TN Republicans Reject Protections for Pre-Existing Conditions, Rural Hospitals, Seniors in Nursing Homes

House Republicans have rejected four measures that would increase health care security for families enrolled in the state Medicaid program known as TennCare.

The measures, introduced by Democratic members of the House Insurance Committee, would have amended HB1280, a bill that directs the governor to apply for a Medicaid block grant from the federal government.

It would be the first such waiver of its kind in U.S. history. (Click here to learn how a Medicaid block grant could cost Tennessee $1 billion in federal funding by 2027.)

GOP Defeats Four Amendments

Protect coverage for pre-existing conditions: House Amendment 5080, presented by Rep. Darren Jernigan, D-Old Hickory, District 60, would ensure that Tennesseans with pre-existing conditions would still receive coverage if the block grant was approved.

Republicans voted it down.

Protect rural hospitals: House Amendment 5004a, presented by Rep. Dwayne Thompson, D-Cordova, District 96, would have ensured rural hospitals received due consideration in negotiations with federal Medicaid officials.

Republicans voted it down.

Expand TennCare coverage to working poor: House Amendment 5165, presented by Rep. Larry Miller, D-Memphis, District 88, would expand negotiations to include TennCare health insurance for working families in Tennessee, whose incomes are below 138 percent of poverty line. Generally speaking, these are the Tennesseans who would gain health coverage through Medicaid expansion—a measure supported by 66 percent of Tennesseans.

Republicans voted it down.

Protect nursing home coverage for elderly Tennesseans: House Amendment 5212, presented by Rep. Jason Hodges, D-Clarksville, District 67, said his measure would protect Medicaid coverage for elderly Tennesseans who live in nursing homes. More than six out of 10 nursing home residents in Tennessee are Medicaid recipients. The legislation “doesn’t guarantee we’re protecting our elderly,” Hodges said.

Republicans voted it down.

In questioning the bill sponsor, Rep. Jernigan said one of the chief concerns of a Medicaid block grant system is funding unexpected coverage increases if circumstances change, for instance, a surge in eligibility surge during an economic downturn. “Would we have to use state dollars at that point to make it up?” Jernigan said.

The bill sponsor Rep. Timothy Hill, R-Blountville, District 3, said, “the concern you’re bringing is a classic concern and a valid concern.” But rather than building guidelines for Tennessee’s negotiators, Hill said, it should be addressed during negotiations.

As of January 2019, there were nearly 32,000 TennCare enrollees in Sullivan County, where Rep. Hill lives. Holler at him HERE.

As a reminder, Block Grants would actually mean cuts to TennCare, don’t do anything about covering uninsured Tennesseans or saving rural hospitals, and are currently illegal and opposed by Children’s hospitals.

Here’s more on WHY. Meanwhile we lose $4 Million every day we don’t expand medicaid.

You can watch the full House Insurance Committee meeting here.

How they voted:
House Insurance Committee, March 5; Voice Vote, Ayes prevail:
Rep. Ron Travis, R-Dayton, District 31
Rep. Mark Hall, R-Cleveland, District 24
Rep. Scott Cepicky, R-Culleoka, District 64
Rep. Ron Gant, R-Rossville, District 94
Rep. Johnny Garrett, R-Goodlettsville, District 45
Rep. Timothy Hill, R-Blountville, District 3
Rep. Matthew Hill, R-Jonesborough, District 7
Rep. Justin Lafferty, R-Knoxville, District 89
Rep. Dennis Powers, R-Jacksboro, District 36*
Rep. Tim Rudd, R-Murfreesboro, District 34
Rep. Cameron Sexton, R-Crossville, District 25*
Rep. Robin Smith, R-Hixson, District 26
Rep. Mike Sparks, R-Smyrna, District 49
Rep. Bryan Terry, R-Murfreesboro, District 48
Rep. Jason Zachary, R-Knoxville, District 14

Voting No:
Rep. Jason Hodges, D-Clarksville, District 67
Rep. Darren Jernigan, D-Old Hickory, District 60
Rep. Larry Miller, D-Memphis, District 88
Rep. Dwayne Thompson, D-Cordova, District 96

Bill Sponsors:
Rep. Timothy Hill, R-Blountville, District 3
Speaker Glen Casada, R-Franklin, District 63
Rep. Matthew Hill, R-Jonesborough, District 7
Rep. Ron Gant, R-Rossville, District 94
Rep. Clay Doggett, R-Pulaski, District 70
Rep. Jason Zachary, R-Knoxville, District 14
Rep. Dan Howell, R-Cleveland, District 22
Rep. Bruce Griffey, R-Paris, District 75
Rep. Paul Sherrell, R-Sparta, District 43
Rep. David Byrd, R-Waynesboro, District 71
Rep. Chris Todd, R-Jackson, District 73
Rep. Scott Cepicky, R-Culleoka, District 64
Rep. John Crawford, R-Kingsport, District 1
Rep. Rush Bricken, R-Tullahoma, District 47
Rep. Mike Carter, R-Ooltewah, District 29
Rep. Bryan Terry, R-Murfreesboro, District 48
Rep. Robin Smith, R-Hixson, District 26
Rep. Michael Curcio, R-Dickson, District 69
Rep. Dale Carr, R-Sevierville, District 12
Rep. Andrew Farmer, R-Sevierville, District 17
Rep. Jay Reedy, R-Erin, District 74
Rep. James “Micah” Van Huss, R-Gray, District 6
Rep. Clark Boyd, R-Lebanon, District 46
Rep. Bud Hulsey, R-Kingsport, District 2
Rep. Iris Rudder, R-Winchester, District 39
Rep. Debra Moody, R-Covington, District 81
Rep. Andy Holt, R-Dresden, District 76
Rep. John Ragan, R-Oak Ridge, District 33
Rep. Cameron Sexton, R-Crossville, District 25