Scott has been accused of having fueled an HIV epidemic while governor, by ensuring that Florida returned $54 million in unspent federal HIV-prevention grants and blocking $16 million in CDC grants to Miami-Dade and Broward counties. The effect of this rejection of federal funds combined with Scott's stance on Medicaid expansion has been described as "helping explain why the state’s HIV epidemic became almost peerlessly severe during Scott’s time in office", with the state accounting for 13% of the country's HIV diagnoses in 2017.