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Tuesday, November 10, 2026Nov 10

Haslam ponders cost impact to some employers without Medicaid expansion

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photo Governor Bill Haslam answers questions in this file photo.
Arkansas-Tennessee Live Blog

NASHVILLE – Employers with 50 workers or more risk getting socked with up to a $3,000 per person annual charge for insuring low-paid employees if Tennessee chooses not to expand TennCare under the federal health care law, a national tax preparation firm says.

Republican Gov. Bill Haslam said the issue is part of his considerations as he continues to weigh whether to recommend expanding TennCare, the state’s version of Medicaid, to the GOP-led Legislature.

“It’s a complex decision,” Haslam told reporters today. The state, potential enrollees, businesses and hospitals will be affected by the decision one way or other.

“So anybody who thinks this is a no-brainer decision either way, I don’t think has really done the work on it,” Haslam said. “We’ll probably have a recommendation back in a couple of weeks” whether to pursue the expansion.

Earlier today, Jackson Hewitt Tax Service released a report shedding light on a little-discussed provision of President Barack Obama’s Affordable Care Act – its impact on some employers.