Senate Conservatives Fund Urges Alexander to Fight ACA Funding

Press release from the Senate Conservatives Fund; August 21, 2013:

Alexandria, VA — Senate Conservatives Fund (SCF) announced a new 60-second radio ad Wednesday calling on U.S. Senator Lamar Alexander (R-TN) to oppose all funding for Obamacare. Senator Alexander voted in favor of the FY2013 continuing resolution earlier this year, which included funding for Obamacare, and he has refused to oppose funding for the law’s implementation next year.

SCF’s radio ad will run on stations across Tennessee for two weeks beginning Thursday, August 22. The value of the media buy is $45,900.



“Republicans in Congress can stop Obamacare by refusing to fund it, but Senator Lamar Alexander refuses to join the fight.

“Lamar Alexander voted to give President Obama money to implement Obamacare earlier this year, and he’ll do it again if you don’t make your voice heard.

“Obamacare is unaffordable, unworkable and it’s unfair.

“It will hurt Tennessee families.

“Many could lose their doctors.

“Others may be forced to pay higher premiums.

“Obamacare is a job killer, yet Lamar Alexander refuses to do what it takes to stop funding for this liberal train wreck.

“Please visit Don’t Fund Obamacare dot com and sign the online petition urging Lamar Alexander to oppose all funding for Obamacare.

“Again, that’s Don’t Fund Obamacare dot com.

“This could be our last chance to stop Obamacare.

“It’s time for Lamar Alexander to start listening to us, not his friends in Washington.

“Send Lamar Alexander a message.

“Don’t Fund Obamacare dot com.

“Paid for by Senate Conservatives Fund and not authorized by any candidate or candidate’s committee.


SCF is also running radio ads in North Carolina and South Carolina urging U.S. Senators Richard Burr (R-NC) and Lindsey Graham (R-SC) to oppose all funding for Obamacare.

Senate Conservatives Fund advocates for conservative policies and helps raise money for conservative U.S. Senate candidates.

Haslam Proposes ‘Tennessee Plan’ to Reform Health Care

Press release from the Office of Tennessee Gov. Bill Haslam; March 27, 2013:

NASHVILLE – Tennessee Gov. Bill Haslam today unveiled his plan to pursue real health care reform in the state.

Haslam announced that he will not expand TennCare rolls under the Affordable Care Act but instead is working to leverage the available federal dollars to purchase private health insurance for Tennesseans who would not otherwise have access to coverage.“Tennessee has shown the nation how to produce true reform in education, based on students’ results and educational outcome. We’re beginning to do the same thing with reforming government service – again by measuring outcome and results rather than just years of service as a state employee,” Haslam said. “I believe Tennessee can also be a model for what true health care reform looks like; reform that will take significant steps to save the state and the nation from the unsustainable path we are on now.”

Haslam’s plan would take on the critical issue of aligning incentives among users, payers and providers of health care. The plan would:

  • Leverage available federal dollars to purchase private health insurance for Tennesseans up to 138 percent of the federal poverty level who don’t have access to health insurance, which would translate to 175,000 more insured Tennesseans;
  • Allow co-pays for those who can afford to pay something;
  • Include a definitive circuit-breaker or sunset of the plan that could only be renewed with the General Assembly’s approval;
  • And reform the payment structure for providers so they are compensated for health outcomes, not just based on services performed.

“Hospitals and medical providers have put a lot of sincere effort into working with us toward payment reform,” Haslam said. “I cannot emphasize enough how much I’ve been impressed with our hospitals’ willingness to work with us. To succeed, we also need cooperation from the Department of Health and Human Service (HHS), and we can’t get the same assurances from them at this point. Until we get those assurances, I cannot recommend that we move forward on this plan.

“All we’re asking from Washington is to allow us to use the federal funds to provide coverage on the health care exchange in the same way many other Tennesseans will access coverage regardless of whether or not we expand. It’s a reasonable ask,” Haslam continued.

But as a result of the lack of clarity from HHS, the governor will not ask the General Assembly for approval to accept the Medicaid expansion federal funds as he continues to work for the flexibility needed to implement his plan.

Gov. Haslam Prepared Remarks:

“I appreciate the opportunity to speak this morning. I’m well aware this is an extremely busy time, and I’m grateful for the opportunity to come before you today. It is the first time I’ve asked to do this outside of the State of the State, but I asked for this opportunity because…

There is no more important issue, or more complex issue facing our country and our state today than healthcare, and I wanted to update you about where we are regarding Medicaid expansion.

This may look like a simple decision. On one side, people think how could we not accept federal money to expand Medicaid to cover more Tennesseans and on the other, why in the world would we accept funds tied to ObamaCare knowing the federal government can’t pay for it? But it isn’t that easy.

Let me start by saying there are two basic reasons I don’t like ObamaCare.

The first is cost. Regardless of whether we decide to cover any additional people through the Act, Obamacare will cost the state of Tennessee almost two billion dollars over the next eight years.

I want to be clear – That is our additional cost regardless of whether or not we cover any new enrollees.

Secondly, and maybe even more important than not addressing cost, it doesn’t address the real issues of health
reform – users and payers not being aligned and providers and payers not being in alignment.

When you go to the grocery store, there is a shopper, a product and the store. The shopper knows what the store charges for each item and pays for those items.

With health care, shoppers go to the store, pick out whatever they like – sometimes with a representative of the store suggesting additional items – and then going to check out knowing that someone else will pay the bill. Governor Bredesen made this comparison in his book, Fresh Medicine.

The shopper also rarely knows what the store is charging. Only in health care do we buy something without first knowing the cost.

On the provider side, providers are paid based on a fee for each service or product, not on the outcome of care.

Market tension is what controls cost and promotes quality. There is no market tension when you buy or sell health care goods and services.

To me, the scandal of the Affordable Care Act is that it doesn’t significantly address cost or alignment reform.

And that’s what Washington does – it looks at a complex problem, realizes that some people aren’t going to like the changes, and as a solution, decides to spend more money.

So, many of us are tempted to say, “That’s right, Washington created the problem. They can fix it,” but it’s not just their problem, it’s ours.

  1. We all know that in Tennessee, we have serious problems with health care.
  2. We’re doing a better job than the rest of the country in controlling costs of Medicaid growth, but they’re still taking a larger and larger percentage of our budget.
  3. We’ve all met people across this state who don’t have healthcare coverage and whose families are in incredibly difficult positions that we agree should have coverage. A lot of us in this room have a real concern for those the Bible refers to as “the least of these.”
  4. Our hospitals – and I know it is harder to identify with the image of a struggling hospital than a struggling Tennessean – but they’ve been put in a very difficult position by the Affordable Care Act.
    They are losing many of the funds which they received to provide healthcare for our state’s indigent. While many hospitals can survive this, I am convinced that several of our hospitals will be left in an impossible situation and will not survive this transition. Some of our communities – rural and urban – could very well lose their community hospital.
  5. Tennessee businesses could also pay a steep price. In addition to the myriad of taxes and fees associated with the Affordable Care Act, our businesses stand to lose 50 to 70 million dollars a year.
  6. Finally, there is at least 20 million dollars a year at stake for our local governments who currently take responsibility for indigent care in their communities.

Let me read you a quote: “Soaring health care costs make our current course unsustainable…And the ever-increasing cost of Medicare and Medicaid are among the main drivers of enormous budget deficits that are threatening our economic future. In short, the status quo is broken, and pouring money into a broken system only perpetuates its inefficiencies.”

Do you know who said that? President Obama in 2009.

Unfortunately, President Obama’s plan was reform in name only and is costing us a lot of money. That’s why a lot of us in this room don’t like the plan.

But I believe it is our job as leaders to pursue real health care reform here in Tennessee. It is our job to say what we’re for in terms of addressing the biggest issue facing us.

For the last several months, I’ve been working toward a “Tennessee Plan” for health reform to change the way health care coverage looks in Tennessee.

I understand those who don’t think it makes sense for us to just say that Tennessee isn’t going to accept the federal dollars because we don’t like ObamaCare.

But this state also has nearly 20 years of experience providing health care coverage through a Medicaid managed care program, and we are all too familiar with all of the federal rules and restrictions that prevent us from operating the program as efficiently as possible.

A pure expansion of Medicaid – expanding a broken system – doesn’t make sense for Tennessee either.

That’s why I’ve been working toward a third option: to leverage the federal dollars available to our state to transform health care in Tennessee without expanding our TennCare rolls.

I’d like to put in place a program to buy private health insurance for Tennesseans that have no other way to get it by using the federal money.

I fundamentally believe that people having health care coverage is better for our citizens and state than people not having coverage.

The plan would include co-pays for those that can afford to pay something, so the user has some skin in the game when it comes to health care incentives.

We would work with providers to lower the cost of care and to move from a model of paying for every service regardless of the result, to a payment method that is based on outcomes and quality care.

Our plan would have a definitive circuit-breaker or sunset that could only be renewed with the General Assembly’s approval based on when the amount of the federal funding decreases.

During that period when our costs are covered 100 percent by the federal government, we’d work with our medical care providers to implement true payment reform. I am confident that working together, we could truly reduce medical costs.

We’d have a one-time opportunity to encourage their cooperation because health care providers will know that for the next three years, a portion of the population which had previously been receiving services with no reimbursement to the hospitals or doctors, will now have insurance.

But those same providers would clearly know that coverage for that population will go away unless they can prove to us that at the end of three years, when we start paying a percentage of the costs of the new population our total costs would stay flat.

That is a high bar for our providers. But I’m convinced that they can do it, and my conviction is based on the fact that the hospitals and medical providers have put a lot of sincere effort into working with us toward payment reform. I cannot emphasize enough how much I’ve been impressed with our hospitals’ willingness to work with us.

To succeed, we also need cooperation from the Department of Health and Human Services, and we can’t get the same assurances from them at this point.

Until we get those assurances, I cannot recommend to you that we move forward on this plan. Our budget amendment will not include language to accept the federal funds.

There are a lot of federal requirements that come with Medicaid that make it difficult to provide quality care in the most cost-effective way possible. Instead of insuring more people through an inherently flawed system, we’d hoped to purchase private insurance to insure as many as 175,000 more Tennesseans.

To do that, HHS says we have to provide additional benefits, above and beyond what everyone else in the exchange will receive.

We’ll also have to follow certain Medicaid-driven guidelines when it comes to co-pays and the appeals process instead of allowing these individuals to be treated like everyone else in private insurance plans.

The end result is that these Tennesseans would be receiving services from both the private insurer and TennCare.

We have experience with such a scenario today in the form of dual eligibles – people who receive both Medicare and TennCare. It is dysfunctional and not in the state’s best interest to set up again.

The whole reason to accept these federal dollars would be to leverage them to shape and impact health care coverage in Tennessee.

All we’re asking from Washington is to allow us to use the funds to provide coverage on the health care exchange in the same way many other Tennesseans will access coverage whether or not we expand. It’s a reasonable ask.

In the past several years, Tennessee has shown the nation how to produce true reform in education, based on students’ results and educational outcome. We are beginning to do the same thing with reforming government service – again by measuring outcome and results rather than just years of service as a state employee.

I honestly feel that we have a once in a lifetime opportunity to do the same thing in healthcare: To have a healthcare system that is based on outcomes. To have a healthcare system that is based on a healthier Tennessee, which I think we can all agree is essential for our future.

Our plan can save Tennessee money, and if it does, it will also save the federal government at least three dollars for every one dollar we save and in some cases even more.

I believe that Tennessee can be a model for what true healthcare reform looks like – to cover more Tennesseans and to take significant steps to save Tennessee and the United States from the unsustainable path we are on now.

So here are my two promises: First, we commit to you that we have no intention of pursuing this path without your engagement, involvement and approval. Second, we’ll continue to pursue a vision for a healthier Tennessee with access to health care, but at a lower cost for our state and our country.

It’s my hope that we can provide quality healthcare for more Tennesseans while transforming the relationship among health care users, providers and payers. If Tennessee can do that, we all win.

Thank you for the privilege of being here and for the honor of working with you as your Governor.”

Haslam Looking to AR for TN Medicaid Expansion Ideas

Gov. Bill Haslam’s health policy specialists are probing into what Arkansas is doing with respect to increasing Medicaid coverage as part of federal Affordable Care Act reform initiatives.

During a press conference last week in Nashville, Tennessee’s Republican chief executive said his administration is “learning some things” from policies being pursued under Obamacare by Arkansas Gov. Mike Beebe, a Democrat.

Beebe appears to have secured approval from the Obama administration to funnel federal dollars earmarked for Medicaid expansions into private insurance for those eligible. According to the Washington Post’s “Wonkblog” today, other states considering such an approach are Florida, Ohio, Louisiana and Maine and perhaps even Texas:

We still don’t know the final details of the Arkansas agreement — or whether there is a final agreement. There are questions about whether this option will be more expensive than a traditional Medicaid expansion (the public program tends to cost a few thousand dollars less per enrollee).

What we do know, though, is that there are some very strong opponents of the Obamacare law — ones that have pledged never to expand Medicaid — who suddenly find this option palatable. It has the potential to grow the Medicaid expansion by millions of Americans, edging closer to the pre-Supreme Court version of the health-law’s coverage expansion.

One of the key differences between Arkansas and Tennessee is that The Natural State is partnering with the federal government on creating subsidized health-insurance exchanges. The Volunteer State is not.

Republicans in the Tennessee Legislature are divided between those who want to inoculate Tennessee against Obamacare to the greatest extent possible, and those who’re inclined to defer to Gov. Haslam to prescribe policy treatments that best suit the state’s unique conditions.

“Nobody likes the idea of just a sort of blanket Obamacare expansion, but that’s not what the governor is looking at,” said Mark Norris, the Tennessee Senate majority leader. “He’s real curious about what is happening in Arkansas, with their initiative to use Medicaid dollars for private insurance.”

Norris said he doesn’t anticipate Haslam making any decisions that could potentially put state government over a financial barrel. “He’s doing his due diligence. He’s doing what a good governor ought to do,” said the Republican from Collierville.

Norris added, “I have enough respect for the separation of powers and the three branches of government, and this particular governor, to wait and let him reach his own decision before we jump in and try to preempt something that he may never do anyway.”

However, this week a number of bills sponsored by lawmakers with no patience for the Patient Protection and Affordable Care Act are potentially coming for votes up in both House and Senate committees.

Senate Bill 666, sponsored by Dolores Gresham, R-Somerville, is scheduled for a hearing in the Commerce and Labor Committee Tuesday. The legislation, according to the official summary on the Legislature’s website, prohibits insurers doing business in Tennessee from participating in any health coverage exchange in the state operated under Obamacare. The bill’s companion measure, House Bill 476 by Republican Vance Dennis of Savannah, is slated for discussion in the lower chamber’s Banking and Insurance subcommittee on Wednesday.

Brian Kelsey, chairman of the Senate Judiciary Committee, told TNReport he favors the uncompromising approach taken recently by the Florida Legislature. Last week the GOP majority there put the brakes on Republican Gov. Rick Scott’s bid to expand his state’s Medicaid program.

“I think that was absolutely the right decision, and my hope is that all of us involved in the issue in Tennessee will also make the right decision to reject the Medicaid expansion,” said Kelsey, a Shelby County Republican. “I don’t think the votes are there to expand Medicaid in either the (Tennessee) Senate or the House, but time will tell.”

Kelsey’s Senate Bill 804 is up for a hearing Tuesday in the Commerce and Labor Committee. The House’s legislation that prohibits Medicaid expansion, HB937, could be discussed Wednesday by lawmakers on the insurance subcommittee.

House GOP Caucus Chairman Glen Casada anticipates Republican lawmakers flatly opposed to Medicaid expansion will start pressing their case in earnest on the Hill this week. In the House of Representatives “there are probably a lot of (Republican) members who are leaning ‘no,’ but they will give the due deference to Gov. Haslam to listen to what he has to say,” said the Franklin Republican.

Nevertheless, Casada said, “I think you will see the House and Senate acting quicker than what the governor is prepared to act.”

Senate Republican Get Set to Block TennCare Expansion

Press release from the Tennessee Senate Republican Caucus; January 31, 2013:

NASHVILLE, Tenn.––Senator Brian Kelsey (R-Germantown) and 15 State Senate co-sponsors today filed the TennCare Fiscal Responsibility Act. Senate Bill 804 will prevent expansion of the Tennessee Medicaid program under provisions of the Affordable Care Act, also known as “Obamacare.” The bill is an updated version of Senate Bill 1, filed by Sen. Kelsey in November.

“I am pleased to have the support so far of 16 of the 33 state Senators in Tennessee, and I hope to have other members sign on as co-sponsors,” said Sen. Kelsey.

Last week, a similar version of the bill, House Bill 82, was filed in the House of Representatives with 22 co-sponsors by Rep. Jeremy Durham (R-Franklin).

In June 2012 the United States Supreme Court ruled in National Federation of Independent Business v. Sebelius that states have the right to opt out of Medicaid expansion without losing pre-existing federal Medicaid funding.

“Tennessee Taxpayers simply can’t afford $200 million a year to expand TennCare,” said Sen. Kelsey.

Under the Medicaid expansion envisioned by the Affordable Care Act, Tennessee is estimated to pay $200 million a year for its 10% share to expand Medicaid to individuals with incomes up to 138% of the poverty level. The federal government promised to pay 100% of the expansion cost for the first three years, diminishing to only 90% in future years.

“In 1981 Congress reduced its Medicaid funding match to help cut the federal budget deficit, and with over $16 trillion of debt, I suspect they’ll do it again,” said Sen. Kelsey.

Other states that have opted not to expand their Medicaid programs have also cited their doubt that the federal government will keep its promised level of funding, thus leaving state taxpayers to foot the bill.

The 15 co-sponsors are:

Sen. Janice Bowling (R-Tullahoma)
Sen. Jim Tracy (R-Shelbyville)
Sen. Bill Ketron (R-Murfreesboro)
Sen. Dolores Gresham (R-Somerville)
Sen. Mike Bell (R-Riceville)
Sen. Ken Yager (R-Harriman)
Sen. Steve Southerland (R-Morristown)
Sen. Frank Niceley (R- Strawberry Plains)
Sen. John Stevens (R-Huntingdon)
Sen. Todd Gardenhire (R-Chattanooga)
Sen. Stacey Campfield (R-Knoxville)
Sen. Mae Beavers (R-Mt. Juliet)
Sen. Jim Summerville (R-Dickson)
Sen. Ferrell Haile (R-Gallatin)
Sen. Jack Johnson (R-Franklin)

Tea Party Marshaling Anti-Obamacare Muster

Members of the Nashville Tea Party are planning a rally outside the state Capitol at noon Wednesday. Their hope is to put GOP lawmakers and Gov. Bill Haslam on clear notice that grassroots conservatives want Tennessee to disavow state-level cooperation and support for the federal health insurance exchanges outlined in President Obama’s healthcare overhaul.

“We’re calling it the ‘Just Say No’ rally, and we’re trying to send a message to the governor,” said Ben Cunningham, leader of the Nashville Tea Party. “We’re encouraging him to just say no to a state-run exchange and let the federal government own this disaster.”

Cunningham said he expects people from all three of Tennessee’s Grand Divisions to attend.

The Patient Protection and Affordable Care Act mandates that states choose between creating a state-run exchange where individuals may purchase health insurance eligible for federal subsidies or allowing the government to create a federally run insurance exchange.

Either way, those exchanges are supposed to be up and running by Jan. 1, 2014.

Haslam continues to say he has not made a decision on what course his administration will formally set — even after the federal government extended the deadline to make a decision to Dec. 14. Haslam and other state officials have complained that the federal government has failed to answer key questions as to how state-run exchanges would work.

Many governors, such as Rick Perry in Texas and Jan Brewer in Arizona, have said they will not set up a state-run exchange.

Tennessee tea partiers “would like Gov. Haslam to join with those governors and say, ‘No, we’re not going to be a branch office of the federal government,’” said Cunningham. He said a petition to that effect is circulating and “is getting a very good response.”

“If they (the federal government) want to implement this program, have at it, but our experience in the past with Medicaid, with education funding, is always a bait-and-switch situation where they fund much of the expenditures on the front end, and then the states are left with huge expenses on the back end,” Cunningham said. “There is some indication now that the phone calls and the emails that the governor is getting are overwhelmingly against a state exchange.”

The governor has indicated that while he opposes Obamacare in general, and he thinks the health exchanges are a bad idea overall, he’d prefer it if the state run them rather than the feds. However, high-ranking Republicans in both houses of the state’s General Assembly have indicated that support is lacking among the majority party for the state taking on that responsibility.

Trent Seibert can be reached at, on Twitter at@trentseibert or at 615-669-9501.

Beacon Center Tennessee Policy Snapshot for November

Press release from the Beacon Center of Tennessee; November 1, 2012: 

A cure for what ails us

Over the next few months, Tennessee officials will have to make vital choices about the implementation of the Patient Protection and Affordable Care Act. Decisions confronting policymakers include whether to expand Medicaid and to set up a state health insurance exchange. A new Beacon Center report, “A Cure for What Ails Us,” calls on state lawmakers to reject an unaffordable and immoral expansion of Medicaid and reveals the serious consequences a state insurance exchange would spell for taxpayers. You can read the report here.

Nat’l healthcare expert headlines Beacon event

Dr. John Goodman, president and CEO of the National Center for Policy Analysis, headlined a Beacon Center event on healthcare reform at the Downtown Sheraton Hotel in Nashville last week. Widely recognized as the “Father of Health Savings Accounts,” Goodman’s health policy blog is a must read for free marketers interested in healthcare policy. He is the author of Patient Power and, most recently, Priceless: Curing the Healthcare Crisis. caught up with Dr. Goodman prior to the event. A story and exclusive video can be found here.

A shortage of musicians…in Music City?

A new Tennessee Watchdog story addresses city officials’ worry that Nashville, commonly known as “The Music Capital of the World,” has a sudden shortage of creative talent. Officials with Nashville’s Metropolitan Development and Housing Agency are overseeing a new government project called the Ryman Lofts, an apartment complex scheduled to open in 2013 to house aspiring artists. For the full story on this taxpayer-funded luxury, click here.

TVA’s pension shortfall = higher electric bills

In a recent interview with, Beacon CEO Justin Owen explains how electricity consumers will be on the hook for the Tennessee Valley Authority’s massive pension shortfall, which currently totals $4.5 billion. “The (TVA) story is symptomatic of a larger problem,” Owen said. “What it amounts to is political promises. Now we’re seeing that many of those promises… are empty promises.” This shortfall could cost 98 percent of Tennessee households about $450 in higher electricity bills. For the full story and video interview click here.

Harwell, McCormick Not Sure State Should Run Insurance Exchange

House Speaker Beth Harwell says she’s “really torn” over whether the state should embrace Obamacare enough to build virtual marketplaces for people and businesses to purchase health care coverage.

A wave of governors from Southern states have indicated they’ll take a pass and let the federal government manage the Obamacare-mandated exchanges themselves, an idea the speaker says is tempting.

“There’s a side of me that would agree, it’s a federal program, by golly, let the feds come down and try to run it,” the Nashville Republican told TNReport last week.

“Then there’s another side to me that says if we can have any control at all, I trust state government to hold costs down a lot more than I trust the federal government to hold any costs down,” she said.

House Majority Leader Gerald McCormick, R-Chattanooga, said he too is hesitant to have the state set up the exchanges for fear that “sooner or later the federal government’s going to change the rules and that’s something that’s happened in the past and we want to avoid that. So that question is up in the air.”

Gov. Bill Haslam has leaned toward Tennessee running its own exchange instead of handing those powers over to the federal government.

Governors from southern states like Florida, Georgia, Louisiana, Texas, and other parts of the country, have said they will refuse to implement the federal insurance exchanges, which would require the federal government to operate the marketplaces instead.


TNDP Praises President Obama’s Leadership on Affordable Care Act

Press Release from the Democratic Party of Tennessee, June 28, 2012:

NASHVILLE – Tennessee Democratic Party Chairman Chip Forrester released the following statement in response to the Supreme Court upholding the Affordable Care Act.

“The Supreme Court affirmed what a majority of Congress and the President already knew; that the Affordable Care Act is a constitutionally appropriate response to the health care crisis facing Tennessee families. Because of President Obama’s leadership, millions of working families, including a half a million Tennesseans, will have access to doctors and affordable health care.

“The Affordable Care Act is law, and will continue to be the law of the land. We should all come together and work in a bipartisan fashion, as did the Supreme Court, in order to ensure that all Tennesseans can take advantage of the provisions in the law that provide health and financial security, such as:

  • Millions of young adults will still be able to stay on their family’s plan until they’re 26.
  • Many seniors will continue to save $600 a year on their prescription drugs
  • Insurance companies no longer have unchecked power to cancel your policy, deny you coverage, or charge women more than men.
  • Soon, no American will ever again be denied care or charged more due to a pre-existing condition, like cancer or even asthma.
  • By August, millions of Americans will receive a rebate because their insurance company spent too much of their premium on administrative costs or CEO bonuses.

“It is time for the legislature to start focusing on results and not politics. Tennesseans want our elected officials to move past the partisan bickering over health reforms and get to work on creating jobs and growing our economy.