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Tennessee Needs The ...

Community Choices Act of 2006

In Tennessee, facilities receive the lion's share of the long-term care budget. Washington, the state next to Tennessee in total population, has state waivers that provide citizens with Home and Community Based Services rather than forcing them into costly institutions.

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The nursing home industry dominates long-term care funding in Tennessee resulting in poor care to fewer people at a greater public cost. Washington, with a much smaller federal Medicaid match serves over 70 thousand people with its long-term care Medicaid program, most in the community. Tennessee serves fewer than 40 thousand and almost exclusively in expensive and undesirable institutions.

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