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Location: Nashville, Tennessee, United States

2/27/2003

The Sundquist Legacy
Almost half of the current fiscal problem with TennCare is former Gov. Don Sundquist's fault, reports today's Tennessean:

Almost half of a $369 million shortfall this year in the state's TennCare program can be traced to an agreement that Gov. Don Sundquist made with the Bush administration last year to get more flexibility in running the massive health-care program, state officials and others say. The agreement set a cap on federal matching money for the managed-care organizations that run TennCare at $1.7 billion, which has been exceeded this year by just more than $170 million, according to the state's Bureau of TennCare.

I'm not sure what The Tennessean is getting at here. Is their main point 'Don't blame TennCare itself, blame the lack of sufficient federal money', Or is it 'Sundquist negotiated a lame-brained deal'? It's worth noting that the lame-brained deal with the feds wouldn't have been a problem if the state's own spending on TennCare hadn't been out of control and exceeded what the feds would match.