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Case Name John B. v. Goetz CW-TN-0002
Docket / Court 3:98-cv-00168 ( M.D. Tenn. )
State/Territory Tennessee
Case Type(s) Child Welfare
Public Benefits / Government Services
Special Collection Olmstead Cases
Attorney Organization Bazelon Center
Case Summary
On February 25, 1998, plaintiffs, consisting of over 500,000 Tennessee residents under the age of 21 who rely on the state's Medicaid Program ("TennCare") for essential medical and mental health services, brought a class action claim against Tennessee State officials in the United States District ... read more >
On February 25, 1998, plaintiffs, consisting of over 500,000 Tennessee residents under the age of 21 who rely on the state's Medicaid Program ("TennCare") for essential medical and mental health services, brought a class action claim against Tennessee State officials in the United States District Court for the Middle District of Tennessee, Nashville Division. The plaintiffs claimed "unlawful deprivation of medically necessary care results in the needless infliction of pain, the endangerment of young lives, and the stunting of children's chances to achieve their full potential" in violation of Title XIX of the Social Security Act, 42 U.S.C. §§1396, the terms and conditions of Tennessee's conditions of risk agreements between the State of Tennessee, TennCare, managed care organizations (MCOs) and behavioral health organizations (BHOs). Plaintiffs seek declaratory and injunctive relief.

Tennessee participated in Medicaid from the 1960s until it received a five year waiver under Section 1115 of the Social Security Act, 42 U.S.C. §1315, to implement a demonstration program called TennCare. TennCare has two major distinguishing features from the standard Medicaid program. First, TennCare beneficiaries are assigned to one of 11 managed care organizations (MCOs) who assign primary care providers who serve as gatekeepers to medical services. Second, TennCare added coverage for state residents who lack access to group health insurance and those who are "uninsurable" because of preexisting conditions.

In July, 1996, a major amendment added behavioral health services to those provided through TennCare, funded with state and federal block grant money. These funds were disbursed to a new set of behavioral health organizations (BHOs), along with the existing budget for behavioral health services. TennCare's managed care organizations ceased to have any responsibility for behavioral health care, and the BHOs assumed responsibility for providing such services to TennCare's entire enrollment.

Approximately 6,000 severely emotionally disturbed ("SED") TennCare children were considered members of the priority population. The program originally paid BHOs a single capitation rate for all TennCare children, regardless of whether they were members of the priority population classified as SED. However, after the implementation of the Partners Program, non-SED children were only entitled to inpatient psychiatric hospitalization and a limited number of outpatient mental health visits; while SED children were eligible for an "enhanced benefits package" of mental health services as needed. The definition of SED encompasses only children who score up to fifty on the "Global Assessment Functioning" (GAF) test.

Although the waiver amendment approved by the Health Care Financing Administration (HCFA), and the contracts signed by the BHOs contained language that the behavioral health plans were to provide children all services required by the federal EPSDT mandate, the program did not emphasize the SED or non-SED distinctions to BHOs and the public. BHOs and providers have treated the designation as determinative of a child's access to services. Consequently, many medically necessary behavioral health services have been unavailable to children who did not meet the GAF score criteria for SED designation.

In 1997, HCFA criticized the Partners Program's failure to adequately serve the needs of SED children, sparking the restructuring of the capitation payments for BHOs by TennCare so that SED enrollees now earn the BHOs markedly higher capitation payments than non-SED children. This reinforced to the perception to BHOs that they did not need to provide the full array of mental health services, which a severely disturbed child needs, unless the child has the required GAF score.

In July 1996, Tennessee created the Department of Children's Services as the agency responsible for all children in state custody. TennCare allocated $129 million to the Department of Children's Services for EPSDT services for children in state custody, or at risk of becoming in state custody. While TennCare's MCOs are supposed to meet the medical/surgical needs of these children, DCS shares responsibility with the TennCare BHOs for the funding and management of behavioral health services for children in custody. DCS claims to use this EPSDT allocation to pay for a range of "therapeutic interventions" which complement the health and behavioral health services covered by the managed care plans. The department administers the funds outside of the TennCare MCO/BHO care delivery system.

The Department of Children Services must provide basic benefits package to all children in custody, whether they meet the SED qualification or not. However, the behavioral health plans have no obligation to provide enhanced services for SED children when those children enter state custody, at which point DCS becomes responsible.

Aside from Tennessee's participation in Medicaid, Tennessee accepts federal funds under the Adoption Assistance Act. Federal statutory conditions relating to the state's administration of services for children in custody, or at risk of coming into custody, were attached to the receipt of the funds. Most of these conditions govern the provision of social and custodial services to such children, or are designed to achieve permanent placements for them, and are not at issue in this case.

The Adoption Assistant Act's requirement of provision of necessary health services for children in custody, or at risk of coming into state custody, is at issue in these proceedings. The Act also requires that health services for a child in custody, or at risk of entering custody, be coordinated with the other educational, social and custodial services which the child needs.

Plaintiffs rely on defendants for provision of critical EPSDT and services necessary to address children's health needs. Members of this class claim to be subject to systemic deficiencies in TennCare, which impair access to such services.

On March 11, 1998, the parties entered a consent decree. The United States District Court for the Middle District of Tennessee at Nashville (Judge William Haynes Jr.) certified the class and a subclass of consiting of children in custody or at risk of coming into custody of DCS.

In the Consent Decree, the state agreed to achieve full compliance with EPSDT, related laws and the substantive provisions of the agreed order within five years, and to immediately begin providing partial, and steadily increasing, benefits from the remedial plan, as the totality of the terms were implemented.

The United States District Court for the Middle District of Tennessee, Nashville Division (Judge John Nixon) ultimately found that although Defendants made were well intentioned in complying with the Court's 1998 Consent Decree, ultimately, the Defendants were not in compliance. John B. v. Menke, 176 F. Supp. 2d 786 (M.D. Tenn. 2001); 2001 U.S. Dist. LEXIS 23090. The court appointed a special master to mediate and ultimately submit to the court an EPSDT-complaint plan. Defendants were found to be non-compliant in 2004.

In an order dated September 18, 2009, the United States District Court for the Middle District of Tennessee, denied the Defendants' motion to vacate the Consent Decree. [ John B. v. Goetz, F. Supp.2d 871 (M.D. Tenn. 2009); 2009 U.S. Dist. LEXIS 86303] Defendants appealed and in December 2010, the Sixth Circuit of the United States Court of Appeals (Judge Julia Gibbons) vacated part of the Consent Decree. [John B. v. Goetz, 2010 U.S. App. LEXIS 25589]. Defendants argued that Medicaid 42 U.S.C. §1396(a)(30) is not privately enforceable. The Sixth Circuit vacated the consent decree's requirement that Defendants ensure that the availability of services is geographically comparable and any other provisions based on §1396a(a)(30). The Sixth Circuit also ordered that the case be reassigned to a judicial officer who could give the case the attention it requires.

In March 2011, United States District Court for the Middle District of Tennessee (Judge Thomas Weisman) made preliminary findings that multiple paragraphs of the Consent Decree were subject to vacatur. John B. v. Emkes, 2011 U.S. Dist. LEXIS 20399. (Motion to Vacate Granted in Part.)The Court signaled its inclination to grant in part the Defendants' Motion to Vacate to reflect that finding.

On February 14, 2012, the District Court concluded that the Consent Decree had served its purpose, and granted the Defendant's motion to vacate both the Consent Decree and all injunctive relief that had been ordered in the case. The Court then dismissed the case, but retained jurisdiction for the consideration of attorney's fees.

As of this writing, the Plaintiffs have filed for, and were granted leave to file a Sealed Notice of Appeal.

Joshua Arocho - 06/20/2012


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Issues and Causes of Action
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Issues
Benefit Source
Medicaid
General
Funding
Medical/Mental Health
Medical care, general
Mental health care, general
Plaintiff Type
Private Plaintiff
Causes of Action Title XIX of the Social Security (Medicaid) Act, 42 U.S.C §1396
State law
Adoption Assistance and Child Welfare Act of 1980 (AACWA), 42 U.S.C. § 620 et seq.
42 U.S.C. § 1983
Defendant(s) Assistant Commissioner
Commissioner
Commissioner
Plaintiff Description 500,000 children enrolled in the TennCare Program for mental and medical services
Indexed Lawyer Organizations Bazelon Center
Class action status sought Yes
Class action status granted Yes
Prevailing Party Plaintiff
Public Int. Lawyer Yes
Nature of Relief Injunction / Injunctive-like Settlement
Source of Relief Settlement
Form of Settlement Court Approved Settlement or Consent Decree
Order Duration 1998 - n/a
Case Closing Year n/a
Case Ongoing Yes
Additional Resources
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Case Studies Legal Accountability in the Service-Based Welfare State: Lessons from Child Welfare Reform
By: Kathleen G. Noonan, Charles F. Sabel, William H. Simon (Center for High Impact Philanthropy , Columbia Law School and Stanford Law School)
Citation: 34 Law & Soc. Inquiry 523 (Summer 2009)
[ Detail ] [ External Link ]

  Making Child Welfare Work: How the R.C. Lawsuit Forged New Partnerships to Protect Children and Sustain Families
By: Bazelon Center for Mental Health Law (Bazelon Center)
Citation: (1998)
[ Detail ]

Docket(s)
3:98-cv-00168 (M.D. Tenn.) 04/10/2013
CW-TN-0002-9000.pdf | Detail
PACER [Public Access to Court Electronic Records]
General Documents
Complaint 02/25/1998
CW-TN-0002-0002.pdf | External Link | Detail
Consent Decree 03/11/1998
CW-TN-0002-0003.pdf | External Link | Detail
Opinion (Finding Non-Compliance with Consent Decree) 12/19/2001 (176 F.Supp.2d 786) (M.D. Tenn.)
CW-TN-0002-0015.pdf | WESTLAW| LEXIS | Detail
Document Source: Google Scholar
Defendants' Motion to Reconsider 02/27/2006
CW-TN-0002-0010.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Memorandum in Support of Defendants' Motion to Vacate the Consent Decree and Dismiss the Case 11/20/2006
CW-TN-0002-0011.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Opinion (Denying Petition for Writ of Certiorari) 03/19/2007 (549 U.S. 1279)
CW-TN-0002-0018.pdf | WESTLAW| LEXIS | Detail
Document Source: LexisNexis
Opinion (Compelling Discovery) 10/10/2007 (2007 U.S.Dist.LEXIS 75457) (M.D. Tenn.)
CW-TN-0002-0021.pdf | LEXIS | Detail
Document Source: LexisNexis
Opinion (Re: various motions for clarification of discovery order) 11/15/2007 (2007 U.S.Dist.LEXIS 84557) (M.D. Tenn.)
CW-TN-0002-0019.pdf | LEXIS | Detail
Document Source: LexisNexis
Opinion (Denying Defendants' motion for stay pending appeal) 11/26/2007 (2007 U.S.Dist.LEXIS 86782) (M.D. Tenn.)
CW-TN-0002-0020.pdf | LEXIS | Detail
Document Source: LexisNexis
Order (6th Cir. Granting Defendants' Petition for Writ of Mandamus) 06/28/2008 (531 F.3d 448)
CW-TN-0002-0014.pdf | WESTLAW| LEXIS | Detail
Document Source: Google Scholar
Order (denying Defendants' Motion to Vacate Consent Decree) 09/18/2009 (661 F.Supp.2d 871) (M.D. Tenn.)
CW-TN-0002-0013.pdf | WESTLAW| LEXIS | Detail
Document Source: Google Scholar
Opinion (Granting Plaintiffs' Motion to Compel) 01/28/2010 (2010 U.S.Dist.LEXIS 8821) (M.D. Tenn.)
CW-TN-0002-0017.pdf | LEXIS | Detail
Document Source: LexisNexis
Opinion (Sixth Circuit) (vacating portion of Consent Decree and remanding) 11/30/2010 (626 F.3d 356)
CW-TN-0002-0001.pdf | WESTLAW| LEXIS | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Amended Opinion 12/16/2010
CW-TN-0002-0012.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Opinion (Preliminary Finding re: vacating portions of Consent Decree on remand) 03/01/2011 (2011 WL 795019 / 2011 U.S.Dist.LEXIS 20399) (M.D. Tenn.)
CW-TN-0002-0016.pdf | WESTLAW| LEXIS | Detail
Document Source: LexisNexis
Agreed Pretrial Order 11/01/2011 (M.D. Tenn.)
CW-TN-0002-0005.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Memorandum Opinion and Order 02/14/2012 (852 F.Supp.2d 944) (M.D. Tenn.)
CW-TN-0002-0006.pdf | WESTLAW| LEXIS | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Memorandum Opinion 02/14/2012 (852 F.Supp.2d 957) (M.D. Tenn.)
CW-TN-0002-0007.pdf | WESTLAW| LEXIS | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Order 02/14/2012 (M.D. Tenn.)
CW-TN-0002-0008.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Plaintiff's Motion for Leave to File Under Seal (so ordered) 04/13/2012 (M.D. Tenn.)
CW-TN-0002-0009.pdf | Detail
Document Source: PACER [Public Access to Court Electronic Records]
Judges Alito, Samuel A. Jr. (SCOTUS, Third Circuit)
CW-TN-0002-0018
Breyer, Stephen Gerald (First Circuit, SCOTUS)
CW-TN-0002-0018
Gibbons, Julia Smith (W.D. Tenn., Sixth Circuit)
CW-TN-0002-0001 | CW-TN-0002-0012 | CW-TN-0002-0014
Ginsburg, Ruth Bader (SCOTUS, D.C. Circuit)
CW-TN-0002-0018
Haynes, William Joseph Jr. (M.D. Tenn.) [Magistrate]
CW-TN-0002-0003 | CW-TN-0002-0013 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-0021
Kennedy, Anthony McLeod (Ninth Circuit, SCOTUS)
CW-TN-0002-0018
Kethledge, Raymond M. (Sixth Circuit)
CW-TN-0002-0001 | CW-TN-0002-0012
Nixon, John Trice (M.D. Tenn.)
CW-TN-0002-0015
Roberts, John Glover Jr. (D.C. Circuit, SCOTUS)
CW-TN-0002-0018
Rogers, John M. (Sixth Circuit)
CW-TN-0002-0001 | CW-TN-0002-0012 | CW-TN-0002-0014
Scalia, Antonin (D.C. Circuit, SCOTUS)
CW-TN-0002-0018
Souter, David Hackett (SCOTUS, First Circuit)
CW-TN-0002-0018
Stevens, John Paul (Seventh Circuit, SCOTUS)
CW-TN-0002-0018
Thomas, Clarence (D.C. Circuit, SCOTUS)
CW-TN-0002-0018
Wiseman, Thomas Anderton Jr. (M.D. Tenn.)
CW-TN-0002-0005 | CW-TN-0002-0006 | CW-TN-0002-0007 | CW-TN-0002-0008 | CW-TN-0002-0009 | CW-TN-0002-0016 | CW-TN-0002-9000
Monitors/Masters None on record
Plaintiff's Lawyers Anderson, Leanna Marie (California)
CW-TN-0002-9000
Anderson, Mary B. (Illinois)
CW-TN-0002-9000
Barrett, George E. (Tennessee)
CW-TN-0002-9000
Bonnyman, George G. Jr. (Tennessee)
CW-TN-0002-0002 | CW-TN-0002-0003 | CW-TN-0002-0005 | CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-9000
Bowden, Ellen M. (Alabama)
CW-TN-0002-0002 | CW-TN-0002-9000
Bristol, Marjorie A. (Tennessee)
CW-TN-0002-9000
Burnim, Ira Abraham (District of Columbia)
CW-TN-0002-0002
Caster, Shawn L. (Tennessee)
CW-TN-0002-9000
Chang, William S.W. (New York)
CW-TN-0002-9000
Choy, Jason Francis (New York)
CW-TN-0002-9000
Cohen, J. Richard (Alabama)
CW-TN-0002-0002 | CW-TN-0002-9000
Coleman, Christopher E. (Tennessee)
CW-TN-0002-9000
Croce, Lenny L. (Tennessee)
CW-TN-0002-9000
D'Souza, Lisa J. (Tennessee)
CW-TN-0002-9000
Doffermyre, Everette L. (Georgia)
CW-TN-0002-9000
Dunlap, Andrew R. (New York)
CW-TN-0002-0001 | CW-TN-0002-0016
Evans, Katherine (California)
CW-TN-0002-9000
Giliberti, Mary (District of Columbia)
CW-TN-0002-0002
Goldman, Jeffrey S. (Illinois)
CW-TN-0002-0013 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020
Gunn, Patricia C. (Tennessee)
CW-TN-0002-0020 | CW-TN-0002-9000
Heyman, Gregory Todd (New York)
CW-TN-0002-0019 | CW-TN-0002-0020
Hutto, Elizabeth Banston (Tennessee)
CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017
Johnson, Michele M. (Tennessee)
CW-TN-0002-0001 | CW-TN-0002-0002 | CW-TN-0002-0003 | CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Johnson, Kimberly Jean (Georgia)
CW-TN-0002-9000
Johnson, Mark P. (Missouri)
CW-TN-0002-9000
Jones, Ronald Cantrell (Illinois)
CW-TN-0002-9000
Joseph, Robert Thomas (Illinois)
CW-TN-0002-9000
Kass, Albert Howard (New York)
CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Khalil, Junaid (New York)
CW-TN-0002-9000
Knowles, Ralph I. Jr. (Georgia)
CW-TN-0002-0013 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Kozlowski, David Arthur (Tennessee)
CW-TN-0002-9000
McDaniel, Katherine L. (New York)
CW-TN-0002-0001 | CW-TN-0002-0016
Overby, Russell J. (Tennessee)
CW-TN-0002-9000
Reed, Michael H. (New York)
CW-TN-0002-9000
Reznik, Victoria (New York)
CW-TN-0002-9000
Richardson, Tony L. (California)
CW-TN-0002-9000
Rivera, David (Tennessee)
CW-TN-0002-9000
Schlaff, Shira Judith (New York)
CW-TN-0002-9000
Seltzer, Tamara Lynn (District of Columbia)
CW-TN-0002-9000
Singh, Vanessa C. (New York)
CW-TN-0002-9000
Tsou, Sarah Kao-Yen (New York)
CW-TN-0002-9000
Weissman, Barry Leigh (California)
CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017 | CW-TN-0002-9000
Yerian, Christina M. (Tennessee)
CW-TN-0002-9000
Defendant's Lawyers Aemisegger, Nicholas G. Jr. (Montana)
CW-TN-0002-9000
Brown, Katherine Ann (Tennessee)
CW-TN-0002-9000
Cooper, Charles Justin (District of Columbia)
CW-TN-0002-0001 | CW-TN-0002-0010 | CW-TN-0002-0011 | CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-9000
Cooper, Robert E. Jr. (Tennessee)
CW-TN-0002-0001 | CW-TN-0002-0011
Hann, Jennifer Helton (Tennessee)
CW-TN-0002-0003
Harris, Ronald G. (Tennessee)
CW-TN-0002-0010 | CW-TN-0002-0011 | CW-TN-0002-9000
Harwell, Aubrey B. Jr. (Tennessee)
CW-TN-0002-0010 | CW-TN-0002-0011 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Hinson, Leesa Ann (Tennessee)
CW-TN-0002-9000
Hume, Hamish P.M. (District of Columbia)
CW-TN-0002-9000
Irwin, Philip D. (Tennessee)
CW-TN-0002-0011 | CW-TN-0002-9000
Kirk, Michael W. (District of Columbia)
CW-TN-0002-0001 | CW-TN-0002-0010 | CW-TN-0002-0011 | CW-TN-0002-0013 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Kleinfelter, Janet M. (Tennessee)
CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Koukoutchos, Brian Stuart (District of Columbia)
CW-TN-0002-0001 | CW-TN-0002-0013 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Miller, Charles A. (District of Columbia)
CW-TN-0002-0013 | CW-TN-0002-0017 | CW-TN-0002-0020 | CW-TN-0002-9000
Minkoff, Elizabeth B. (Tennessee)
CW-TN-0002-9000
Moss, Nicole J. (District of Columbia)
CW-TN-0002-0010 | CW-TN-0002-0011 | CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017 | CW-TN-0002-0020 | CW-TN-0002-9000
Ney, Paul C. Jr. (Tennessee)
CW-TN-0002-9000
Reed, Carolyn E. (Tennessee)
CW-TN-0002-9000
Ross, Linda A. (Tennessee)
CW-TN-0002-0001 | CW-TN-0002-0010 | CW-TN-0002-0011 | CW-TN-0002-0013 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Sauer, Dean John (District of Columbia)
CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017 | CW-TN-0002-0019 | CW-TN-0002-0020 | CW-TN-0002-9000
Shaffer, Derek L. (District of Columbia)
CW-TN-0002-0001 | CW-TN-0002-0013 | CW-TN-0002-0016 | CW-TN-0002-0017 | CW-TN-0002-9000
Stephenson, Kathryn A. (Tennessee)
CW-TN-0002-9000
Summers, Paul G. (Tennessee)
CW-TN-0002-0010
Walkup, John Knox (Tennessee)
CW-TN-0002-0003
Weitzner, Michael (District of Columbia)
CW-TN-0002-9000
Wheelbarger, Kathryn L. (District of Columbia)
CW-TN-0002-9000
Other Lawyers Bailey, Martin B (Tennessee)
CW-TN-0002-9000
Biller, Stephen H. (Tennessee)
CW-TN-0002-9000
Boulware, Leilani (Tennessee)
CW-TN-0002-9000
Carey, Edmund L. Jr. (Tennessee)
CW-TN-0002-9000
Carter, Richard A. (Tennessee)
CW-TN-0002-9000
Cates, Taylor A. (Tennessee)
CW-TN-0002-9000
Davidson, Paul (Tennessee)
CW-TN-0002-0019 | CW-TN-0002-9000
Dietz, Wallace Wordsworth (Tennessee)
CW-TN-0002-9000
Domenick, Beth L. (Pennsylvania)
CW-TN-0002-9000
Hickman, Scott (Tennessee)
CW-TN-0002-9000
Hicks, John S. (Tennessee)
CW-TN-0002-9000
Hornback, Michael D (Tennessee)
CW-TN-0002-9000
Hubbard, William B. (Tennessee)
CW-TN-0002-9000
Jenkins, Marc R (Tennessee)
CW-TN-0002-9000
Kay, Susan Laurie (Tennessee)
CW-TN-0002-9000
Lewis, George Tolbert III (Tennessee)
CW-TN-0002-9000
Lillard, David H (Tennessee)
CW-TN-0002-9000
Martin, Jerry E. (Tennessee)
CW-TN-0002-9000
Miller, John L. (Tennessee)
CW-TN-0002-9000
Passino, Michael James (Tennessee)
CW-TN-0002-9000
Safar, Joseph C (Pennsylvania)
CW-TN-0002-9000
Shockley, Gary C (Tennessee)
CW-TN-0002-9000
Smith, Thomas J. (Pennsylvania)
CW-TN-0002-9000
Vernick, Scott L. (Pennsylvania)
CW-TN-0002-9000
Walker, Kathryn Hannen (Tennessee)
CW-TN-0002-9000
Webb, Christopher Corum (Tennessee)
CW-TN-0002-9000
Welch, Charles B Jr. (Tennessee)
CW-TN-0002-9000
Wright, Sonya Smith (Tennessee)
CW-TN-0002-9000

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