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.
SB 1377, the Voluntary Portable Benefit Plan Act, allows businesses to voluntarily contribute to portable benefit plans for independent contractors. These plans, administered by third-party providers chosen by the contractor, cover health, disability, unemployment, life insurance, and retirement benefits. Contributions can be made directly by the business or by withholding a portion of the contractor’s pay, but only with a clear written opt-in agreement and the ability to opt out at any time. The bill amends Tennessee law to ensure these contributions cannot be used to determine a worker’s employment classification as an employee or independent contractor.
SB 569 prevents pharmacies from charging administrative fees for hormonal contraceptives when a patient's insurance covers the cost and includes pharmacy benefits. It directly affects insured patients seeking hormonal contraceptives and pharmacists who previously might have charged such fees. The bill amends Tennessee law to remove language allowing pharmacies to require these fees, ensuring patients covered by insurance do not face additional costs. The law takes effect July 1, 2025, and applies to all pharmacies in Tennessee.
SB 174 amends Tennessee law to update requirements for surgical assistants seeking board registration. It adds the American Board of Surgical Assistants (ABSA) as an accepted credentialing body alongside the National Commission for Certification of Surgical Assistants, allowing applicants to maintain current ABSA credentials. The bill also removes the December 31, 2019, deadline for applicants to register based on practical experience, making registration more flexible. This change directly affects surgical assistants in Tennessee seeking state licensure, effective March 25, 2025. The law modifies Tennessee Code Annotated § 63-6-219(b)(1) and (b)(3).
SB 1063 removes two notification requirements related to prior authorization for healthcare services in Tennessee. It eliminates the requirement for healthcare providers to notify patients when communicating with insurance companies about missing information for prior authorization, and it removes the requirement for insurance companies to notify patients when additional information is needed from the patient or provider. The bill directly affects healthcare providers, insurance companies, and patients by reducing administrative steps in the prior authorization process. These changes amend Tennessee Code sections 63-1-171 and 56-6-705, effective April 3, 2025.
SB 577 amends Tennessee's TennCare program by shortening the time frame for implementing the annual coverage assessment from seven days to five days. It also establishes limits on hospital payments under specific circumstances, directly affecting TennCare administrators and participating hospitals. The bill changes the timing requirement in Tennessee Code Annotated Section 71-5-2005(d)(2)(D) and became effective April 3, 2025, after being signed by the Governor.
HB 1319 extends Tennessee's CoverKids program, which provides health insurance for children, by changing its expiration date from June 30, 2025, to June 30, 2030. It amends Tennessee Code Annotated Section 71-3-1113 to update this deadline. The bill directly affects low-income children and families enrolled in CoverKids, ensuring continued eligibility for coverage through 2030. This is a straightforward extension of an existing program, with no changes to eligibility criteria or funding structure. The bill became law on April 8, 2025.
HB 1157, the "Restore Trust in Public Health Messaging Act," requires Tennessee's Department of Health, local health departments, and state executive branch to ensure all public communications about FDA-regulated products (like medications) accurately reflect the FDA-approved or FDA-authorized labels. It prohibits promoting information that conflicts with these labels, including general product categories unless universally true or properly qualified. The law mandates an internal compliance review by July 2025, annual reporting to state officials starting in 2026, and a complaint process for violations with potential penalties. This directly affects state health agencies' public messaging about medical products, aiming to align communications with federal FDA standards.
HB 1169 requires Tennessee's Council on Children's Mental Health to submit annual reports starting June 30, 2026, detailing the statewide mental health system for children. The reports must cover current services (including state/federal programs), gaps in care, and recommendations for better coordination between agencies. The council must gather input from relevant departments (mental health, education, health, etc.) to create a comprehensive overview. These reports will be shared with the governor, legislative leaders, and agency heads. The bill, effective March 28, 2025, updates existing law to ensure regular oversight of children's mental health services.
HB 498 creates an advisory task force to review and recommend annual adjustments to state reimbursement rates paid to healthcare agencies in Tennessee. The task force, composed of 6 appointed members (3 by each legislative chamber, representing different health professions) and ex-officio agency representatives, will focus on ensuring rates cover agency costs, staff salaries, and administrative needs. It must submit annual recommendations by August 1, starting in 2026, to state officials and legislative committees, considering factors like provider costs, staff compensation, and workforce shortages. The bill directly affects healthcare agencies providing state-funded services, aiming to make reimbursement rates more adequate without changing existing funding levels.
