger of Columbia with Hospital Corporation of America (HCA), which operated 100 hospitals, creating Columbia/HCA as the largest for-profit healthcare provider in the United States.[26] This consolidation propelled the entity to ownership of approximately 340 hospitals and 570 home health centers by the mid-1990s, representing 5% of the national hospital market and 45% of the for-profit sector—three times the size of its nearest competitor.[25][18] Scott's strategy included plans for 35 to 50 annual acquisitions, aiming to scale to 500–1,000 facilities, which accelerated industry consolidation and demonstrated the viability of for-profit models in a sector previously dominated by nonprofits.[20] These operational tactics not only generated substantial shareholder value—elevating the company's market worth to around $20 billion—but also revitalized the for-profit hospital sector by prioritizing efficiency over traditional charitable missions, influencing competitors to adopt similar growth-oriented approaches amid shifting reimbursement landscapes.[25][20] Columbia/HCA's success under Scott earned recognition, including Fortune magazine's designation as the most admired healthcare company in 1996, underscoring its role in demonstrating scalable, profit-driven healthcare delivery.[27]Federal Investigation into Billing Practices
In July 1997, the U.S. Department of Justice and FBI launched a federal investigation into Columbia/HCA Healthcare Corporation's billing practices, focusing on allegations of Medicare and Medicaid fraud across its network of hospitals and facilities.[26] The probe uncovered practices such as systematically inflating lab charges by billing Medicare for non-reimbursable hospital outpatient tests as if they were physician office visits, encouraging physicians to perform unnecessary procedures to boost reimbursements, and improperly billing for home health services without required patient visits.[26] Additional issues included false cost reports to Medicare and kickbacks to physicians for patient referrals, violating the Anti-Kickback Statute.[28] The investigation prompted FBI raids on 47 Columbia/HCA facilities in Florida, Tennessee, and Texas on July 2, 1997, shortly before Rick Scott's resignation as CEO on July 17, 1997.[26] Scott, who had led the company since co-founding it in 1987, stepped down under pressure from the board amid the escalating scrutiny, though he received a $10 million severance package, a five-year consulting contract worth $300,000 annually, and retained stock options that later appreciated significantly.[6] During a 2000 deposition, Scott invoked the Fifth Amendment more than 75 times when questioned about the company's practices, but he was never charged with any criminal wrongdoing.[5] Columbia/HCA, which rebranded as HCA in 1999, resolved the matter through multiple settlements. In December 2000, two subsidiaries pleaded guilty to 14 felony counts, including conspiracy to defraud and making false statements, agreeing to pay $840 million in criminal fines, restitution, and civil penalties—the largest healthcare fraud settlement at the time.[29] Further civil resolutions followed, including a $631 million agreement in 2002 and additional payments in 2003 for whistleblower-initiated False Claims Act cases, bringing the total to $1.7 billion in fines, penalties, and damages for fraudulent billing practices spanning the early 1990s.[28][30] The company admitted no systemic executive-level orchestration but acknowledged the unlawful practices occurred under its operations, leading to enhanced compliance reforms.[31] Scott has maintained that the issues were localized errors addressed promptly and that the investigation's scale reflected aggressive enforcement rather than unique culpability, emphasizing his role in growing the company ethically prior to the probe.[32]Post-HCA Business Ventures
Following his resignation from Columbia/HCA in July 1997 amid a federal investigation into billing practices, Rick Scott established Richard L. Scott Investments, LLC, a private investment firm headquartered in Naples, Florida, focused on direct investments in healthcare, technology, manufacturing, fitness, and wellness sectors.[33][34] The firm pursued opportunities in both publicly traded securities and private equity, including acquisitions such as Dexter Chassis Group in March 2005.[35] In 2001, Scott co-founded Solantic Corporation, a chain of urgent care and walk-in clinics primarily in Florida, after acquiring a controlling interest in America's Health Network.[4] The company expanded to operate 32 clinics across the state by 2011, emphasizing accessible primary care services.[36] Scott's family held a significant stake valued at approximately $62 million as of 2011, which was sold that year to a New York-based investment group, with the transaction finalized in April 2011; his involvement in operations had ended the prior year.[37][38] Through Richard L. Scott Investments, Scott also backed Pharmaca Integrative Pharmacy, a chain offering alternative and conventional medications, with one of his firm's employees serving on its board.[39] These ventures contributed to Scott's diversification beyond hospital management into outpatient care and investment holdings, though specific financial returns from individual deals remain undisclosed in public filings.[4]Venture Capital Investments and Other Enterprises
Following his departure from Columbia/HCA in 1997, Scott established Richard L. Scott Investments, LLC, a private investment firm headquartered in Naples, Florida, which focused on direct investments in publicly traded securities and private equity opportunities, particularly in healthcare, fitness, and wellness sectors.[33][34] The firm leveraged proceeds from Scott's prior business activities to pursue these ventures, with reported assets enabling substantial capital deployment.[40] In 2001, Scott co-founded Solantic, a chain of walk-in urgent-care clinics in Florida emphasizing transparent, fixed pricing modeled after consumer-oriented models like Starbucks, aiming to reduce costs compared to hospital emergency rooms.[27] By 2006, Solantic operated multiple locations, primarily serving cash-paying or insured patients and declining Medicaid in most sites, with plans announced that year to expand into a national brand.[37] The company secured a $40 million capital infusion in August 2007 to support growth.[38] Scott's family stake in Solantic was sold in April 2011 amid his transition to the Florida governorship, following concerns over potential conflicts of interest.[41] In 2005, through Richard L. Scott Investments, Scott formed RLSI-CSP Capital Partners to acquire a majority interest in Continental Structural Plastics, an Ohio-based manufacturer specializing in automotive components and air conditioning systems.[42] This entity held significant ownership, with Scott personally controlling approximately 37% of the partnership.[43] The investment reflected diversification beyond healthcare into industrial manufacturing.[44] Scott's portfolio through Richard L. Scott Investments also included stakes in various other enterprises, such as healthcare services and select public equities, contributing to his reported net worth exceeding $200 million by the early 2010s, though exact figures for specific venture returns remain undisclosed in public filings.[45] These activities preceded his full pivot to political advocacy and campaigns.Transition to Politics
Advocacy Through Conservatives' for Patients' Rights
In early 2009, Rick Scott established Conservatives for Patients' Rights (CPR), a nonprofit advocacy organization dedicated to advancing free-market approaches to healthcare reform while opposing expanded government intervention in the sector.[46][47] Scott personally contributed $5 million to launch the group, serving as its founder and chairman.[48][49] Drawing from his prior experience building a large private hospital network, Scott positioned CPR to critique proposals for a public health insurance option, arguing that such measures would lead to inefficiencies and reduced patient choice akin to failures in other government-run systems.[46] CPR's primary efforts focused on public campaigns during the 2009 congressional debates over the Patient Protection and Affordable Care Act (ACA), including television advertisements that highlighted potential cost increases, rationing of care, and squeezes on private insurance markets under government-influenced reforms.[48] The organization lobbied lawmakers and mobilized grassroots opposition, aiming to influence moderate Democrats to reject comprehensive federal overhauls in favor of market-driven alternatives like interstate insurance competition and tort reform.[50] Scott publicly stated that CPR's mission was to prevent a "government takeover" of healthcare, emphasizing empirical evidence from his business background that private-sector innovation outperforms bureaucratic control.[46][47] The group's activities peaked in 2009 and 2010, coinciding with the ACA's passage, after which CPR wound down operations by 2011.[51] This advocacy phase marked Scott's initial foray into national policy debates, bridging his healthcare executive career to his subsequent political bids by underscoring his commitment to reducing regulatory burdens on providers and consumers.[46] Despite criticisms from ACA supporters who viewed CPR's ads as alarmist, the organization's arguments aligned with broader conservative critiques of centralized planning, supported by data on rising premiums and administrative costs in government programs.[48]2010 Gubernatorial Campaign and Victory
Rick Scott, a healthcare executive with no prior experience in elected office, entered Florida's Republican gubernatorial primary as a self-funded outsider emphasizing business acumen to address the state's economic woes amid the post-2008 recession.[52] His campaign surged through heavy personal spending, injecting over $25 million of his own funds into advertising that highlighted his record of growing Columbia/HCA into a major employer while downplaying a past federal probe into billing practices at the company.[53] This approach drew attacks from primary rival Bill McCollum, the state attorney general backed by party establishment figures, who criticized Scott's lack of political experience and ties to the 1990s Medicare fraud settlement involving his former firm, which resulted in a $1.7 billion fine—the largest in U.S. history at the time.[54] Despite the negativity, Scott prevailed in the August 24, 2010, primary with 38.1% of the vote to McCollum's 34.5%, aided by low turnout and appeal to Tea Party-aligned voters skeptical of career politicians.[55] In the general election against Democratic nominee Alex Sink, Florida's chief financial officer, Scott's platform centered on aggressive job growth, fiscal austerity, and opposition to the federal Patient Protection and Affordable Care Act, which he vowed to resist as an unconstitutional overreach infringing on state prerogatives.[56] He outlined a "7-7-7 Plan" targeting 700,000 new jobs within four years through tax cuts, regulatory reductions, and $3 billion in state spending reductions, framing Florida's 11% unemployment rate as a crisis demanding CEO-style management rather than government expansion.[57] Sink countered by portraying Scott as untrustworthy due to the HCA scandal and insufficiently focused on education and seniors' issues, while defending moderate Democratic policies; debates highlighted contrasts on healthcare, with Scott rejecting Obamacare's mandates and Sink supporting targeted expansions.[58] Scott's total campaign expenditures exceeded $78 million—a national record for a gubernatorial race—largely self-financed, enabling a barrage of ads that kept pace with Sink's fundraising despite her advantages in name recognition and party infrastructure.[59] The November 2, 2010, election unfolded amid a Republican wave, with Scott securing victory by a narrow margin of 61,550 votes, capturing 2,619,335 votes (48.87%) to Sink's 2,557,785 (47.74%), while third-party candidates took the remainder.[60] Sink conceded on November 3 after initial recounts confirmed the result, crediting high turnout in Republican strongholds and Scott's outsider appeal in a state grappling with foreclosure spikes and budget shortfalls.[61] The win propelled Scott into office as Florida's 45th governor on January 4, 2011, reflecting voter prioritization of economic recovery over concerns about his corporate past, though it also set the stage for ongoing scrutiny of his administration's implementation of promised reforms.[62]Governorship of Florida
2010 and 2014 Elections
In the Republican primary for the 2010 Florida gubernatorial election, held on August 24, 2010, Rick Scott defeated state Attorney General Bill McCollum after investing over $60 million of his personal fortune into the campaign, much of it used for negative advertising highlighting McCollum's support for Crist-era policies. [63] Scott's strategy emphasized his outsider business background and promises to create 700,000 jobs, contrasting with McCollum's establishment ties, in a contest marked by internal party divisions amid the national Tea Party wave. The general election on November 2, 2010, featured Scott and running mate Jennifer Carroll against Democratic nominee Alex Sink, former Chief Financial Officer, and independent Charlie Crist, the incumbent governor who had left the Republican Party; Crist suspended his campaign on October 26 but remained on the ballot. Key issues included economic recovery post-recession, with Scott attacking Sink's regulatory record and Sink countering with Scott's past involvement in the Columbia/HCA Medicare fraud settlement, though Scott maintained his actions had improved hospital compliance and profitability. Scott's total campaign spending exceeded $100 million, predominantly self-funded, enabling a barrage of ads that portrayed Sink as tied to Obama administration policies.[63] Scott secured victory with a narrow margin, receiving 2,619,335 votes (48.87%) to Sink's 2,557,785 (47.72%), a difference of 61,550 votes, while Crist garnered under 4% amid his late withdrawal.[60] The outcome reflected voter preference for Scott's pro-business pledges over Sink's experience in state finance, despite polls showing a tight race until late absentee and provisional ballots.[60] Scott faced no significant opposition in the 2014 Republican primary on August 26, 2014, securing renomination unopposed after Lieutenant Governor Jennifer Carroll resigned amid an investigation, leading to Carlos Lopez-Cantera's appointment as running mate. The general election on November 4 pitted incumbent Scott against former Governor Charlie Crist, who had switched to the Democratic Party, in a rematch fueled by personal attacks; Scott highlighted Crist's party flip-flopping and past support for tax increases, while Crist criticized Scott's low approval ratings and handling of issues like the Affordable Care Act's implementation.[64] The 2014 contest became the costliest non-presidential state race in U.S. history, with combined spending surpassing $200 million; Scott contributed $12.8 million personally to allied committees and ran ads touting 1 million jobs added under his tenure, countering Crist's claims of economic mismanagement.[65] [66] A machine recount confirmed Scott's win after a brief legal challenge from Crist, who conceded on November 12 following provisional ballot certification.[64]| Candidate | Party | Votes | Percentage |
|---|---|---|---|
| Rick Scott / Carlos Lopez-Cantera | Republican | 2,865,343 | 48.14% |
| Charlie Crist / Annette Taddeo | Democratic | 2,801,198 | 47.07% |
| Adrian Wyllie / Greg Roe | Libertarian | 223,356 | 3.75% |
| Others | No Party Affiliation | 61,664 | 1.04% |
Economic Policies and Fiscal Outcomes
Upon taking office in January 2011, Rick Scott pursued an economic agenda centered on tax reductions, regulatory streamlining, and incentives for private-sector job growth to address Florida's post-recession challenges. He proposed and enacted over 100 tax cuts totaling approximately $10 billion in taxpayer savings by 2018, including eliminations of corporate income taxes for manufacturers and retailers, alongside repeals of certain fees such as increased vehicle registration charges.[68][69][70] These measures aimed to enhance Florida's business climate, with Scott vetoing billions in proposed spending to prioritize fiscal restraint.[71] Scott set a goal of creating 700,000 new jobs within his first term, a target surpassed with over 1.3 million net new positions by late 2018, driven by policies reducing regulatory burdens and promoting economic diversification beyond tourism and real estate.[72][73] Florida's unemployment rate fell from 11.1% in December 2010 to 3.3% by November 2018, outpacing national declines and ranking among the lowest in large states.[74][75] State GDP growth exceeded the national average in multiple years, reaching 3.1% in 2015 and contributing to Florida's economy surpassing $1 trillion by 2018.[76][68] Fiscally, Scott inherited a projected $3.6 billion to $4 billion deficit and achieved structural surpluses through spending vetoes and revenue growth from economic expansion, reducing state debt by more than $10 billion from 2010 levels.[77][71][78] Annual budgets increased modestly in nominal terms due to population growth and inflation but featured per-capita restraint, with $550 million in additional tax relief in the 2018 fiscal year alone.[79][80] Critics noted persistent challenges like below-average per capita GDP and wage growth, attributing some outcomes to national recovery trends rather than policy alone, though empirical data showed Florida outperforming peer states in job and GDP metrics post-2011.[81][82]| Key Economic Indicator | 2010 (Pre-Scott) | 2018 (End of Tenure) |
|---|---|---|
| Unemployment Rate | 11.1% | 3.3% |
| Net New Jobs | N/A | +1.3 million |
| State GDP Growth (Annual Avg.) | N/A | ~2.5-3% (exceeding U.S.) |
| State Debt Reduction | N/A | -$10+ billion |
Healthcare and Welfare Reforms
During his governorship, Rick Scott prioritized restructuring Florida's Medicaid program to emphasize managed care models over traditional fee-for-service systems, aiming to enhance efficiency and contain costs for the state's approximately 4 million enrollees. In 2011, Scott sought federal waivers to reform Medicaid, securing final approval from the Centers for Medicare & Medicaid Services on June 14, 2013, for the Statewide Medicaid Managed Care Long-Term Care Program and Managed Medical Assistance Program.[83] This transition, fully implemented by March 2014, shifted most beneficiaries into capitated managed care plans operated by private insurers, which Scott's administration credited with improving care coordination, reducing administrative overhead, and achieving projected per-member savings of up to 7% through better utilization management and preventive services.[84] The waivers were extended through 2022, outlasting Scott's tenure, and evaluations indicated stabilized per capita expenditures amid rising national Medicaid costs.[84] Scott opposed permanent expansion of Medicaid eligibility under the Affordable Care Act, rejecting it outright upon the law's 2010 passage as fiscally unsustainable and a threat to state budgets, given Florida's projected addition of 1.3 million enrollees at an initial federal match rate of 100% tapering to 90%.[85] In February 2013, he conditionally endorsed a temporary three-year expansion tied to full federal funding commitments, but reversed course by April 2015, citing inadequate federal assurances and concerns over long-term state liabilities exceeding $51 billion over a decade.[86][85] This stance preserved Florida's uninsured rate at around 13-15% but avoided commitments that other states later grappled with amid federal policy shifts. Scott also advocated for easing Certificate of Need (CON) regulations to foster hospital competition and lower prices, supporting legislative efforts to eliminate CON requirements for certain services during his tenure, though comprehensive repeal occurred in 2019 under his successor.[87] On welfare reforms, Scott signed House Bill 353 on May 21, 2011, mandating urine drug screening for all adult applicants to Florida's Temporary Assistance for Needy Families (TANF) program, regardless of suspicion, as a condition of eligibility; those testing positive faced a three-year ban unless they completed treatment.[88] The policy, fulfilling a 2010 campaign pledge, applied to roughly 2,000-4,000 applicants annually and required recipients to cover testing costs upfront (about $25-40), with reimbursement only upon passing. From October 2011 to March 2012, 4,086 applicants were screened, yielding 108 positives (2.6%), primarily for marijuana; the state reported direct savings of $40,000 in avoided benefits but acknowledged higher administrative and testing expenses.[89] Proponents, including Scott's office, argued it deterred ineligible applicants and promoted personal responsibility with public funds, though a federal appeals court ruled the suspicionless testing unconstitutional under the Fourth Amendment in December 2014, halting enforcement; the state opted not to appeal by March 2015.[90][91] Legal defense costs exceeded $100,000, underscoring the policy's contentious empirical outcomes versus its intent to curb substance abuse among aid recipients.[92]Education Initiatives
During his tenure as Governor of Florida from 2011 to 2019, Rick Scott implemented education policies emphasizing school choice, teacher accountability, and performance-based funding, aiming to enhance competition and outcomes in public and alternative schooling options. He signed legislation expanding access to charter schools, vouchers, and virtual education, including measures allowing students to transfer to public schools in adjacent counties if capacity permitted.[93] Scott also championed the Personalized Education Program (Step Up For Students), which provided scholarships for low-income students to attend private schools, with enrollment growing significantly under his administration to over 100,000 participants by 2018.[94] Scott's first major education bill required all school districts to develop teacher evaluation systems tied to student performance, with compensation linked to these ratings to incentivize effectiveness.[95] He signed additional reforms in 2013 providing regulatory relief to districts from excessive mandates, freeing resources for instructional priorities, and in 2016 enacted five bills revising early education laws, family leave policies for school activities, and expansions in career and technical education.[96][97] In 2017, he approved a controversial charter-school-friendly K-12 funding bill allocating $419 million, which critics from teachers' unions argued favored alternatives over traditional publics, though proponents highlighted increased options for parents.[98] Funding initially faced cuts of $1.3 billion in 2011 amid post-recession fiscal constraints, but Scott's subsequent budgets reversed this trend, raising state K-12 appropriations from $8.7 billion in 2011 to $11.9 billion by 2018, with per-pupil spending reaching $7,497 by 2017—exceeding prior highs in nominal terms.[99][100] His 2018-2019 budget provided a record $18.8 billion total for K-12, including $10.6 billion in state funds, alongside performance incentives for colleges tied to student completions and job placements.[101] These efforts correlated with measurable gains, such as Florida's high school graduation rate climbing to an all-time high of 86.1 percent in 2017-2018, up 3.8 percentage points from the prior year, and the state earning top national rankings in standards and accountability.[102][103] While left-leaning critics, including Democratic opponents, contended that inflation-adjusted per-pupil funding lagged national averages, nominal increases and policy shifts toward choice were credited by supporters for driving competition and parental empowerment.[99][104]Environmental Management
During his governorship from 2011 to 2019, Rick Scott prioritized targeted investments in water infrastructure and restoration projects, allocating over $2 billion toward Everglades restoration efforts, which accelerated 16 projects aimed at improving water flow and quality in South Florida.[105] In May 2013, Scott announced an $880 million plan to enhance water quality and southward flow in the Everglades system, including upgrades to stormwater treatment areas.[106] He signed House Bill 7065 in 2017, which authorized a central Everglades reservoir to store water from Lake Okeechobee, reducing harmful discharges to the St. Lucie and Caloosahatchee rivers while directing cleaner water southward.[107] [108] Additionally, Scott's administration committed more than $365 million to springs restoration by 2017—the highest such funding in state history—focusing on projects to address nitrate pollution and recharge aquifers.[109] These initiatives reflected a strategy of leveraging state funds for engineering solutions over expansive regulatory frameworks, with Scott arguing that economic growth from reduced bureaucracy would indirectly support environmental goals by generating revenue for conservation.[108] Scott's early budget proposals included cuts to the Department of Environmental Protection (DEP), reducing staff by about 20% and consolidating divisions, which he justified as eliminating redundancies to improve efficiency amid fiscal constraints post-2008 recession.[110] Critics, including environmental advocacy groups like the Natural Resources Defense Council, contended these changes weakened enforcement of clean water standards, pointing to Florida's ranking second-worst in environmental enforcement actions per capita during his tenure compared to prior decades.[111] [112] In 2016, he signed legislation easing permitting for certain septic-to-sewer conversions but also approved weaker numeric standards for legacy pollutants like mercury in some waterways, measures opponents described as favoring agricultural and development interests over pollution reduction at the source.[111] Reports from state employees indicated informal directives to avoid terms such as "climate change" or "global warming" in official communications, a practice Scott denied as policy but which aligned with his emphasis on immediate hydrological fixes rather than broader climate attributions.[110] [113] Despite these controversies, Scott's later-term funding increases contrasted with initial austerity, enabling milestones like a 20-year Everglades restoration framework and $29 million in grants for South Florida water quality improvements via the Clean Water State Revolving Fund.[114] [115] Outcomes included progress on federal-state partnerships, such as fast-tracked planning for Central Everglades restoration, though algal blooms and red tides persisted, fueling debates over whether investments sufficiently targeted upstream agricultural runoff from sources like sugarcane farming.[116] Left-leaning outlets and activists, such as those cited in Florida Phoenix reporting, labeled his record as prioritizing polluters, but verifiable funding data shows a net increase in conservation dollars after 2014, supporting Scott's defense that pragmatic, results-oriented policies yielded tangible hydrological advancements without unchecked regulatory expansion.[117]Criminal Justice and Public Safety
During his tenure as governor, Scott prioritized public safety through substantial budget allocations, including over $4.9 billion in fiscal year 2016-2017 for law enforcement, corrections, and related programs, contributing to a statewide crime rate that reached its lowest level in 45 years by mid-2016, with a 3.1 percent decline from 2014.[118] These investments supported pay raises for law enforcement officers and enhanced school safety measures, reflecting a focus on deterrence and resource bolstering amid Florida's high population growth and urban challenges.[119] Scott upheld Florida's stringent sentencing framework, including the "10-20-Life" law enacted in 1999, which imposes mandatory minimum prison terms for firearm-related felonies—10 years for possession, 20 for firing, and 25 to life for discharging and causing injury or death—crediting such policies with correlating to the state's crime reductions.[120] In 2012, he vetoed legislation that would have reduced sentences for certain non-violent offenders and diverted them to drug treatment programs, arguing it undermined accountability and public protection.[121] However, he approved targeted reforms, signing Senate Bill 228 on February 26, 2016, which excised aggravated assault from the 10-20-Life mandatory minimums to address prosecutorial discretion concerns without broadly softening penalties.[122] [123] In 2017, Scott enacted the Eyewitness Identification Reform Act, mandating law enforcement protocols for photo lineups and live identifications to minimize wrongful convictions, a measure advocated by innocence-focused groups based on empirical studies showing error rates in traditional methods.[124] He further signed three criminal justice bills in April 2018, including Senate Bill 1552 on juvenile justice, which expanded diversion options for non-serious youth offenses; House Bill 7069, streamlining civil citations for minor infractions to reduce recidivism cycles; and Senate Bill 1392, improving mental health screenings and treatment access for inmates to curb reoffending linked to untreated conditions.[125] [126] These steps balanced rehabilitation with enforcement, as evidenced by Florida TaxWatch's endorsement for breaking imprisonment loops via alternatives to full incarceration for low-risk cases.[126] Scott's administration also reformed juvenile justice by signing measures post-Parkland shooting in 2018 to increase law enforcement presence in schools and prioritize secure facilities for violent youth offenders, aiming to prevent escalation from delinquency to adult crime.[127] Overall, these policies aligned with a causal emphasis on swift consequences for violent acts—supported by data showing Florida's violent crime index fell 18 percent from 2010 to 2016—while selectively incorporating evidence-based tweaks to address inefficiencies in the system.[118]Immigration and Border Security Positions
During his 2010 gubernatorial campaign, Rick Scott emphasized strict immigration enforcement, estimating over 700,000 illegal immigrants in Florida costing the state billions in services and promising to require all employers to use the federal E-Verify system to confirm workers' legal status.[128][129] On January 4, 2011, his first day in office, Scott issued Executive Order 11-02, mandating that all Florida state agencies verify the employment eligibility of new hires, rehires, and existing employees using E-Verify, with contractors facing similar requirements for their workforce.[130][129] This action aimed to reduce illegal employment at the state level, though broader legislation to mandate E-Verify for private employers failed to pass during his tenure despite his campaign pledge.[131] Scott opposed sanctuary policies, maintaining that Florida localities must cooperate with federal immigration authorities under existing law, which prohibits state or local interference with Immigration and Customs Enforcement (ICE) operations.[132] No Florida counties adopted sanctuary designations during his governorship, and Scott's administration encouraged local law enforcement to honor ICE detainers for removable aliens, aligning with federal priorities to prioritize public safety threats.[132] In a pragmatic shift, Scott signed House Bill 851 on June 20, 2014, allowing undocumented immigrants who graduated from Florida high schools to qualify for in-state tuition at public colleges and universities if they met residency and academic criteria, a policy benefiting Deferred Action for Childhood Arrivals (DACA) recipients and others to retain talent in the state economy.[133] Similarly, he approved measures enabling DACA recipients to obtain driver's licenses, facilitating their integration while upholding federal verification standards.[134] On federal border security, Scott advocated for stronger national measures, criticizing congressional inaction for creating enforcement "chaos" at the southern border, though as governor his role was limited to state-federal coordination, such as supporting Florida National Guard deployments for border-related drug interdiction.[135] In June 2018, he opposed the Trump administration's family separation policy under zero-tolerance prosecution but attributed the situation to inadequate border infrastructure and comprehensive reform.[135] Critics, including immigration restriction groups, noted these positions as softening from his 2010 rhetoric to appeal to Hispanic voters ahead of his 2014 re-election.[136][137]Disaster Response and Infrastructure
During his governorship from 2011 to 2019, Rick Scott directed Florida's responses to several major hurricanes, emphasizing evacuations, resource mobilization, and federal aid coordination. For Hurricane Matthew in October 2016, Scott declared a statewide state of emergency via Executive Order 16-230 on October 3, citing the storm's life-threatening potential as a Category 4 hurricane approaching the coast.[138] He ordered evacuations for over 1.5 million coastal residents, activated more than 3,500 National Guard members, and opened 142 shelters, repeatedly warning that "this storm will kill you" to underscore the urgency.[139][140][141] Recovery efforts included securing a federal disaster declaration for debris removal and emergency protective measures in eight counties, including Duval and Brevard.[142] In response to Hurricane Irma in September 2017, Scott issued a statewide emergency declaration and activated the Florida Disaster Fund on September 9 to assist affected individuals.[143] Preparations involved mandatory evacuations for millions, deployment of state resources, and post-landfall damage assessments, including a personal survey of the Florida Keys; these actions were noted for contributing to relatively low fatalities despite Irma's path through the state.[144][145] However, debris removal progressed slowly, prompting Scott to demand detailed pickup plans from counties, though the state did not act on the submitted proposals.[146] Hurricane Michael, which intensified to Category 5 status before striking the Panhandle on October 10, 2018, saw Scott declare emergencies initially for 26 counties on October 7, expanding to 35 the next day.[147] His administration provided temporary employment via federal National Dislocated Worker Grants, housing assistance through the Florida Housing Finance Corporation for displaced families, and tourism recovery programs via VISIT FLORIDA.[148][149][150] Scott also opened the Governor's Mansion in Tallahassee to state troopers aiding recovery and later honored utility linemen for restoring power to impacted areas.[151][152] Scott's tenure included over $2 billion in state investments for disaster preparedness and recovery since 2011, funding enhancements in emergency response infrastructure and capabilities.[153] On infrastructure, Scott's budgets directed substantial funding toward transportation networks, with more than $47.7 billion allocated for roads, bridges, airports, and seaports from 2011 through his term.[154] The Florida Department of Transportation received a record $10.8 billion in the 2017-2018 fiscal year alone, supporting maintenance and expansion projects to improve mobility and economic resilience.[155] Environmental infrastructure received priority through Everglades restoration, where Scott committed over $2 billion by 2019 to accelerate 16 projects under the Comprehensive Everglades Restoration Plan, aiding flood control and water management.[105] In August 2013, he allocated $90 million for bridging a 2.6-mile segment of Tamiami Trail (U.S. Highway 41) to restore natural sheet flow across the Everglades.[156] This was followed by Senate Bill 10, signed May 9, 2017, which pledged $200 million in annual state funding over 20 years for planning, design, and construction of restoration efforts.[157] Additional $3.5 million in transportation funds in October 2018 completed highway elevations in the Everglades, further mitigating inundation risks.[158] These initiatives linked infrastructure to disaster mitigation by bolstering natural barriers against storm surges and inland flooding.Social Issues and Legislative Battles
During his tenure as governor, Rick Scott signed legislation advancing conservative positions on abortion, including House Bill 1411 in March 2016, which prohibited abortions after 24 weeks of pregnancy unless the procedure was necessary to save the woman's life or avert serious risk of substantial and irreversible impairment to a major bodily function.[159] The law shifted the standard from fetal viability to the point at which a fetus might feel pain, aligning with arguments that late-term procedures inflict unnecessary suffering, though opponents contended it unduly restricted access without sufficient medical evidence of fetal pain capability at that stage.[159] In April 2016, Scott also approved a measure defunding Planned Parenthood affiliates through the state's Medicaid program for non-abortion services like cancer screenings and birth control, redirecting funds to other community health providers amid debates over whether such organizations prioritized abortion services over primary care.[160] A significant legislative battle arose following the February 14, 2018, mass shooting at Marjory Stoneman Douglas High School in Parkland, where 17 individuals were killed by a former student using a legally purchased AR-15-style rifle. Scott negotiated and signed Senate Bill 7026 on March 9, 2018, enacting Florida's first substantial gun restrictions in over three decades: raising the minimum age for purchasing rifles and shotguns from 18 to 21, imposing a three-day waiting period on all gun sales (with exceptions for concealed carry permit holders and law enforcement), banning bump stocks that enable rapid fire, creating a program for arming school staff, and allocating $400 million for school safety enhancements including metal detectors and armed resource officers.[161][162] The measure drew fierce opposition from the National Rifle Association, which sued over the age and waiting period provisions, and some Republican legislators who viewed it as infringing on Second Amendment rights, but Scott defended it as a pragmatic compromise excluding an assault weapons ban while prioritizing immediate threat mitigation through enhanced school security.[161][162] On religious liberty, Scott signed the Florida Student and School Personnel Religious Liberties Act (Senate Bill 436) in June 2017, codifying students' rights to express faith-based views in public schools—such as voluntary prayer, religious attire, and distribution of literature—while prohibiting discrimination against student religious groups and affirming school personnel's rights to participate in religious activities outside instructional time.[163][164] Proponents argued the law clarified existing First Amendment protections against viewpoint suppression, but secular groups criticized it for potentially enabling proselytizing and blurring church-state lines in taxpayer-funded settings.[165] Scott's administration faced tensions with LGBTQ advocates after the June 12, 2016, Pulse nightclub shooting in Orlando, which claimed 49 lives in an attack targeting gay patrons. In meetings post-tragedy, Scott's staff indicated willingness to issue an executive order barring discrimination based on sexual orientation and gender identity in state hiring and contracts, but the governor ultimately declined, citing ongoing legislative efforts and drawing accusations from Equality Florida and Democrats of unfulfilled promises that left state employees vulnerable to bias.[166][167] Earlier, Florida under Scott defended its same-sex marriage ban in federal court until the U.S. Supreme Court's 2015 Obergefell v. Hodges ruling invalidated it nationwide.[168]Tenure Controversies and Defenses
Scott's pre-governorship role as CEO of Columbia/HCA, where the company settled federal charges of Medicare and Medicaid fraud for $1.7 billion in 2003—the largest such settlement at the time—drew persistent scrutiny during his tenure, with critics alleging it reflected poor oversight that carried over into state management of healthcare programs.[7][32] Scott, who was ousted as CEO in 1997 amid the probe but faced no personal charges, acknowledged responsibility for "mistakes" in internal controls while emphasizing that the experience taught him to prioritize compliance, a lesson he claimed informed his push for anti-fraud measures in Florida's Medicaid system.[169][170] A signature initiative, mandatory drug testing for Temporary Assistance for Needy Families (TANF) applicants enacted in 2011, aimed to prevent taxpayer funds from supporting drug use and projected savings of up to $77 million, but yielded only 108 positive tests out of over 4,000 applicants screened by mid-2012, with the program costing the state $1.5 million more than it saved due to testing and administrative expenses.[89][171] Federal courts twice ruled the suspicionless testing unconstitutional under the Fourth Amendment, first in 2013 and again in 2014, halting implementation; Scott defended the policy as necessary given higher drug use rates among welfare recipients compared to the general population, and later extended similar requirements to state employees via executive order before settling related litigation in 2015.[172][173][174] Education reforms, including the 2011 Senate Bill 736 signed by Scott, eliminated tenure for new teachers, tied 50% of evaluations and merit pay to student test scores, and phased in performance-based compensation, drawing union opposition as a "wrecking ball" to collective bargaining and job security.[175][176] Critics linked the system to subsequent teacher layoffs amid budget constraints, though Scott argued it incentivized excellence to attract jobs and improve outcomes, with the legislature later adjusting evaluation weights in response to implementation challenges.[177][178] Early fiscal austerity to address a $3.9 billion deficit inherited from the 2008 recession involved vetoing $4 billion in spending, laying off over 2,000 state workers, and cutting agency budgets—including $174 million from services for the developmentally disabled—prompting protests and accusations of prioritizing deficits over vulnerable populations.[179] Scott countered that such measures averted deeper insolvency, achieving a $1.3 billion surplus by 2014 through spending restraint and economic rebound, which added 1.3 million private-sector jobs by 2018, exceeding his 700,000-job pledge.[8][15] Environmental policies faced backlash for $700 million in cuts to water management districts over eight years, which critics tied to worsening algal blooms and red tide outbreaks in 2018, alongside allegations that agency staff were discouraged from using terms like "climate change" in communications—claims Scott denied, attributing guidance to focusing on measurable data.[180][181] Defenders highlighted $2.2 billion invested in Everglades restoration via a 2013 settlement of a federal lawsuit and initiatives like the $150 million Central Florida Water Initiative for springs protection, arguing these targeted pollution sources amid population-driven pressures rather than symbolic regulations.[108][110] Throughout controversies, Scott's administration emphasized empirical outcomes over procedural critiques, with supporters crediting low unemployment (dropping to 3.3% by 2018) and tax cuts totaling $1.6 billion for fiscal health that withstood Democratic-led attacks, enabling his narrow 2014 re-election by 64,000 votes despite low approval ratings early on.[182][183]U.S. Senate Service
2018 Election and Initial Tenure
Term-limited after two terms as Florida governor, Rick Scott announced his candidacy for the U.S. Senate in April 2017, positioning himself against incumbent Democrat Bill Nelson, who had held the seat since 2001. The Republican primary on August 28, 2018, featured Scott against U.S. Representative Ron DeSantis, but Scott secured the nomination with 85.6% of the vote in a non-competitive field after other challengers withdrew. In the general election on November 6, 2018, Scott emphasized his gubernatorial record of job creation and tax cuts, contrasting it with criticisms of Nelson's longevity and perceived alignment with national Democratic policies.[184] The election proved exceptionally close, with Scott initially leading by approximately 0.4 percentage points, prompting an automatic machine recount under Florida law for margins under 0.5%.[185] Scott's campaign raised allegations of irregularities and potential voter fraud in Democratic strongholds like Broward and Palm Beach counties, including claims of ballot mishandling, though investigations by state officials and the FBI found no evidence of systemic fraud sufficient to alter the outcome.[186] A manual recount followed in those counties, but Scott's lead held at 50.06% (4,099,505 votes) to Nelson's 49.93% (4,089,472 votes), a margin of 10,033 votes.[9] Nelson conceded on November 18, 2018, after the canvassing boards certified the results, securing the seat for Republicans and contributing to their Senate majority.[187][188] Scott was sworn in as senator on January 3, 2019, by Vice President Mike Pence, though he retained his governorship until January 8 to ensure a smooth transition to successor Ron DeSantis.[189] In his early Senate months, Scott prioritized legislation addressing foreign policy threats, introducing S. 1151 in April 2019 to restrict U.S. contracting with entities tied to the Venezuelan regime under Nicolás Maduro, which advanced from committee.[190] He also focused on domestic priorities like reducing prescription drug costs and supporting veterans' healthcare, while voting to confirm President Trump's judicial and cabinet nominees to advance a conservative agenda.[191] Scott critiqued Democratic proposals such as the Green New Deal, arguing they threatened economic growth, and advocated for fiscal restraint amid rising federal deficits.[3]2024 Re-election Campaign
Scott announced his intention to seek re-election to a second term in the U.S. Senate from Florida in early 2023, emphasizing his "Rescue America" agenda focused on economic growth, border security, reducing government waste, and opposing Democratic policies on inflation and crime.[192] His campaign highlighted achievements from his gubernatorial tenure and Senate record, including job creation and disaster response, while criticizing opponent Debbie Mucarsel-Powell for her congressional votes supporting progressive spending bills.[193] In the Republican primary held on August 20, 2024, Scott faced no significant opposition and secured the nomination with over 99% of the vote.[194] The Democratic primary pitted Mucarsel-Powell, a former U.S. Representative for Florida's 26th district, against other candidates; she emerged victorious with approximately 60% of the vote, positioning herself as a moderate Democrat focused on affordability and reproductive rights.[194] Scott's campaign raised over $60 million by mid-2024, bolstered by contributions from business interests and national Republican committees, while Mucarsel-Powell benefited from substantial Democratic outside spending exceeding $100 million aimed at flipping the seat.[195] [196] Key campaign issues included immigration enforcement, with Scott advocating for stricter border measures and tying Mucarsel-Powell to Biden administration policies he described as enabling fentanyl trafficking and illegal crossings; economic policies, where he promised tax cuts and deregulation to combat inflation; and election integrity, promoting his 12-point plan for fraud-free voting.[197] Mucarsel-Powell countered by attacking Scott's past business dealings and healthcare record, though polls consistently showed Scott leading by mid-single digits in battleground areas like South Florida and the Tampa Bay region.[198] Endorsements for Scott included 59 Florida sheriffs, the Fraternal Order of Police, over 115 county commissioners, and leaders from Venezuelan and Nicaraguan exile communities, reflecting his emphasis on anti-socialism stances.[199] [200] On November 5, 2024, Scott won re-election decisively, capturing approximately 56% of the vote to Mucarsel-Powell's 43%, a margin of about 12 percentage points—his largest victory since entering politics in 2010.[201] [202] The result underscored Florida's rightward shift, with Scott outperforming expectations in Hispanic-heavy districts despite heavy Democratic investment, and positioned him to pursue Senate Republican leadership in the incoming Congress.[196]Committee Roles and Assignments
Upon entering the U.S. Senate in January 2019 following his 2018 election victory, Rick Scott was assigned to the Committee on the Budget, the Committee on Armed Services, the Committee on Homeland Security and Governmental Affairs, and the Special Committee on Aging.[203] These placements aligned with his prior experience in business management and Florida state governance, emphasizing fiscal oversight, national defense, and federal efficiency.[204] Scott retained core assignments across subsequent Congresses, including service on the Armed Services Committee's Subcommittee on Seapower and Projection Forces, where he focused on naval readiness and maritime strategy.[204] On the Homeland Security and Governmental Affairs Committee, he contributed to subcommittees addressing regulatory affairs and federal workforce issues, often critiquing bureaucratic expansion.[205] His Budget Committee role involved scrutinizing federal spending, with Scott advocating for cuts to discretionary programs and debt reduction measures.[206] For the 119th Congress commencing in January 2025, after Republican Senate gains in the 2024 elections, Scott was assigned to the Committee on Foreign Relations while assuming the chairmanship of the Special Committee on Aging.[207][208] The Aging chairmanship positioned him to lead inquiries into Social Security solvency, elder fraud, and Medicare reforms, drawing on his stated priorities for protecting seniors amid entitlement program strains.[209] Foreign Relations membership enabled oversight of international aid and sanctions, consistent with his prior advocacy on China competition and Latin American policy.[191] These roles reflect a strategic emphasis on defense, fiscal restraint, and targeted diplomacy under Republican majority leadership.[203]Key Policy Positions and Legislation
Scott has prioritized fiscal conservatism in the Senate, sponsoring legislation to eliminate automatic pay adjustments for members of Congress and introduce reforms aimed at reducing federal debt and government waste.[210] In 2025, he refiled the Let's Get to Work Act to enforce stricter work requirements under the Supplemental Nutrition Assistance Program (SNAP), arguing that such measures promote self-reliance and curb dependency on federal aid.[210] His voting record reflects opposition to large-scale spending packages, including reconciliation bills that expanded deficits, aligning with a 95% lifetime score from Heritage Action for conservative fiscal policies.[211] On healthcare, leveraging his background as a former hospital executive, Scott has pushed for market-oriented reforms, including a 118th Congress bill to establish Medicare flex fund accounts allowing beneficiaries greater control over funds for personalized care.[212] He also led efforts to address overreliance on foreign-made generic drugs, releasing an investigative report in 2023 highlighting supply chain vulnerabilities and sponsoring related measures to bolster domestic production.[213] In the 119th Congress, he introduced the SENIOR Act (S.473) to amend the Older Americans Act, mandating screenings for loneliness among seniors and coordinating supportive services to mitigate health risks associated with social isolation.[214] In foreign policy, particularly regarding China, Scott has sponsored multiple bills to counter economic influence and security threats, including a 119th Congress measure prohibiting U.S. persons from financial transactions with AliPay and a April 2025 package of five bills targeting Communist China's exploitation of American investors through deceptive practices in U.S. markets.[191] [215] He co-sponsored efforts to limit the World Health Organization's authority over U.S. policy, such as S.4305 in the 117th Congress, which sought to require Senate approval for any binding international health agreements.[212] On national defense, Scott supported provisions in the FY2024 National Defense Authorization Act requiring congressional consent for suspending sanctions on adversarial regimes.[216] Scott's legislative focus extends to public safety and immigration, where he has backed measures enhancing border security and law enforcement resources, consistent with his gubernatorial record of increasing funding for Florida's policing amid rising crime rates post-2020. His Senate scorecard from GovTrack indicates active sponsorship of bills advancing to the floor, including 24 in the 118th Congress on topics from ending certain foreign aid dependencies to reforming import restrictions on firearms.[217] These efforts underscore a broader agenda emphasizing deregulation, energy independence, and opposition to expansive federal bureaucracies.The Rescue America Plan
In February 2022, U.S. Senator Rick Scott (R-FL) released an "11-Point Plan to Rescue America," later expanded to 12 points, as a proposed Republican agenda to counter Democratic policies under President Joe Biden.[218][197] The plan outlined priorities for congressional Republicans if they gained majorities, emphasizing fiscal restraint, cultural reforms, and policy reversals on issues like education, immigration, and entitlements. Scott described it as a commitment to transparency, stating, "Americans deserve to know what we will do when given the chance to lead."[219] The plan's components included rejecting progressive curricula in schools to prioritize core subjects like reading and math; enforcing color-blind equality under the law while opposing affirmative action and critical race theory; enhancing public safety through stricter enforcement against violent crime and defunding sanctuary cities; securing borders with completed wall construction and ending catch-and-release policies; promoting economic growth via deregulation, energy independence, and tax cuts; reforming government by sunsetting all federal legislation every five years unless renewed, imposing term limits on Congress, and balancing the budget; ensuring election integrity with voter ID requirements and audits; defending parental rights against government overreach; protecting Second Amendment rights; confronting adversaries like China through military modernization; and upholding traditional American values against "woke" ideology.[197][219] A core proposal required reviewing and potentially terminating all federal programs and laws every five years, which critics, including Democrats and some Republicans, argued could jeopardize entitlements like Social Security and Medicare.[218][220] Scott initially defended the sunset clause as a tool to eliminate waste but faced backlash, with Senate Minority Leader Mitch McConnell distancing the party from it.[221] In February 2023, Scott revised the plan to exempt Social Security, Medicare, and national security programs explicitly, clarifying his intent was not to cut benefits but to force congressional accountability.[222] He maintained that the measure would address the $30 trillion national debt by curbing unchecked spending.[223] Other elements drew scrutiny, such as a suggested federal minimum income tax on all earners, which analysts estimated could increase taxes on lower-income households earning under $30,000 annually by up to 70% in some cases, though Scott's office disputed characterizations of it as a tax hike on the poor.[224][220] Democratic organizations, including the DNC, labeled the plan an attack on seniors' benefits, using it in campaign ads despite Scott's repeated affirmations of protecting those programs.[225][223] Scott positioned the initiative as a proactive alternative to Biden's "socialist" agenda, advocating for its adoption to restore fiscal discipline and cultural norms.[226] The plan did not advance as formal legislation but influenced Republican messaging ahead of the 2022 midterms.[218]Opposition to Biden Administration Policies
Scott opposed the Biden administration's fiscal policies, arguing that excessive government spending fueled inflation. In October 2021, he attributed rising prices to Biden's "socialism" and the Federal Reserve's inaction, warning that such policies were "destroying America."[227] He voted against the $1.9 trillion American Rescue Plan in March 2021, criticizing it as wasteful amid ongoing economic recovery from COVID-19 restrictions.[228] Similarly, Scott opposed the Inflation Reduction Act, contending it would exacerbate energy costs rather than curb inflation through unrelated climate measures.[229] On border security, Scott repeatedly condemned the administration's enforcement approach as enabling an "open border" crisis. In March 2024, he demanded the White House enforce existing immigration laws, citing over 7 million encounters at the southwest border since Biden took office and linking lax policies to increased fentanyl deaths exceeding 70,000 annually.[230] He voted against a bipartisan border security bill in May 2024, arguing it failed to restore Trump-era measures like Remain in Mexico and instead codified catch-and-release practices.[231] In energy policy, Scott accused Biden of undermining U.S. independence by restricting domestic production. On July 13, 2022, during Senate floor remarks, he highlighted the administration's cancellation of Keystone XL and leasing moratoriums as threats to economic security, noting gasoline prices had surged above $5 per gallon in parts of Florida.[229] He urged separation of politics from energy decisions, opposing regulatory expansions that prioritized renewables over fossil fuels amid global supply disruptions.[232] Scott also critiqued Biden's foreign policy, particularly on Israel and aid allocations. In February 2024, he voted against a $95 billion supplemental aid package, objecting to its structure that he said funded Ukrainian politicians and omitted sufficient border security while delaying weapons to Israel.[233] He joined resolutions condemning delays in arms shipments to Israel, asserting such actions undermined U.S. allies and emboldened adversaries like Iran.[234] Additionally, in April 2024, he slammed proposed Medicare cuts tied to administration budgets, claiming they reduced benefits for seniors without addressing underlying fiscal imbalances.[235]Alignment with Trump Agenda
Scott endorsed Donald Trump for the 2024 Republican presidential nomination on November 2, 2023, highlighting alignment on economic policies, border security, and opposition to Democratic fiscal practices.[236] Following Trump's victory, Scott committed to advancing the incoming administration's priorities, stating on July 1, 2025, that Congress must collaborate with Trump to address $37 trillion in national debt, reckless spending, and inflation through targeted reforms.[237] He hosted a policy summit on March 7, 2025, to strategize passage of Trump-backed legislation, emphasizing deregulation, tax cuts, and energy independence as core shared objectives.[238] In legislative actions, Scott voted to advance Trump's "Big Beautiful Bill" on June 29, 2025, a comprehensive domestic policy package incorporating tax extensions from the 2017 Tax Cuts and Jobs Act and spending reallocations, though he advocated for additional cuts exceeding $2 trillion to offset deficits projected at $3.25 trillion over a decade by the Congressional Budget Office.[239] [240] On July 1, 2025, he praised the bill's passage in the House as a step toward Trump's economic vision, despite the Senate's rejection of his proposed Medicaid rollback amendment.[241] Scott also co-authored pieces supporting Trump-nominated Treasury Secretary Scott Bessent's IRS overhaul on September 19, 2025, aiming to eliminate policies perceived as burdensome to small businesses and job creation.[242] Scott's positions on monetary policy further reflect Trump's emphasis on protecting American workers, as evidenced by his August 1, 2025, letter to President Trump urging selection of a Federal Reserve chair committed to low inflation and growth over ideological interventions.[243] His advocacy for Project 2025-aligned reforms, including government restructuring and fraud prevention in elections, underscores broader ideological overlap, with Scott praising the initiative's launch in a letter read at an August 2024 event.[244] These efforts position Scott as a key congressional ally in implementing Trump's "America First" framework, prioritizing fiscal restraint, border enforcement, and economic nationalism over multilateral commitments.[197]2025 Senate Leadership Bid and Aftermath
Following the Republican Party's capture of a 53-seat majority in the U.S. Senate during the 2024 elections, Senator Rick Scott (R-FL) launched a bid to succeed retiring Minority Leader Mitch McConnell as the chamber's top Republican, positioning himself as an outsider committed to disrupting the status quo and advancing President-elect Donald Trump's agenda.[245] Scott emphasized his record as Florida's governor and senator, including tax cuts and regulatory reforms, arguing that Senate Republicans needed "Florida's winning conservative record" to counter perceived institutional inertia.[246] His campaign drew support from Trump-aligned figures and online influencers, but allies' aggressive pressure tactics, including public endorsements and calls for rivals to withdraw, alienated moderate and establishment senators wary of internal discord.[247] Scott faced competition from Senate Whip John Thune (R-SD) and Senator John Cornyn (R-TX), both viewed as continuity candidates with deep leadership experience under McConnell.[248] Despite initial betting odds favoring him as the Trump proxy, President-elect Trump privately described Scott's effort as "not serious" to allies, signaling limited backing from the incoming administration.[249] On November 13, 2024, during a closed-door conference vote among the 53 Republican senators, Scott received the fewest votes in the initial secret ballot and was eliminated, advancing Thune and Cornyn to a runoff that Thune won.[250] [251] In the immediate aftermath, Scott issued a statement conceding the loss while reaffirming his commitment to Senate reform, stating, "I may have lost the vote, but I am optimistic" about collaborating with Thune to "fundamentally change how the Senate operates" and deliver on Trump's priorities such as border security and economic deregulation.[252] The bid exposed ongoing fractures within the Republican conference between populist insurgents and institutionalists, with Scott's early exit underscoring the preference for experienced deal-makers amid expectations of a divided government.[253] Scott was sworn into his second Senate term on January 3, 2025, and has since focused on committee work, including scrutiny of Biden-era holdovers and Trump nominees, without securing a formal leadership position.[254] The outcome reinforced Thune's emphasis on unity, though Scott's challenge elevated discussions on term limits and procedural changes he advocated during the race.[255]Recent Legislative Activities and Priorities
In the 119th United States Congress (2025–2026), Senator Rick Scott sponsored S. 1, a bill prohibiting United States persons from engaging in financial transactions with AliPay to counter Chinese technological influence and data security risks. He also introduced S. 1824, the Taiwan PLUS Act, on May 21, 2025, aimed at enhancing U.S. support for Taiwan's defense capabilities amid rising tensions with China. Additionally, Scott cosponsored S. 382, the Dismantle DEI Act of 2025, seeking to eliminate diversity, equity, and inclusion mandates in federal agencies and contractors, arguing they prioritize ideology over merit and efficiency.[210] Scott's priorities emphasize national security and economic decoupling from China, including a October 22, 2025, letter to President Trump urging suspension of new student visas for Chinese nationals and phased removal of existing ones, citing espionage risks and trade aggression.[256] On October 22, 2025, he released a report investigating U.S. overreliance on foreign-made generic drugs, particularly from China and India, warning of supply chain vulnerabilities that could endanger public health during crises.[213] These efforts align with his broader "America First" agenda, refiled in January 2025, which calls for reducing federal spending, eliminating duplicative programs, and prioritizing domestic manufacturing.[207] For Florida constituents, Scott advanced hurricane preparedness legislation in 2025, including measures to aid homeowners with flood insurance reforms and disaster recovery funding, building on responses to prior storms like Hurricane Milton.[257] He secured key provisions in the Senate-passed National Defense Authorization Act for Fiscal Year 2026 on October 14, 2025, such as prohibitions on Department of Defense contracts with Chinese entities and enhanced support for military bases in Florida, advancing border security and countering adversarial threats.[258] Scott also introduced S. Res. 451 on October 15, 2025, condemning attacks on federal law enforcement in Illinois to underscore support for officer safety.[259]Financial Holdings and Ethical Scrutiny
Sources of Wealth and Net Worth
Rick Scott's primary source of wealth stems from his leadership of Columbia Hospital Corporation, which he co-founded in 1987 with an initial investment of $125,000 alongside business partner Richard Rainwater. Under Scott's direction as CEO, the company pursued aggressive expansion through acquisitions, growing to operate over 100 hospitals by the mid-1990s and merging with Hospital Corporation of America in 1994 to form Columbia/HCA, the largest for-profit hospital operator in the United States at the time. This rapid scaling generated substantial value, with Scott's ownership stake reportedly reaching approximately 10 million shares by 1997.[260] Scott's tenure ended in July 1997 amid federal investigations into billing practices at Columbia/HCA, including allegations of Medicare and Medicaid fraud such as upcoding and kickbacks to physicians. He resigned as CEO without facing personal charges, but the company later pleaded guilty to 14 felonies and paid $1.7 billion in civil and criminal penalties—the largest healthcare fraud settlement in U.S. history at that point. Upon departure, Scott received a $10 million severance payment, a five-year consulting contract valued at $5 million annually, and stock holdings plus options worth over $300 million, which formed the foundation of his fortune as the company's shares recovered post-scandal.[6][28] Subsequent wealth accumulation has occurred through diversified investments managed via blind trusts and personal holdings, including private equity funds, hedge funds, real estate, and government securities. Notable assets include residential properties valued at around $40 million and stakes in investment vehicles exceeding $100 million each, with additional gains from the 2017 sale of a Michigan-based plastics manufacturing firm for $825 million. Scott has also realized income from capital gains, dividends, and stock sales, contributing to reported cash inflows of over $120 million in 2017 alone. His Senate salary of $174,000 annually and gubernatorial earnings represent a minor fraction of his overall finances.[261][42] As of September 2025, financial disclosures estimate Scott's net worth at approximately $502 million, though trackers like Quiver Quantitative place it higher at around $550 million based on asset valuations ranging from $15 million to over $50 million per holding in categories like mutual funds and equities. These figures reflect conservative ranges required in public filings and do not account for potential undisclosed liquidity or appreciation since the last report. Scott has leveraged this wealth to self-fund political campaigns, contributing over $100 million personally across his gubernatorial and Senate races.[262][263][7]Investment Strategies and Blind Trust
Rick Scott's investment portfolio, primarily derived from the proceeds of his 1994 sale of shares in Columbia/HCA Healthcare for approximately $300 million, has been managed through a combination of professional trustees and direct disclosures following his entry into public office.[264] As Florida governor from 2011 to 2019, Scott placed a substantial portion of his assets—valued at around $73.8 million in one reported account—into a blind trust intended to prevent conflicts of interest by limiting his knowledge and control over specific holdings.[265] This structure involved third-party managers handling allocations across diversified assets, including stocks, mutual funds, and private equity interests, though federal disclosures revealed overlaps with investments held directly by his wife, Ann Scott, raising questions about the trust's effective blindness.[266] Upon transitioning to the U.S. Senate in 2019, Scott terminated the blind trust, opting instead for annual public financial disclosures mandated by the Ethics in Government Act, which he argued provided sufficient transparency without the administrative complexities of a trust.[267] This shift aligned his practices with many congressional colleagues, emphasizing self-reported asset ranges and transactions over trustee-managed isolation. His disclosed holdings have included broad-market index funds, individual equities in sectors like technology and finance, and alternative investments, with publicly trackable assets totaling about $48.7 million as of early 2025.[268] Senate filings have shown periodic stock trades executed through brokerage accounts, contributing to reported gains such as an estimated $1 million in market performance over a recent monthly period, reflecting a strategy tolerant of market exposure rather than aggressive speculation.[269] Scott's approach prioritizes liquidity and diversification to preserve wealth generated from his pre-political business career, with assets reported in broad value bands (e.g., $1–5 million per holding) across hundreds of positions as required by disclosure rules.[264] Family trusts and spousal accounts have complemented this, holding parallel investments in financial firms that manage public pensions, including Florida's state system, though Scott has maintained no direct operational influence.[270] Critics, including outlets like The New York Times, have contended that the absence of a ongoing blind trust exposes potential influences on legislative decisions affecting regulated industries, but Scott's disclosures have consistently met federal thresholds without evidence of undisclosed self-dealing.[265] Overall, his strategy reflects a conservative preservation of principal through passive and semi-active equity exposure, managed amid public scrutiny.Disclosure Controversies and IRS Incident
In 2018, during his U.S. Senate campaign, Rick Scott faced scrutiny over his qualified blind trust established as Florida governor, which held assets mirroring hundreds of investments also owned by his wife, Frances Scott, raising questions about its independence from his influence.[266] The trust was managed by a firm with ties to Frances Scott through a family acquaintance, and Scott had not transferred all personal assets into it, instead allocating many directly to his wife, potentially allowing indirect oversight.[265] Critics, including Democratic opponents, argued this arrangement violated Florida's financial disclosure laws by shielding detailed asset information, leading to a lawsuit alleging underreporting of income; the suit was dismissed by a federal appeals court in November 2018, ruling the trust complied with state requirements.[271] Scott defended the setup as standard for avoiding conflicts, but in February 2019, after entering the Senate, he dissolved the blind trust, stating annual Senate disclosures provided sufficient transparency.[267] Further controversy arose in August 2025 when Scott filed amended financial disclosures revealing over $26 million in stock trades conducted between 2023 and early 2024, reported more than a year past the 45-day deadline mandated by the STOCK Act for members of Congress.[272] The trades involved sales and purchases in sectors such as technology and healthcare, including companies like NVIDIA and Eli Lilly, some of which had business before Senate committees on which Scott served, prompting calls from watchdog groups and opponents for investigations into potential conflicts despite his public support for banning congressional stock trading.[273] Scott's office attributed the delay to administrative errors in reporting by his trust managers, asserting no personal knowledge or benefit from non-disclosure, though fact-checks confirmed the lateness while noting the trades were eventually reported without evidence of illegality beyond the timing violation.[274][275] Regarding the IRS incident, Scott's confidential tax information was among thousands leaked in 2020 by Charles Littlejohn, a former IRS contractor who pleaded guilty to unauthorized disclosure of returns belonging to over 7,600 individuals, including high-profile figures like Donald Trump and Elon Musk.[276] Littlejohn provided Scott's data to news outlets, though it was not publicly released; Scott testified in court against Littlejohn's plea deal, emphasizing the breach's threat to privacy and national security, as the sentencing judge imposed the maximum five-year prison term in January 2024.[277] A separate IRS data breach in 2015, affecting over 405,000 taxpayers, also exposed some of Scott's information via a contractor vulnerability, though no misuse was reported in his case.[278] Scott has since advocated for stricter IRS data protections, including legislation to prohibit biometric data collection by the agency.[279]Criticisms of Stock Trading Practices
Senator Rick Scott has faced scrutiny for stock trading activities that critics argue pose conflicts of interest, given his positions on Senate committees overseeing industries in which he or his family have invested, such as health care and finance.[280][281] For instance, disclosures show trades in pharmaceutical and biotech firms while Scott served on the Senate Committee on Health, Education, Labor, and Pensions, which influences health policy and funding.[269] Advocacy groups and media outlets, including left-leaning commentators, have highlighted these as examples of lawmakers profiting from regulatory foresight, though Scott maintains his trades comply with ethics rules and occur through managed accounts.[282] In August 2022, Business Insider reported that Scott violated the Stop Trading on Congressional Knowledge (STOCK) Act of 2012 by failing to disclose multiple stock transactions within the mandatory 45-day period, a requirement aimed at promoting transparency and preventing insider trading.[283] The outlet identified at least three instances where reports were filed late, potentially subjecting him to fines up to $200 per violation, though the Senate Ethics Committee has rarely enforced penalties.[284] Scott's office responded that the delays were inadvertent and promptly amended the filings upon discovery, attributing them to administrative errors rather than intentional concealment.[283] Renewed attention arose in August 2025 when social media and partisan sources claimed Scott belatedly disclosed over $26 million in stock trades involving companies subject to his committee oversight, prompting calls for investigations into potential breaches of transparency laws.[272] Fact-checking by Snopes determined these assertions false, as the filings were amendments to previously timely reports on municipal bonds rather than new or delayed stock transactions, with no evidence of undisclosed trades exceeding legal deadlines.[285] Critics, including Democratic activists, nonetheless cited the episode to question Scott's commitment to stock trading reforms, especially amid his support for bans "done right" that exclude certain passive investments, while opponents like Senator Josh Hawley accused him of weakening anti-trading legislation.[275][282] Scott has defended his practices by advocating for stricter congressional trading restrictions, including bills to prohibit individual stock ownership and calling for audits of high-profile traders like former Speaker Nancy Pelosi, while arguing that broad bans must avoid loopholes benefiting institutional investors.[286] Despite these positions, watchdog groups contend his extensive portfolio—estimated in the tens of millions—and history of health sector trades, rooted in his pre-political career at Columbia/HCA, exemplify systemic ethical risks in Congress, where empirical data shows lawmakers outperforming market averages.[287][284]Personal Life
Marriage and Family
Rick Scott married Frances Ann Holland on April 20, 1972, shortly after both turned 19; the couple had met as high school sweethearts in Missouri.[288][289] As of 2024, their marriage has endured for 52 years.[2][290] The Scotts have two daughters, Allison and Jordan, both of whom are married.[2][15] The family includes seven grandchildren.[15][291] Ann Scott has occasionally joined her husband in public family appearances, such as celebrating Florida Gators achievements with daughter Allison and grandsons at the White House in May 2025.[292]Personal Security Incidents
On December 27, 2023, Scott's Naples residence was targeted in a swatting incident while he dined out with his wife.[293] A male caller identifying as "Jamal" reported to dispatchers that he had shot his wife three times with an AR-15, leaving her bleeding out on the floor, and was barricaded inside holding her boyfriend "Michael" hostage while demanding $10,000 in ransom.[293] [294] Naples Police Department dispatched armed officers, including SWAT elements, to the address, where Scott's private security personnel met them and confirmed no emergency existed.[295] Scott publicly condemned the perpetrators as "cowards" on X (formerly Twitter), highlighting the dangers of such hoaxes that provoke heavy law enforcement responses.[293] In response, Scott co-introduced federal legislation in January 2024 to impose penalties of up to 20 years imprisonment for swatting crimes resulting in serious injury.[296] In early January 2025, Charles Bentley, a 56-year-old resident of Punta Gorda in Charlotte County, Florida, was arrested for issuing death threats against Scott, among others.[297] Bentley allegedly sent messages threatening to kill Scott and Senator Marco Rubio, including vows to drive to Washington, D.C., and declaring "a round from my gun is the judge and jury," while also targeting local law enforcement and demanding sums up to $500 million.[298] [299] He faced charges including written threats to kill or inflict bodily harm, cyber intimidation, and obstruction, with a bond set at $262,000; U.S. Capitol Police's threat assessment section collaborated with local authorities in the investigation.[297] [299] The incident underscored ongoing risks to elected officials from online harassment, though no physical breach occurred.[299]Electoral History
Gubernatorial Elections
Rick Scott announced his candidacy for the Republican nomination for Governor of Florida in April 2010, positioning himself as a business outsider focused on economic recovery amid the post-2008 recession. He self-funded over $73 million into his primary campaign against state Attorney General Bill McCollum, emphasizing job creation through deregulation and tax cuts.[300][55] Scott secured the nomination on August 24, 2010, with 46% of the primary vote in a contentious race marked by attack ads over Scott's business record.[55] In the general election on November 2, 2010, Scott faced Democratic nominee Alex Sink, Florida's Chief Financial Officer, who criticized Scott's tenure as CEO of Columbia/HCA, where the company settled Medicare fraud allegations for $1.7 billion in 2003—though Scott faced no personal charges.[7] Scott's "7-7-7 Plan" promised 700,000 new jobs, $7 billion in tax cuts, and a 7% unemployment rate within seven years, contrasting Sink's emphasis on education and healthcare.[57] Scott won a narrow victory with 2,619,335 votes (48.87%), defeating Sink's 2,557,785 votes (47.72%), as third-party candidates split the remainder.[60]| Candidate | Party | Votes | Percentage |
|---|---|---|---|
| Rick Scott / Jennifer Carroll | Republican | 2,619,335 | 48.87% |
| Alex Sink / Rod Smith | Democratic | 2,557,785 | 47.72% |
| Others (independents) | Various | ~183,000 | 3.41% |
| Candidate | Party | Votes | Percentage |
|---|---|---|---|
| Rick Scott / Carlos Lopez-Cantera | Republican | 2,865,343 | 48.14% |
| Charlie Crist / Annette Taddeo | Democratic | 2,801,198 | 47.07% |
| Adrian Wyllie / Tony Sintes | Libertarian | 223,756 | 3.76% |
| Others | Various | ~45,000 | 1.03% |
Senate Elections
Rick Scott announced his candidacy for the U.S. Senate from Florida on April 9, 2018, for the seat held by three-term Democratic incumbent Bill Nelson, following term limits that prevented his reelection as governor.[303] Scott won the Republican primary on August 28, 2018, securing over 85% of the vote against minor challengers.[304] In the general election on November 6, 2018, Scott narrowly defeated Nelson, receiving 4,099,505 votes (50.1%) to Nelson's 4,089,472 (49.9%), a margin of 10,033 votes.[9] The close result triggered an automatic machine recount, followed by a manual recount in select counties amid disputes over ballot signatures and undervotes; Scott maintained his lead, and the Florida Elections Canvassing Commission certified the results on November 18, 2018, after Nelson conceded.[187] Campaign themes included Scott's emphasis on Florida's job growth and economic policies from his governorship, contrasted with Nelson's attacks on Scott's past corporate leadership at Columbia/HCA, which had faced federal fines for Medicare fraud in the 1990s.[305]| Election | Candidate | Party | Votes | Percentage |
|---|---|---|---|---|
| 2018 General | Rick Scott | Republican | 4,099,505 | 50.1% |
| 2018 General | Bill Nelson | Democratic | 4,089,472 | 49.9% |