After only three months on the job, former Maine Department of Health and Human Services Commissioner Mary Mayhew has left her job as head of the federal Medicaid program to lead Flordida’s Medicaid program in Republican Governor Ron DeSantis’ administration. Mayhew told the health industry news site Modern Healthcare that the Trump administration’s focus on giving state’s “increased control” over their Medicaid programs was a key factor in taking the state-level position.

“It is this vision for state flexibility that excites me about returning to the state level to help Governor-elect DeSantis partner with [Centers for Medicare and Medicaid Services] Administrator [Seema] Verma to serve the citizens of Florida,” Mayhew said in a statement Friday.

Back in Maine, Mayhew played a key roll in blocking Medicaid expansion and advocated for anti-welfare policies like mandating that Medicaid and SNAP recipients work a certain number of hours to receive benefits. In the recent Florida gubernatorial election, failed Democratic candidate Andrew Gillum made Medicaid expansion for 662,000 low-income Floridans a key part of his platform. Mayhew is among several right-wing Mainers who have made Florida their new home. The growing list includes former Gov. Paul LePage and right-wing operatives Roy Lenardson and Tarren Bragdon, whose group Foundation for Government Accountability wrote many of the anti-welfare policies LePage and Mayhew implemented in Maine.

“We will miss her, but I am excited for Mary as she transitions to serve Governor-elect DeSantis and the people of Florida,” Verma wrote to Modern Healthcare in the statement announcing Mayhew’s resignation. “I appreciate her efforts at CMS and I look forward to continuing to work with her as she uses her many talents to help the state of Florida create a healthcare system that serves the needs of its citizens.”