NASHVILLE (AP) — Potential TennCare cuts could include eliminating counseling services in hospice care provided by the state's expanded Medicaid program.

The spending reductions were presented by TennCare officials at a budget hearing with Republican Gov. Bill Haslam at the state Capitol on Thursday.

Hospice patients would still be eligible for medical services like pain control, home health and physician care. But the state would save about $14 million by doing away with the counseling services.

The state cut would also erase a federal match of $43 million for hospice benefits.

The hospice cuts would be in addition to a previously announced plan to cut $103 million in state spending to make up for the loss of federal stimulus money and other reimbursements.