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Tennessee Attorney General requests transgender clinic patient records in Medicaid fraud probe

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Tennessee Attorney General requests transgender clinic patient records in Medicaid fraud probe


NASHVILLE, Tenn. (WTVF) — NewsChannel 5 has obtained new information in the controversial state investigation into billing practices for the Transgender Care Clinic at Vanderbilt University Medical Center.

According to Vanderbilt, 160 patients who used TennCare for their insurance from 2018 until now had their medical records requested by the Tennessee Attorney General. A VUMC spokesperson said that’s only a small portion of patients in TennCare who utlized their services.

The requested patient records were turned over unredacted, meaning personal information was included in the transfer. VUMC said that’s required under state law.

According to court filings, the Tennessee Attorney General requested significant documentation, including resumes and contracts, for volunteers at the center’s Trans Buddy program. Another request asked for communication to and from two different VUMC doctors that was related to billing practices involving transgender care.

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This all stems from Tennessee Attorney General Johnathan Skermetti’s investigation into potential Medicaid fraud. The investigation involves Vanderbilt’s Transgender Care Clinic.

According to the Attorney General’s office, a Vanderbilt doctor “publicly described her manipulation of medical billing codes to evade coverage limitations on gender-related treatment,” Elizabeth Lane Johnson, Press Secretary for Attorney General Skrmetti, said in a statement.

House Democratic Caucus Chairman, Rep. John Ray Clemmons (D-Nashville) said Medicaid billing fraud is a serious allegation that should be investigated.

“I think if the Tennessee Attorney General has sufficient grounds to investigate that, then by all means, he should investigate that,” Clemmons said.

But Clemmons also thinks Skrmetti is requesting documents that extend well beyond the scope of investigating billing fraud.

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“We have never had such a politically motivated Tennessee Attorney General that has shown willingness to abuse that power. Our concern here is solely about is he or is he not abusing that broad power to target specific individuals,” Clemmons said.

In response, the Attorney General’s spokesperson said requesting these medical records is standard procedure, and that their office will securely maintain the medical records.

“This investigation is directed solely at VUMC and related providers, not at patients or their families. The records have been and will continue to be held in the strictest confidence, as is our standard practice and required by law. This same process happens in dozens of billing fraud investigations every year,” Johnson wrote in a statement.

But Clemmons is worried that with this going through the courts without being under seal, patient information will be made public.

“It almost indicates he’s trying to create some sort of blacklist of individuals and allow for the specific targeting of a facility, of providers and of patients,” Rep. Clemmons said.

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House Majority Leader Rep. William Lamberth (R-Sumner County) fired back at Clemmons.

“These are serious allegations of abuse against vulnerable patients. I commend the Tennessee Attorney General’s office for taking it seriously and I trust their efforts to go where the facts lead. I find it very disappointing that Democrat leaders want to make this a partisan issue and are apparently perfectly fine with insurance fraud,” Rep. Lamberth said in a statement.

This all comes as Tennessee lawmakers passed a bill that goes into effect July 1, banning many forms of pediatric gender affirming care in the state of Tennessee.

As a result of the bill, VUMC announced they would end the practice of gender affirming care for minors.





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Tennessee

With I-40 damaged from Helene, how will it impact holiday traffic in Tennessee? What to know before you go

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With I-40 damaged from Helene, how will it impact holiday traffic in Tennessee? What to know before you go


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Are you taking a road trip this holiday season?

You’re not alone. AAA experts predict 71.7 million travelers to be on the roads nationwide around Thanksgiving, a 1.3 million increase over 2023 numbers.

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In East Tennessee, Tennessee Department of Transportation Spokesperson Mark Nagi anticipates the highways being “very busy.” Road damage and closures add even more complication and congestion to the already-crowded roads.

Tropical Storm Helene caused grave damage to Tennessee and North Carolina highways when the storm swept through on Sept. 27. Months later, road damage continues to be top of mind for drivers.

“We’re continuing to work to get these roadways and bridges open as quickly as possible,” Nagi said.

Interstate 40 remains closed across the Tennessee and North Carolina state border after a mudslide wiped out a portion of the highway. The North Carolina Department of Transportation has a plan to reopen two-way traffic in the gorge, but not in time for Thanksgiving or Christmas travel.

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To make travel a bit easier, there will be no temporary lane closures from noon on Wednesday, Nov 27, through 6 a.m. on Dec. 2, according to Nagi. However, this does not apply to long-term closures like I-40 where roads are closed for damage.

Tips for holiday travel

Knowing that highways in East Tennessee could be extra busy this year, Nagi shared some road trip tips to make the holiday travel easier.

  • Download the SmartWay app, or look at the road closure map online.
  • Give yourself extra time to travel. Leave early if you can.
  • Try to avoid travel during peak times, including Wednesday, Nov 27.

Where is I-40 closed?

Still, you’re unable to drive across the Tennessee state line into North Carolina on I-40.

In Tennessee, there is one lane of traffic open in each direction between Mile Marker 446 and Mile Marker 451 at the state line. Commercial traffic cannot go any further than Mile Marker 440 on I-40 East, according to Nagi.

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The highway is closed in both directions from Mile Marker zero to 20 in North Carolina.

How many people travel across I-40 at the gorge?

I-40 is a major thoroughfare through the Southern Appalachian Mountains. The stretch of I-40 in North Carolina that was damaged by Helene supports about 7,610 trucks daily and a total average daily traffic of over 26,000 vehicles.

Alternate route: Use Interstate 26 through Erwin

You can use I-26 through Erwin to cross the state line. This route option reopened in late October, according to Nagi. There is one-lane two-way traffic through the area.

Nagi said there would likely be more traffic on this route through the holiday travel season.

Alternate route: Use Interstate 81 and Interstate 77

From Knoxville, travelers can head north on I-81, which connects with I-77 toward Charlotte. It’s more miles, but you can eventually get to Ashville and other areas of North Carolina from there.

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Country music singer arrested for drug possession in Tennessee

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Country music singer arrested for drug possession in Tennessee


Jamey Johnson was arrested for drug possession and speeding in Williamson County, Tennessee, on Sunday.

Saving Country Music was first to report the news, and TMZ confirmed it.

The arrest took place just more than a week after the release of his first album in 14 years, “Midnight Gasoline.”

News Channel 5 reports Johnson posted a $5,000 bond before he got out of jail Monday.

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“We can confirm that Jamey Johnson was arrested on Sunday, Nov. 17 in Williamson County. The incident is still under investigation,” the Tennessee Highway Patrol wrote in a statement.

Johnson has served as a Willie Nelson, Merle Haggard, George Strait and others.

Mark Heim is a reporter for The Alabama Media Group. Follow him on Twitter @Mark_Heim. He can be heard on “The Opening Kickoff” on WNSP-FM 105.5 FM in Mobile or on the free Sound of Mobile App from 6 to 9 a.m. daily.





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Lions Sign Former Titans LB

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Lions Sign Former Titans LB


The Detroit Lions are adding a former Tennessee Titans draft pick to the practice squad ahead of Week 12.

Detroit announced Monday that former Titans linebacker David Long Jr. has signed with the team’s practice squad after standout linebacker Alex Anzalone was placed on injured reserve due to an arm injury.

Long Jr. started out the season with the Miami Dolphins but was waived on Nov. 13. He sat out due to injury when the Titans beat Miami as Hard Rock Stadium in Week 4. In six starts and eight appearances for Miami this season, Long Jr. totaled 38 tackles (26 solo).

Originally a sixth-round pick by the Titans in the 2019 NFL Draft, Long Jr. spent four years in Tennessee and proved to be a consistent presence for head coach Mike Vrabel’s defense. During his time with the team, he played in 50 regular-season games and made 26 starts while posting 230 total tackles (15 for loss), two forced fumbles, 14 pass breakups and four interceptions. 

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He also started two of five playoff appearances for Tennessee while tallying 27 total tackles and a sack in the postseason. Long Jr. played in the Titans’ AFC Championship loss to the Kansas City Chiefs in the 2019 Playoffs. 

He then signed a two-year, $11 million deal with Miami ahead of the 2023 campaign. Long Jr. immediately became an impact player for McDaniel, finishing his debut season with the Dolphins with a career-best 113 total tackles to go along with one sack and one forced fumble.

Though Miami decided to move on from his this season, Long Jr. now has a chance to eventually contribute to arguably the best team in the NFL. The Lions are currently 9-1 and coming off a 52-6 win over the Jacksonville Jaguars. This matched their point total from the 52-14 win over the Titans on Oct. 27.

Make sure you bookmark Tennessee Titans on SI for the latest news, exclusive interviews, film breakdowns and so much more!



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