Senate Speaker Ron Ramsey initially supported Gov. Bill Haslam’s Medicaid expansion plan, dubbed “Insure Tennessee,” when it was first unveiled in December. But the more he learned about it, the more Ramsey grew skeptical that it could work.
Under the terms of “Insure Tennessee,” enrollees would pay a nominal out-of-pocket fee when they they seek medical care. Ramsey, Tennessee’s lieutenant governor, said he very much favors co-pays as a condition of people accessing taxpayer-financed health care.
However, he became skeptical the co-pay requirements would in fact be enforceable in any consistent manner. And if co-pays can’t be dependably collected, then the whole structure of “Insure Tennessee” could collapse, he said.