The Tennessee Justice Center, established in 1995, is a non-profit, public interest law and advocacy firm serving low income and vulnerable Tennesseans. It gives priority to policy issues and civil cases in which the most basic necessities of life are at stake, and where its advocacy can benefit families statewide. It works to empower its clients–who drive its work–by holding government accountable for its policies and actions. In 2014, it served more than 900 individual clients, and more than 1 million through class action litigation. Its goals over the grant period include make TennCare work as fairly as possible for applicants and current enrollees (including enrollees who must renew their TennCare coverage), improve CHOICES, and ensure coverage to as many Tennesseans as possible. All of these goals will directly provide access to affordable health care coverage and/or appropriate services for vulnerable Tennesseans. In at least 80% (400 of 500) of cases, advocacy will be successful or partially successful in fulfilling health care clients need. A successful outcome includes getting enrolled in coverage and/or getting needed services once enrolled. Partial success includes being screened for all available coverage options, and if none are available, being referred to appropriate safety net resources.