TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2027; makes other related revisions. - Amends TCA Title 71, Chapter 5, Part 10.

HB 1864 extends Tennessee's nursing home annual assessment fee deadline from June 30, 2026, to June 30, 2027, affecting licensed nursing facilities participating in TennCare (Tennessee's Medicaid program). The bill primarily adjusts key dates in the state's Medicaid reimbursement system for nursing homes, including extending the fee payment period and modifying fiscal year references in the law. These changes align with the existing process for recalculating reimbursement rates based on nursing home cost reports. The bill does not alter the underlying reimbursement methodology but delays the implementation timeline for the current fee structure.