On May 24, 2019, Tennessee Governor Bill Lee signed legislation directing the state’s Division of Finance and Administration (DFA) to request federal approval to transition the Medicaid program to a block grant. The legislation, Tennessee House Bill 1280 of 2019 directs DFA to submit a waiver amendment to the existing TennCare II waiver, or to submit a new waiver to the federal Centers for Medicare & Medicaid Services (CMS) within 180 days after the bill is signed. Currently, Tennessee’s federal funding for fiscal year 2018 to 2019 totals $7.5 billion. If approved by the federal government, the . . .