Senate District 22, Senator Mark Green, consists of Montgomery, Stewart, and Houston Counties. How would this area fare if Governor Haslam does not submit a federally acceptable Tennessee Plan for Medicaid Expansion?
Montgomery County, which has a heavy military presence because of its proximity to Fort Campbell, KY, has a 7.80% unemployment rate. Houston County comes in next at 9.60% unemployment. Stewart County has a 10.10% unemployment rate. Houston County has the lowest poverty rate, 12.90%. Montgomery has a 14.50% poverty rate, and Stewart 17.10%
Montgomery County has the highest median household income rate at $49,695. Stewart County’s median is $42,771, and Houston’s is $34,942. These median rates are all slightly above 135% of the federal poverty level for families of different sizes. $31,792.50 is 135% poverty level for a family of four, $42,646.50 for a family of six, and $48,073.50 for a family of seven. With median incomes so near the 135% poverty level for the contiguous states, all three of these counties will have families falling through the coverage gap if the governor does not expand Medicaid to the 138% poverty level by some means.
7% of Montgomery County citizens are veterans, and the same is true of Stewart County. 11% of Houston County citizens are veterans. The Veterans Administration has Community Based Outpatient Clinics in Clarksville and Dover. .
Stewart County has no hospital. Montgomery and Houston Counties have one hospital each, and these are not in danger of closing because of changes in federal payment for indigent care. This means the 194,081 people in these three counties have only two nearby hospitals.
More than 20% of citizens in all three counties are age 18 and under. Considering their median family incomes, at least some of these children will fall into the coverage gap if there is no Tennessee Plan for Medicaid Expansion.
Concerned citizens in District 22 can contact Senator Mark Green at 615-741-2374.