SUBSCRIBE TO OUR FREE NEWSLETTER
Daily news & progressive opinion—funded by the people, not the corporations—delivered straight to your inbox.
5
#000000
#FFFFFF
5
#000000
#FFFFFF
A small group of activists rally against the Republican healthcare agenda outside of the Metropolitan Republican Club, July 5, 2017 in New York City. (Photo: Drew Angerer/Getty Images)
Outrage as Tennessee Moves Forward With Trump-Favored Proposal to Slash Medicaid
The plan, if enacted, threatens to unleash a "radical change to the medical safety net for the nation's poorest citizens."
Sep 18, 2019
A social justice advocacy group shot back on Tuesday after Tennessee unveiled a plan to switch the state's Medicaid program into a block grant program.
"A block grant is a Medicaid cut in disguise, and Tennessee should not be fooled," said the Tennessee Justice Center.
The state released details of the proposal (pdf) Tuesday.
Any overhaul of TennCare would need the approval of the Centers for Medicare and Medicaid Services. The Trump administration--to the ire of healthcare and anti-poverty advocates--has been gunning for states to make such a switch.
"If Tennessee garners federal approval on a policy to cut Medicaid funds--and survives the subsequent lawsuits it'd surely face--it would encourage other conservative states to do the same," reported Axios. "This would be a radical change to the medical safety net for the nation's poorest citizens."
As The Associated Press reported, "Currently, the federal government pays a percentage of each state's Medicaid costs, no matter how much they rise in any given year. For Tennessee, that means receiving approximately $7.5 billion in federal money for its $12.1 billion Medicaid program, or 65 percent."
CNN laid out how things could change for the state under the proposal:
The proposal from Tennessee--which has not expanded Medicaid--doesn't follow the typical block-grant idea, which would offer a lump sum payment to a state. It's seeking to exclude expenses related to outpatient prescription drugs, home- and community-based long-term care, uncompensated care payments to hospitals and several other costs. These would continue to be funded under the current formula.
The block grant funding would rise if enrollment in Tennessee's program, called TennCare, increases in the future--addressing a major concern that the safety net couldn't expand in times of economic downturns. Plus, the annual increase in funding would be based on Congressional Budget Office projections for Medicaid growth, which is more generous than inflation.
Another provision: If the state spends less than the block grant amount, it gets to keep 50 percent of the federal share of those savings.
Though it may differ from a typical block grant plan, critics say there's still plenty of reason for concern.
Joan Alker, executive director of the Georgetown University Health Policy Institute's Center for Children and Families (DCCF), outlined some of the concerns in a Twitter thread:
Edwin Park, a research professor with CCF, added his concerns:
Following reports in January that the Trump administration was moving to make it easier for states to switch to block grants for Medicaid, Rep. Frank Pallone (D-N.J.), chair of the House Energy and Commerce Committee, which has jurisdiction over Medicaid, said that CMS had no authority to make those change--a point he reiterated on Wednesday.
"This is illegal," tweeted Pallone, "and the Trump Administration does not have the authority to do this."
We are at a crossroads
This country and this world are at a monumental crossroads. US voters have an opportunity to beat back the forces of fascism and confront the billionaires who are rigging the economy, our media system, and our democracy, making it increasingly impossible for ordinary people to get by. We’re not just talking about the election. We’re talking about what must be done once these fascist elements are vanquished from power. We need a bolder set of solutions than what either major party has so far been willing to offer and a working-class movement ready to fight like hell for it. Trump didn't emerge from nowhere. The conditions that fueled MAGA authoritarianism were created by decades of radical neoliberal economic policies and a corrupt political system dominated by corporate interests. They slashed taxes on the super-rich, promising that the benefits would trickle down. They said giveaways to the corporate titans would make life more affordable for the rest of us. It was all bullshit. And when a bitter, betrayed populace searches for someone to blame, right-wing demagogues have little trouble finding scapegoats. People know when they're being lied to, but you won't hear any of this from the corporate media. Only independent journalism—powered and funded by people who believe in building a better world—can deliver truly trustworthy daily news. If you share our vision, please contribute whatever you can to sustain our work. |
Our work is licensed under Creative Commons (CC BY-NC-ND 3.0). Feel free to republish and share widely.
A social justice advocacy group shot back on Tuesday after Tennessee unveiled a plan to switch the state's Medicaid program into a block grant program.
"A block grant is a Medicaid cut in disguise, and Tennessee should not be fooled," said the Tennessee Justice Center.
The state released details of the proposal (pdf) Tuesday.
Any overhaul of TennCare would need the approval of the Centers for Medicare and Medicaid Services. The Trump administration--to the ire of healthcare and anti-poverty advocates--has been gunning for states to make such a switch.
"If Tennessee garners federal approval on a policy to cut Medicaid funds--and survives the subsequent lawsuits it'd surely face--it would encourage other conservative states to do the same," reported Axios. "This would be a radical change to the medical safety net for the nation's poorest citizens."
As The Associated Press reported, "Currently, the federal government pays a percentage of each state's Medicaid costs, no matter how much they rise in any given year. For Tennessee, that means receiving approximately $7.5 billion in federal money for its $12.1 billion Medicaid program, or 65 percent."
CNN laid out how things could change for the state under the proposal:
The proposal from Tennessee--which has not expanded Medicaid--doesn't follow the typical block-grant idea, which would offer a lump sum payment to a state. It's seeking to exclude expenses related to outpatient prescription drugs, home- and community-based long-term care, uncompensated care payments to hospitals and several other costs. These would continue to be funded under the current formula.
The block grant funding would rise if enrollment in Tennessee's program, called TennCare, increases in the future--addressing a major concern that the safety net couldn't expand in times of economic downturns. Plus, the annual increase in funding would be based on Congressional Budget Office projections for Medicaid growth, which is more generous than inflation.
Another provision: If the state spends less than the block grant amount, it gets to keep 50 percent of the federal share of those savings.
Though it may differ from a typical block grant plan, critics say there's still plenty of reason for concern.
Joan Alker, executive director of the Georgetown University Health Policy Institute's Center for Children and Families (DCCF), outlined some of the concerns in a Twitter thread:
Edwin Park, a research professor with CCF, added his concerns:
Following reports in January that the Trump administration was moving to make it easier for states to switch to block grants for Medicaid, Rep. Frank Pallone (D-N.J.), chair of the House Energy and Commerce Committee, which has jurisdiction over Medicaid, said that CMS had no authority to make those change--a point he reiterated on Wednesday.
"This is illegal," tweeted Pallone, "and the Trump Administration does not have the authority to do this."
A social justice advocacy group shot back on Tuesday after Tennessee unveiled a plan to switch the state's Medicaid program into a block grant program.
"A block grant is a Medicaid cut in disguise, and Tennessee should not be fooled," said the Tennessee Justice Center.
The state released details of the proposal (pdf) Tuesday.
Any overhaul of TennCare would need the approval of the Centers for Medicare and Medicaid Services. The Trump administration--to the ire of healthcare and anti-poverty advocates--has been gunning for states to make such a switch.
"If Tennessee garners federal approval on a policy to cut Medicaid funds--and survives the subsequent lawsuits it'd surely face--it would encourage other conservative states to do the same," reported Axios. "This would be a radical change to the medical safety net for the nation's poorest citizens."
As The Associated Press reported, "Currently, the federal government pays a percentage of each state's Medicaid costs, no matter how much they rise in any given year. For Tennessee, that means receiving approximately $7.5 billion in federal money for its $12.1 billion Medicaid program, or 65 percent."
CNN laid out how things could change for the state under the proposal:
The proposal from Tennessee--which has not expanded Medicaid--doesn't follow the typical block-grant idea, which would offer a lump sum payment to a state. It's seeking to exclude expenses related to outpatient prescription drugs, home- and community-based long-term care, uncompensated care payments to hospitals and several other costs. These would continue to be funded under the current formula.
The block grant funding would rise if enrollment in Tennessee's program, called TennCare, increases in the future--addressing a major concern that the safety net couldn't expand in times of economic downturns. Plus, the annual increase in funding would be based on Congressional Budget Office projections for Medicaid growth, which is more generous than inflation.
Another provision: If the state spends less than the block grant amount, it gets to keep 50 percent of the federal share of those savings.
Though it may differ from a typical block grant plan, critics say there's still plenty of reason for concern.
Joan Alker, executive director of the Georgetown University Health Policy Institute's Center for Children and Families (DCCF), outlined some of the concerns in a Twitter thread:
Edwin Park, a research professor with CCF, added his concerns:
Following reports in January that the Trump administration was moving to make it easier for states to switch to block grants for Medicaid, Rep. Frank Pallone (D-N.J.), chair of the House Energy and Commerce Committee, which has jurisdiction over Medicaid, said that CMS had no authority to make those change--a point he reiterated on Wednesday.
"This is illegal," tweeted Pallone, "and the Trump Administration does not have the authority to do this."
We've had enough. The 1% own and operate the corporate media. They are doing everything they can to defend the status quo, squash dissent and protect the wealthy and the powerful. The Common Dreams media model is different. We cover the news that matters to the 99%. Our mission? To inform. To inspire. To ignite change for the common good. How? Nonprofit. Independent. Reader-supported. Free to read. Free to republish. Free to share. With no advertising. No paywalls. No selling of your data. Thousands of small donations fund our newsroom and allow us to continue publishing. Can you chip in? We can't do it without you. Thank you.
To inform. To inspire. To ignite change for the common good.
News & Opinion
Trending
Common Dreams, Inc. Founded 1997. Registered 501(c3) Non-Profit
Privacy Policy