Senate District 25, Senator Jim Summerville, consists of Cheatham, Dickson, Hickman, Humphreys, and Robertson Counties. How would these counties fare if Governor Haslam does not submit a federally acceptable Tennessee Plan for Medicaid Expansion?
All counties have single digit unemployment rates. Robertson is the lowest, with 7.10%, then Cheatham 7.20%, Dickson 8.10%, Hickman 9.20%, and Humphreys 9.30% Their poverty rates, however, are all in the double digits. Robertson again is lowest, with 12.70%, then Cheatham 15.10%, Hickman 19.40%, Dickson 20.20%, and Humphreys 21.70%.
The five counties have a wide range of median family incomes. Cheatham is at the bottom of the scale at $24,733. The rest are significantly higher: $41,810 in Humphreys, $43,935 in Hickman, $44,201 in Dickson, and $50,759 in Robertson. By comparison 135% of the annual federal poverty level for a family of three is $26,365.50. $42,646.50 is 135% of the federal poverty level for a family of six. Many of these citizens are going to fall into the coverage gap between TennCare and the HealthCare Marketplace unless the Governor devises some kind of Medicaid Expansion plan.
14% of Cheatham County citizens are veterans. There are 13% in Dickson, 13% in Hickman, 12% in Humphreys, and 14% in Robertson. This Senate District does not have any Veterans Administration facilities.
Each county in the district has a hospital, but only those in Hickman and Robertson are as yet unaffected by the change in federal payment for indigent care. Centennial Medical Center at Ashland City, 48 employees, Horizon Medical Center in Dickson County, 413 employees, and Three Rivers Hospital in Humphreys County, 75 employees, are all in danger of having to curtail their operations or close their doors.
Over 20% of citizens in every county are age 18 and under. Considering the poverty rates and median family incomes in this Senate District, many of these children are at risk.
Concerned District 25 citizens can contact Senator Jim Summerville at 615-741-4499.