TBA Law Blog

Posted by: Stacey Shrader Joslin on Dec 10, 2013

Tennessee Gov. Bill Haslam has put a top Obama administration official on notice that if the state’s plan to expand Medicaid is not approved, an estimated 181,000 Tennesseans won't get coverage under the federal health care law, the Times Free Press reports. Haslam, who has been in negotiations with the government for months, wants to keep costs associated with any Medicaid expansion down by charging enrollees higher co-payments when they unnecessarily use expensive services or indulge in unhealthy habits. He also wants to reform provider reimbursements and modify services now required for "medically fragile" enrollees. Absent federal approval for those policy changes, Haslam warned he does not "see a path forward in the current environment that will allow us to extend coverage.”