This year Tennessee received approval from the Centers for Medicare and Medicaid (CMS) for a waiver to shift the funding mechanism for Medicaid (TennCare) from the traditional state-federal matching model to the nation’s first Medicaid block grant. Since then, the General Assembly has passed legislation that permits TennCare to implement the block grant. Since the possibility of a block grant was proposed, we have been concerned about how the use of this funding mechanism will impact Tennesseans with disabilities.