Sarah Ford | December 16, 2014

Tennessee plan to insure poor residents an example for other Southern states

The proposal by Tennessee鈥檚 governor to use Affordable Care Act money to pay for private insurance for low-income residents is a step in the right direction and an example for Southern states that have stubbornly refused to expand Medicaid for their most vulnerable citizens, the SPLC said today.

鈥淲e need to see the specifics, and we know already that Tennessee鈥檚 proposal will not ensure near-universal coverage through expanded Medicaid, as the Affordable Care Act (ACA) intended,鈥 said Sam Brooke, SPLC attorney. 鈥淵et we hope this idea will serve as an example that shows other Southern states how they can help people who are desperate for affordable health care.鈥

Tennessee鈥檚 plan, which is called Insure Tennessee, would provide vouchers for residents meeting income requirements to help them purchase an employer-sponsored health insurance plan. Others would be able to participate in a segment of the state Medicaid plan that provides health savings accounts. They would likely pay a portion of their health care costs but could receive government contributions based on their participation in preventative care activities.

The plan must be approved by the state legislature and federal officials. Funds for the Medicaid expansion would initially come from the federal government under the ACA.

Tennessee is one of 23 states that have refused to expand Medicaid under the ACA after a 2012 Supreme Court ruling made expansion optional but not mandatory for states. Because of Tennessee鈥檚 refusal to expand Medicaid, hundreds of thousands of its residents have fallen into a 鈥渃overage gap鈥 because they don鈥檛 qualify for the state鈥檚 existing Medicaid program and earn too little to receive federal subsidies in the ACA鈥檚 insurance marketplace, which was designed for those not covered by Medicaid.


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