Ultimately, the absence of a clear, written agreement between the federal government and the State of Tennessee made passage impossible.
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What’s next
Haslam says fight will continue
How they voted:
Against Insure Tennessee: Mike Bell (R), Janice Bowling (R), Todd Gardenhire (R), Frank Nicely (R), Brian Kelsey (R), Kerry Roberts (R), and Rusty Crowe (R) For Insure Tennessee: Richard Briggs (R), Becky Massey (R), Ed Jackson (R), and Jeff Yarbro (D).
Republican Gov. Bill Haslam addresses state lawmakers at the state Capitol in Nashville on Feb. 2, 2015.
David Jones of Lawrenceburg, Tenn., and other opponents of Gov. Bill Haslam’s Insure Tennessee proposal watch a committee hearing on a television in the legislative office complex in Nashville, Tenn., on Tuesday, Feb. 3, 2015. Haslam has said the program would cover 280,000 low-income Tennesseans using money available under President Barack Obama’s health care law. (AP Photo/Erik Schelzig) 
Governor Bill Haslam answers questions from legislators about his Insure Tennessee plan which could expand Medicare to thousands of people in the state. Governor Haslam spoke while visiting the Cherokee Health Systems office in downtown Chattanooga on Wednesday, January 28, 2015.
Republican Gov. Bill Haslam is greeted by lawmakers as he leeaves the House chamber in Nashville in this Feb. 2, 2015, file photo. 
Republican Gov. Bill Haslam addresses state lawmakers at the state Capitol in Nashville on Monday, Feb. 2, 2015.
Republican Gov. Bill Haslam is greeted by lawmakers as he enters the House chamber in Nashville, Tenn., on Monday, Feb. 2, 2015. Haslam spoke to a joint assembly of the General Assembly to promote his Insure Tennessee proposal to extend health coverage to 280,000 low-income residents.NASHVILLE – Republicans, red-shirted activists and free-market advocates cheered while Democrats, hospital groups and some nonprofits bemoaned the death of