The Tennessee Amendment section 1115 was suggested in September 2019 as a strategy to improve healthcare in Tennessee by encouraging personal health responsibility and managing healthcare costs. The program sought to cover individuals by expanding medical programs. However, the plan would not cover individuals earning less than the federal poverty level.
The Tennessee Amendment section has a couple of eligibility requirements. The Tennessee Amendment section 1115 act's first requirement is the beneficiaries have to come from low-income families. The program covers low-income pregnant women and insures them for their maternal healthcare. The Tennessee Amendment section also covers parents and caretakers of a minor child with low income. Elderly individuals above the age of sixty-five are eligible for the Tennessee insurance program. Persons with disabilities cannot take care of their healthcare costs, and the Tennessee Amendment section 1115 act program has been instrumental in catering for their health needs. Children have no income; this makes them eligible for the insurance program.
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The beneficiaries of the Tennessee Amendment section 1115 act program are required to be residents of Tennessee's state. One should have United States citizenship, permanent US residency, or be a legal alien in the country to acquire the Tennessee Amendment section 1115 act healthcare assistance. An essential requirement is that the candidates should be a low-income individual, earning above the federal poverty rate for them to benefit from the program.
If the 100 percent federal funding of the Tennessee Amendment section 1115 act program would have been reduced, the hospital associations and the non-member hospitals in the state of Tennessee had committed to financing the extra charges of insuring Tennessee. The federal government was set to provide full funding to finance healthcare insurance in Tennessee, and the hospitals would cover any additional costs. If, in any case, the federal commitment would have decreased from its position, and the hospitals decline to cover any extra charges in the Affordable Healthcare Act, the Insure Tennessee program would end.
The Tennessee Amendment section 1115 act program differs from the Medicaid expansion done in other states in various ways. The traditional Medicaid would have already added the eligible individuals to the insurance plans. Still, the Tennessee insurance program has many requirements and would not sign new eligible adults between nineteen and twenty. While the Medicaid program caters to all the low-income individuals, the Tennessee Amendment section 1115 act program caters to the workforce poor, meaning the working class individuals earning low income, placing them below the federal poverty level. The program would also consist of new consumer-related plans. These plans included the volunteer plans, which would help individuals to purchase private employer-sponsored insurance. The second plan would be the Health Incentive plan that individuals can use to earn rewards for healthy living behaviors, and these rewards are used to pay the required premiums and co-pay.
The Tennessee Amendment section Act 1115 has promoted amendments to change the Medicaid financing to a modified block grant with shared savings prospects. The Medicaid looks to copy the model of the Tennessee Amendment section 1115 in their healthcare incentive plans. This is an excellent plan for the state's healthcare as it will help and encourage individuals to be more involved in their healthcare.
The Tennessee Amendment section 1115 act has not been approved despite the public support and the support by Governor Haslam. Some of the reasons that are causing this delay are the high rate of unemployment in the state. The Act seeks to benefit the working-class residents. Delayed federal funding has also been a significant hindrance to implementing the program as the Act heavily relies on it. The other reason causing this delay is the fact that block grants have no guarantee of success.
