* * *     TSRC 2020 STATE CONVENTION and EXHIBITION - Nov 9-10, 2020

Governor Haslam’s Proposed Medicaid Expansion Fails in Legislature

Medicaid expansion is not going to happen in Tennessee any time soon. Governor Haslam’s proposal, known as Insure Tennessee, was soundly defeated during the recent session of the Tennessee legislature.

Since 1994 the Medicaid program in Tennessee has been known as TennCare. It operates under a special waiver from the U.S. Department of Health and Human Services (HHS) because, unlike most state Medicaid programs, TennCare benefits are paid to health care providers by insurance companies that contract with the State of Tennessee rather than by the State itself.

The Affordable Care Act (ACA) required states to expand their Medicaid programs to cover people who do not have health insurance, who are between the ages of 19 and 64, and who earn less than 138% of the federal poverty level. In 2012 the U.S. Supreme Court ruled that this provision of the ACA is unconstitutional and that Medicaid expansion should be voluntary for each state, not mandatory.

27 states have chosen to expand their Medicaid programs. Thus far, Tennessee has chosen not to do so. While it is still possible that Tennessee will change its mind, at this point that seems very unlikely.

Read moreGovernor Haslam’s Proposed Medicaid Expansion Fails in Legislature


I have written several articles explaining some of the key elements of the Affordable Care Act (ACA), more commonly known as Obamacare. Much has happened in the last year with respect to the ACA. This article summarizes several key developments.

Another Supreme Court Decision

Many pundits thought the U.S. Supreme Court would hold that the ACA is an unconstitutional exercise of Congress’ power under the Commerce Clause. Instead – by a 5-4 vote – the Court held in 2012 that the ACA is constitutional because it is a valid exercise of Congress’ power under the Taxing Clause of the Constitution.

In 2014 the Supreme Court agreed to hear a second case involving the ACA – this time a challenge to the way the Obama Administration is applying the ACA. This case involved an interpretation of some ambiguous language in the ACA dealing with tax credits. The ACA requires virtually everyone in America to have health insurance. Persons who do not receive health coverage through their employers may purchase health insurance on government-run health exchanges.


Outpatient Management of Chronic Respiratory Failure

Doctor’s Corner #2 Presented by: Doug Kane M.D. FACCP (RRT) Chief Medical Officer Director of Program Development Encore HealthCare Aside from fulltime ventilator patients in the home setting, utilization, management, and payment have been problematic. As a pulmonary physician I have felt that patients with Stage IV COPD or those with chronic respiratory failure would benefit from home use of NIV/BIPAP. Patients not meeting the definition of chronic respiratory failure including desaturation on 02 would … Read more

The COPD Patient-Powered Research Network

From: Cara Pasquale Sent: Tuesday, August 25, 2015 Dear COPD Foundation Staff, The long awaited COPD PPRN Whiteboard video is here! This is a great tool to use if someone asks you what the COPD PPRN is and what does it do. I encourage all of you to watch the video – it was a labor intensive team effort and I think the final product will serve us well for promoting the COPD PPRN! Thanks! … Read more