TennCare - As introduced, establishes separate reimbursement rates for ground-based rural ambulance services and urban ambulance services provided to TennCare recipients; allows for certain rural ambulance service providers to receive emergency medical services equipment grants. - Amends TCA Title 71.

HB 195 establishes separate reimbursement rates for ambulance services under Tennessee's TennCare program. Urban ambulance providers will be reimbursed at 67.5% of Medicare rates, while rural ambulance providers will receive 100% of Medicare rates for services to TennCare recipients. The bill also authorizes emergency medical equipment grants for for-profit rural ambulance service providers. These changes directly affect ambulance companies operating in rural or urban areas that bill TennCare. The policy aims to address cost disparities between service areas while maintaining existing billing frameworks.