Equitable Genetic Care Access in Tennessee Communities
GrantID: 75608
Grant Funding Amount Low: $60,000
Deadline: Ongoing
Grant Amount High: $750,000
Summary
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Grant Overview
Tennessee's 95 counties include 16 classified as persistent poverty counties by the U.S. Department of Agriculture, where median household income remains below $35,000. These counties exhibit the state's highest rates of uninsured adults at 19.4 percent.
Cost Constraints for Equitable Genetic Care Access
Applicants must submit a county-level cost analysis using Tennessee Department of Health claims data showing average out-of-pocket expenses for genetic testing under commercial plans. Budget justifications must cap administrative overhead at 12 percent and direct at least 55 percent of funds toward patient transportation vouchers and sliding-scale laboratory fee coverage.
Tennessee's Medicaid program applies a 12-month spend-down period for non-categorical adults; proposals must model how grant funds will interact with this eligibility cliff.
Regional Economic and Demographic Variation
East Tennessee's Appalachian counties contain older populations with higher prevalence of hereditary cardiomyopathies, while West Tennessee border counties report elevated rates of sickle-cell trait. Cost models must therefore differentiate between regions rather than apply a uniform statewide figure.
Tennessee does not expand Medicaid to adults without dependents, producing a coverage gap that neighboring Kentucky and Arkansas do not share at the same scale.
Tennessee's persistent poverty counties and non-expansion status generate cost constraints absent in expansion states.
Eligible Regions
Interests
Eligible Requirements
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