TennCare - As introduced, removes the requirement that the governor receive authorization by the general assembly prior to making any decision or obligating the state with regard to the expansion of optional enrollment in the medical assistance program. - Amends TCA Title 71.

HB 1104 removes a requirement that the Tennessee governor must obtain approval from the state legislature before making decisions about expanding Medicaid enrollment (TennCare). This change directly affects the governor's authority regarding Medicaid program expansions, eliminating the need for legislative authorization. The bill amends Tennessee Code Annotated Title 71 by deleting Section 71-5-126, which previously mandated that legislative approval be secured for such decisions. The policy change allows the governor to act independently on Medicaid expansion without prior consent from the General Assembly.