TennCare - As enacted, extends the ground ambulance service annual assessment to June 30, 2027; changes the penalty imposed by the bureau on an ambulance provider for each day an assessment remains unpaid from $50 per calendar day to 5 percent of the principal amount owed per month for each month. - Amends TCA Title 71, Chapter 5, Part 15.

SB 2221 modifies TennCare ambulance assessment rules by extending the annual payment deadline for ground ambulance services from June 30, 2026, to June 30, 2027. It also changes the late payment penalty from $50 per calendar day to 5% of the unpaid balance per month. This directly affects ambulance providers enrolled in Tennessee's TennCare program who owe annual assessments. The bill replaces a fixed daily fee with a monthly interest-based penalty for overdue payments.