Public Health & Disability Services
Audit Verdict · Mixed Authority
Mobile units, disability services, access audits, and crisis-response teams are feasible, but school nursing, coverage expansion, and harm-reduction policy run through other entities.
Parts deliverable. Headline promise runs into preemption, fragility, or outside control.
The Promise
Expand mobile health access, reduce maternal and infant disparities, back school nurses, create a Mental Health Access Fund, grow crisis-response teams, and build a fully funded Office of Disability Services.
Analysis
The city can stand up the disability office, audit accessibility, fund providers, and support mobile health pilots. The harder promises depend on insurers, schools, and state-controlled public-health policy.
Legislative Record
She has advocated for Medicaid expansion and mental-health funding, with several appropriations later vetoed by the governor, including Pulse-survivor mental-health funding.
Implementation Barriers
A portion of the inventory depends on agencies where the mayor has limited board representation, informal influence, or no direct management authority.
- SunRail is owned and operated by FDOT; weekend service requires state funding
- LYNX is a regional board where the mayor holds one of five seats
- Orange County Public Schools and UCF are independent entities outside mayoral control
Many pledges across the audited inventory arrive without cost estimates or recurring funding sources — even as the existing city budget is already heavily committed.
- No cost estimate for universal childcare, transit pass subsidies, or a new disability office
- No funding source for expanded CVI, legal aid, or business disruption insurance
- Ignores personnel-heavy budget: 62% of general fund is payroll and 55% goes to public safety