SB 1369 removes the requirement for acute care hospitals in Tennessee to obtain state approval (a "certificate of need") to establish or operate, effective July 1, 2028. It defines "acute care hospital" as one primarily treating patients with an average stay of 25 days or less. This change directly affects new and existing acute care hospitals by eliminating a regulatory hurdle for expansion or operation. The bill amends specific Tennessee Code sections to implement this change, while maintaining certificate of need requirements for other hospital types.
SB 676 requires gender clinics receiving state funding to offer both gender transition and detransition procedures, and mandates that insurers covering transition procedures must also cover detransition. It applies to all gender clinics licensed in Tennessee and insurance providers offering such coverage. The bill also mandates clinics to report detailed statistics on gender transition procedures (including patient age, procedure type, and diagnoses) to the Department of Health monthly, with annual public reports starting in 2025. These requirements aim to increase transparency around gender healthcare services while imposing specific obligations on covered providers.
SB 225 requires Tennessee health insurers to reimburse chiropractic physicians at the same rate as medical doctors for identical services, amending Tennessee Code Annotated Titles 56 and 63. It prohibits insurers from using separate payment codes or methodologies for chiropractic services compared to physician services, ensuring equal reimbursement based on nationally recognized coding systems like the CPT book. This applies to private health insurance plans but excludes TennCare, CoverKids, and government-provided insurance. The bill aims to eliminate reimbursement disparities for chiropractors offering equivalent services to medical doctors. It was scheduled to take effect July 1, 2025, but failed in committee on March 25, 2025.
SB 2070, the "SHIELD Act," prohibits health insurance companies from penalizing healthcare providers for treating patients with legally recognized vaccine exemptions (based on religious beliefs or medical contraindications). It requires insurers to exclude exempt patients from vaccination-related quality metrics, such as vaccination rate calculations, and bans insurers from dropping providers from networks or reducing payments solely because they treat such patients. The law applies to all quality measures used for reimbursement, including HEDIS, and ensures claims denied in violation of these rules are treated as "clean claims" subject to standard penalties. It takes effect July 1, 2026, affecting Tennessee healthcare providers, insurers, and patients with valid vaccine exemptions.
SB 1753 amends Tennessee law to prohibit using the terms "clinical informatics," "lifestyle medicine," or "medical virtualist" after a person’s name to mislead others into believing they are licensed to practice medicine or osteopathic medicine. The bill directly affects healthcare professionals who might use these titles without proper medical licensure. It adds these specific terms to the existing list of prohibited designations under Tennessee Code Annotated Sections 63-6-204(m)(1) and related chapters. The legislation aims to prevent public confusion about who is legally authorized to provide medical care. The bill is currently pending in the Senate Health and Welfare Committee after passing initial committee stages.
SB 579 would provide eligible Tennessee workers 12 weeks of job-protected leave for recovery after living organ donation surgery, with leave counted toward employment seniority. It prohibits insurers from denying coverage or charging more for life, disability, or long-term care insurance solely because someone is a living organ donor. The bill also requires the Tennessee Department of Health to create and post public educational materials about living organ donation by July 2025, covering benefits, risks, and insurance impacts. This bill directly affects living organ donors, employers, and insurance providers in Tennessee.
SB 1389 prohibits healthcare providers participating in Tennessee's TennCare or CoverKids programs from refusing to treat patients solely because they decline vaccines or immunizations. It requires the state to stop reimbursing providers who violate this rule and mandates the TennCare director to create implementing regulations. The law excludes oncology and organ transplant specialists from the prohibition. The bill takes effect July 1, 2025, with rules to be established under state administrative procedures.
SB 898 creates a pilot program to improve maternal health care for pregnant TennCare recipients diagnosed with hypertension or diabetes through remote patient monitoring. The program provides participants with devices to track blood pressure and glucose levels, transmitting data securely to healthcare providers for real-time monitoring and support during pregnancy and up to three months postpartum. Administered by the Bureau of TennCare, it requires at least 300 participants across multiple counties and mandates that a technology vendor (selected by the bureau) deliver devices, provide training, and coordinate with healthcare teams. The pilot must be operational within 180 days of contracting with a managed care organization and technology vendor.
SB 165 updates Tennessee's funding formula for human resource agencies by increasing the state's maximum annual contribution to match local government funding. It sets new thresholds: for local assessments of 1-20 cents per capita, the state will match up to $295,000; for 21-30 cents, up to $340,000; and for 31+ cents, up to $370,000 annually. This directly affects local governments that fund human services through per capita assessments, allowing them to secure higher state funding based on their contribution levels. The bill modifies Tennessee Code Annotated, Title 13, Chapter 26, without changing eligibility requirements. The change aims to strengthen state-local partnerships in delivering human services to residents.
HB 310 creates a legal presumption that post-traumatic stress disorder (PTSD) diagnosed in law enforcement officers or emergency medical responders (like EMTs and paramedics) was incurred while performing job duties, making it automatically eligible for workers' compensation coverage. This applies to those diagnosed after responding to specific incidents, shifting the burden to employers to prove otherwise. The bill amends Tennessee workers' compensation laws (TCA Title 7, Chapter 51 and Title 50, Chapter 6) to explicitly include these professions under the presumption, removing prior exclusions of "firefighter" language. It directly affects first responders who develop PTSD in the line of duty, streamlining their access to benefits starting July 1, 2025.
