This Senate Resolution (SR 263) urges TennCare, Tennessee's Medicaid program, to cover and reimburse doula services for pregnant and postpartum individuals. It directly affects TennCare beneficiaries - particularly those in rural areas or facing health disparities - and doulas providing childbirth support. The resolution cites evidence from pilot programs like Nashville Strong Babies, which showed improved outcomes including higher breastfeeding rates, fewer C-sections, and healthier birth weights. It does not create new law but formally requests TennCare to expand coverage for these non-medical, community-based services.
HB 1887 creates a state licensure process for "prescribed pediatric extended care programs" (PPECs) in Tennessee, which provide nonresidential care to medically dependent or technologically dependent minors (under age 20) requiring ongoing, technology-based medical services (like ventilator support). The bill requires facilities operating these programs to obtain a license, limits care to 12 hours per day (not 24-hour care), and mandates that TennCare submit a federal Medicaid waiver request to cover services provided by licensed PPECs. It directly affects vulnerable minors with complex medical needs, their families, and PPEC operators seeking to provide these specialized services. The law amends Tennessee health, insurance, and social services codes to establish licensing standards, facility requirements, and oversight for these programs.
SB 1722 requires Tennessee health insurance companies to pay non-network medical laboratories (that are eligible to join an insurance network) at least the federal Centers for Medicare & Medicaid Services (CMS) clinical laboratory fee schedule rate for covered lab tests. It also allows insurers to set the same performance standards for these non-network labs as they do for in-network providers. The law will take effect on July 1, 2026, and applies to health insurance and managed health insurance issuers in Tennessee.
SB 1097 changes Tennessee law for DUI offenders required to use ignition interlock devices (IIDs) by automatically deeming individuals receiving SNAP, TANF, or state Medicaid benefits as unable to pay for the device, eliminating the need for a court hearing to determine indigency. Under this bill, eligible individuals must pay $30 monthly toward device costs, with the state covering the remainder up to $170 per month from the electronic monitoring indigency fund. The law updates reimbursement procedures for device providers, requiring them to submit claims with court orders and proof of the person's benefit eligibility. This applies specifically to those ordered to use a functioning IID for DUI offenses.
SB 1053 would allow TennCare enrollees in Part A of the Katie Beckett program (children with disabilities requiring long-term care) to access their allocated community-based care funds through health reimbursement arrangements instead of traditional service delivery. The bill requires the TennCare director to take necessary actions, including seeking federal waiver amendments, to enable this option. It directly affects families enrolled in the Katie Beckett program by expanding how they can use their state-funded care resources. The change modifies Tennessee Code Annotated § 71-5-164 to implement this flexibility in fund utilization. This is a procedural policy change focused on administrative access to existing funds.
SB 1256 requires Tennessee's Department of Finance and Administration, working with the Department of Health and TennCare, to apply for federal approval by January 1, 2026, to import prescription drugs from Canada. The bill mandates that the application must prove imported drugs meet federal/state safety standards, comply with supply chain laws, list cost-saving drugs, and estimate annual savings versus importation costs. If approved, the state would implement a program focused on the most cost-effective drugs for TennCare (state Medicaid) and residents. This bill does not directly change drug prices or guarantee savings but sets a process for potential future cost reductions through federal approval. It affects state Medicaid programs and residents relying on prescription medications.
SB 650 ("Emma's Bill") requires Tennessee's TennCare program to consider a patient's overall health condition - not just cost - when deciding if medical services are medically necessary. It directly affects TennCare patients (particularly those with complex needs like ventilator use or mobility issues) and the Tennessee Department of Health (the "bureau" making coverage decisions). The bill amends TennCare rules to mandate that reviewers assess factors like mobility, cognitive ability, need for supervision, and life-sustaining equipment, even if the chosen care isn't the least expensive option. This shifts the focus from cost-cutting to holistic patient needs in coverage determinations. The law takes effect July 1, 2025.
SB 205 requires TennCare health benefit plans (for Tennessee's Medicaid program) renewed or issued after July 1, 2025, to cover and reimburse FDA-approved biomarker testing for preeclampsia in pregnant women. This directly affects pregnant TennCare enrollees, health insurance carriers providing TennCare plans, and healthcare providers who order the tests. The bill mandates coverage only when ordered by a physician following clinical guidelines, using tests that meet FDA standards for detecting preeclampsia biomarkers in blood or tissue. The law takes effect July 1, 2025, with TennCare able to seek federal approval for coverage through CMS waivers.
HB 712 requires Tennessee's Department of Disability and Aging and TennCare to create and publish guidelines for hiring family members as caregivers for individuals with disabilities receiving Medicaid services. It prohibits service providers from denying employment to qualified family caregivers based on factors like family relationships, residence, age, guardianship status, or specific Medicaid waiver programs (including Katie Beckett and self-determination waivers). The bill also prevents providers from reducing benefits for individuals with disabilities solely because care is provided by a family member, unless through the person-centered planning process. This directly affects family caregivers seeking employment, disability service providers, and individuals receiving long-term care services under Tennessee's Medicaid programs.
SB 1178 requires Tennessee's Department of Disability and Aging and TennCare to create guidelines enabling family members to work as caregivers for people with disabilities. It prohibits Medicaid service providers from denying employment to qualified family caregivers based on factors like family relationship, residence, age, or guardianship status. The bill also prevents providers from reducing benefits for individuals with disabilities solely because their caregiver is a family member. These changes ensure family caregivers can work without discrimination under Tennessee's Medicaid programs.
