Health Affairs October 15, 2019
On September 18, 2019, Tennessee announced a long-anticipated proposal to block grant its Medicaid program, TennCare. This proposal is deeply flawed in ways that will both concern fiscal conservatives and endanger Medicaid beneficiaries. Yet the Trump Administration may well seize on Tennessee’s proposal as a chance to salvage a victory from its otherwise failing Medicaid agenda.
A Blank Check For State Budget Priorities
Like all Medicaid block grant proposals, the proposed Tennessee waiver would place the state in the position of having to use state-only funds for any Medicaid expenditures above a cap instead of being able to cover a sizable portion of the costs with the statutory federal match, which is over 65 percent in Tennessee.
Unlike a traditional...
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