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The Tennessee Plan - Senate District 18

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Senate District 18, Senator Ferrell Haile, consists of large Sumner County, tiny Trousdale County, and a small portion of Davidson County (Metropolitan Nashville). Davidson County will be discussed with the other Senate Districts within it (Districts 19, 20, and 21). How will Sumner and Trousdale Counties fare if Governor Haslam does not submit a federally acceptable Tennessee Plan for Medicaid Expansion?

Sumner County, with 160,645 citizens, has an unemployment rate of 6.70%. Trousdale, with 7,870 citizens, has an 8.10% unemployment rate. The poverty rates are 10.10% for Sumner County and 9.70% for Trousdale. Both counties have a relatively high median family income - $55,211 for Sumner and $44,163 for Trousdale. For comparison purposes, Trousdale’s median family income can be compared to 175% of the federal poverty rate for a family of five ($48,247.50). Sumner’s compares to 175% of the federal poverty rate for a family of six ($55,282.50). Citizens in both counties can easily be caught in the gap between 100% poverty level (Tenncare) and the HealthCare Marketplace.

12% of Sumner County citizens are veterans, and there are 11% in Trousdale. The nearest Veterans Administration facilities are those in Nashville (one hospital, two clinics, one outpatient clinic, and a vet center) and Murfreesboro (one hospital).

Trousdale Medical Center is not currently endangered by the change in federal payments for indigent care, and three of Sumner County’s four hospitals are also untroubled. Sumner Regional Medical Center in Gallatin, with 711 employees, is in danger of having to curtail its operations or close its doors unless some form of Medicaid Expansion is passed.

25.30% of Sumner County’s population is under 18, as is 24.60% of Trousdale’s. Children under 18 are most likely to be affected if there is no Medicaid Expansion.

Concerned citizens of these two counties can contact Senator Ferrell Haile at 615-741-1999.



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