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Tennessee is worst in the nation in supporting caregivers, but here’s how to change that

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Tennessee is worst in the nation in supporting caregivers, but here’s how to change that



It’s time for Tennessee to acknowledge the tireless efforts these family caregivers provide and pay them for their work

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  • Vanessa Zapata is an attorney and the director of health policy and equity at the Tennessee Justice Center.

Tennessee ranks last in all 50 states and D.C. in its treatment of family caregivers according to a 2023 AARP report.

This comes as no surprise to Tennessee families who must care for loved ones with disabilities and/or who are aging.

The expectations and stress related to family caregiving are too high and have become unsustainable.

Every day, families reach a breaking point, as one family caregiver explained, “I would like there to be 24/7 support for my son in the family home. He would get this support in any other residential setting, but since he lives with me, it’s expected that I will do everything over 40 hours a week for free. It’s just too much to expect of any person. It’s no wonder that family caregivers go into crisis. Can’t live on four hours of sleep indefinitely.”

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During the COVID-19 public health emergency, many states paid family caregivers as a method of protecting medically frail individuals during the pandemic. This experiment helped states understand that paying family caregivers is not only a tool to keep vulnerable community members safe and out of an institutional setting. It also provides critical relief for the family caregiver. It’s time for Tennessee to join this trend and pay these unsung heroes for their work. We can do this through Medicaid Structured Family Caregiving.

Change the system so it works for Tennessee families

Compensating family caregivers is a strategic investment in healthcare. Studies consistently show that family care at home significantly decreases health care utilization such as ER use. Paying family caregivers also recognizes caregivers as integral members of the healthcare team for the person supported. Not only will this prevent the undervaluing of their work but will also promote equity as Black and Hispanic households are more likely to take on family caregiving roles.

Right now, our state’s Medicaid program, TennCare, only has the option of “Consumer Direction” as an indirect way for family caregivers to be compensated.

However, many families have found this option to be impossible to implement. The most impractical barrier for many families is that immediate family members or any person that lives with the person supported, or even lived with the person in the last five years, cannot be paid through Consumer Direction. This structure just doesn’t work for many families.

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But we can change the system so that it does work for those who are aging, those that have disabilities, and their families. Implementing this policy requires thoughtful analysis of what Tennessee families experience today, the experience during COVID, and what other states are trying now.

One option that Tennessee can study is Georgia’s state agency, Health Force of Georgia, which manages hiring and paying family caregivers. Another option is the agency-directed model, where family members are hired by existing agencies, as seen in Oregon.

Care giving should not become a financial burden

It’s time to acknowledge the tireless efforts these family caregivers provide and pay them for their work.

They shouldn’t have to choose between caring for a loved one and financially supporting their family.

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This not only helps value their work but also reaches the heart of what our TennCare program is about – providing healthcare to Tennesseans.

Vanessa Zapata is an attorney and the director of health policy and equity at the Tennessee Justice Center. She provides direct services to individuals having issues navigating public benefits programs like TennCare Medicaid. She advocates for policies that strengthen public benefits programs, remove access barriers to these programs, and promotes health equity. 



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Tennessee

Nashville’s Eastpoint Neighborhood groundbreaking marks largest affordable housing project in Tennessee

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Nashville’s Eastpoint Neighborhood groundbreaking marks largest affordable housing project in Tennessee


NASHVILLE, Tenn. (WTVF) — Nashville’s newest neighborhood is starting to take shape. The Fallon Company broke ground on the Eastpoint Neighborhood, which developers say is the largest affordable housing project and investment in Tennessee right now.

Mayor Freddie O’Connell says the mixed-use development is designed to benefit all families, accommodating incomes from $20,000 to $80,000 a year. In addition to housing, the development will include upgraded parks and green space, on-site childcare, and retail space.

“This is gonna be how we build Nashville’s next great neighborhood,” O’Connell said.

“We’ll have upgraded parks and green space, it will literally have on-site childcare here,” O’Connell said. “Basically all the ingredients that happen in a great neighborhood are going to be here.”

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The development comes as many Nashville families struggle to make ends meet.

“They’re working jobs that are $10, $12 an hour jobs and they cannot afford basic living expenses,” Tony Turntine said.

Turntine and his family are success stories of UpRise Nashville’s free career training program. Through that experience, he has seen firsthand how getting to a better life requires studying, working, mentorship — and help with housing.

“The affordable housing that gives them an opportunity to come out of some of the really lower income neighborhoods they’ve been in and have better, quieter, more wholesome places to live,” Turntine said.

“If people can afford a better opportunity, we see everyone blossom from it. It’s a great day,” Al Brady with UpRise said.

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Turntine says the tough choices Nashville families face are real.

“Whether I’m gonna pay the car out or whether I’m gonna get food for the kids,” Turntine said.

Now living and thriving in a new opportunity, Turntine has made it his mission to help others get there too.

“We’re living in a better neighborhood now — we actually just moved last weekend to a house twice the house of what we were in before,” Turntine said. “When you make different choices in life, that gives you different opportunities.”

Do you have more information about this story? You can email me at Amanda.Roberts@NewsChannel5.com

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This story was reported on-air by Amanda Roberts and has been converted to this platform with the assistance of AI. Our editorial team verifies all reporting on all platforms for fairness and accuracy.

101st Airborne veterans get Purple Hearts years after an insider attack

As we honor those who have served our country and made the ultimate sacrifice, it is also heartening to see the military right a wrong. Chris Davis brings us the moving story of a Purple Heart ceremony two decades in the making. It’s worth a watch.

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A heartfelt thanks to all who bravely serve.

– Carrie Sharp





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Emerging data centers: New TN law to protect ratepayers goes into effect in July

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Emerging data centers: New TN law to protect ratepayers goes into effect in July


A new Tennessee law aimed at protecting utility customers from the growing energy demands of data centers will take effect in July.

The legislation comes as more than 60 data centers power artificial intelligence and other cyber operations across the state, with about one-third located in the greater Nashville area. As the race to build and power AI infrastructure accelerates nationwide and globally, Tennessee lawmakers say they’re working to ensure ratepayers are not saddled with the added costs of serving these massive facilities.

“We want to have data centers. But we want to put guardrails around that to protect our ratepayers,” said state Rep. Ed Butler, R-Rickman, during a legislative committee hearing in March.

Under the new law, data centers must pay for any new infrastructure required to support their operations, including substations and other power-related upgrades. Utilities are prohibited from passing those costs on to residential and business customers.

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“In the rural areas they’re putting a lot of these. And we have had a lot of increased utility bills,” said state Rep. Dennis Powers, R-Jacksboro, during the same March committee hearing on the legislation.

Powers questioned if data centers could be contributing to ratepayer costs. That question wasn’t clearly answered. Regardless, legislators voted the measure through, and Gov. Bill Lee signed it into law to help prevent that from happening.

“If there was a substation that was needed to be put in to provide power for this data center, then the data center would pay for the substation,” Butler said during the hearing.

As communities across Tennessee consider proposals for new data centers, and new laws to regulate (or contain) them, some local leaders remain opposed to bringing the facilities to their areas.

“I don’t think they fit in Robertson County, and definitely not in my community,” said Cedar Hill Mayor John Edwards, who is proposing a two-year moratorium on data centers in his city.

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Electric providers and utilities are also preparing for future demand. The Tennessee Valley Authority reports data centers currently account for about 18% of its industrial power load, a figure that’s predicted to potentially double by 2030.

The new law also allows utilities, including TVA, to establish a separate customer or rate class specifically for data centers, providing an additional safeguard against shifting costs to other customers.

As energy demand continues to surge, state lawmakers say the goal is to ensure Tennessee stays competitive, while families and businesses do not see higher electric bills because of data center expansion.

Data center advocates, meanwhile, say many facilities generate much of their own power on-site and use advanced cooling systems that require little or no water.

If TVA moves forward with creating a separate customer or rate class for data centers, FOX17 will continue to follow those developments.

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ABC broadcast goes out during Tennessee softball vs Texas Tech in WCWS

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ABC broadcast goes out during Tennessee softball vs Texas Tech in WCWS


OKLAHOMA CITY – Sometime during the top of the second inning of Tennessee softball’s matchup with Texas Tech, the ABC broadcast cut out due to technical difficulties.

According to the broadcast, a power outage at Devon Park was responsible for the technical difficulties. Viewers on ABC instead got to watch “Squeeze Play” with whip-around coverage of NCAA baseball regionals.

The broadcast didn’t return until the last out to end the third inning.

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The No. 7 seed Lady Vols (48-10) are playing No. 11 seed Texas Tech (58-7) on May 30 for a spot in the Women’s College World Series semifinals.

Viewers missed out on Karlyn Pickens sitting down the Red Raiders in order and then a fantastic diving catch by second baseman Emma Clarke in the third inning.

Tennessee also loaded the bases in the bottom of the third inning, but Clarke popped up to the first baseman, who then collided with Clarke on the baseline in order to make the catch to end the inning.

A win would send Tennessee to its third WCWS semifinals appearance in the last four seasons. A loss would drop it into an elimination game against No. 8 seed UCLA on May 31 (7 p.m., ABC).

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The Lady Vols will also face their former third baseman Taylor Pannell, who transferred to Texas Tech after a breakout season for Tennessee in 2025.

Tennessee upset No. 2 seed Texas, the reigning national champions, with a 6-3 win to open the WCWS on May 28.

Cora Hall is the University of Tennessee women’s athletics reporter for Knox News. Email: cora.hall@knoxnews.com; X: @corahalllBluesky: @corahall.bsky.social‬. Support strong local journalism and unlock premium perks:knoxnews.com/subscribe





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