Managed Care Organizations - As enacted, prohibits a managed care organization from including a provision in the managed care organization's contract with a qualified nursing facility to provide medicaid nursing facility services, that permit actual or constructive termination by the MCO without cause, for convenience, or termination without specifying the grounds for termination; requires the bureau of TennCare, in conjunction with the department of commerce and insurance, to review and approve all standard contract templates used by MCOs for facility contracting to ensure compliance. - Amends TCA Title 56; Title 68, Chapter 11 and Title 71, Chapter 5.
HB 2093 prevents managed care organizations (MCOs) from unilaterally ending contracts with qualified nursing facilities in Tennessee's TennCare program, except under specific circumstances. The bill gives the TennCare bureau exclusive authority to decide if a nursing facility can be terminated from the program, not the MCOs. MCOs must report concerns about facilities to the bureau instead of acting alone, and must continue services during the bureau's review. This changes how MCOs manage nursing facility contracts, ensuring only the bureau can approve terminations.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
May 2026
Signed into Law
May 2026
Introduced Feb 4, 2026
Signed May 19, 2026
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
30
Key actions
16
Committee
13
Amendments
1
May 19, 2026
Signed into law
Signed by Governor.
lower
May 5, 2026
Upper · Passed
Signed by Senate Speaker
upper
Apr 30, 2026
Lower · Passed
Signed by H. Speaker
lower
Apr 16, 2026
Lower · Passed
H. adopted am. (Amendment 1 - HA0948)
lower
Apr 16, 2026
Lower · Passed
Passed H., as am., Ayes 92, Nays 0, PNV 4
lower
Apr 16, 2026
Introduced
Received from House, Passed on First Consideration
lower
Apr 16, 2026
Upper · Passed
Passed Senate, Ayes 29, Nays 0
upper
Apr 8, 2026
Lower · Passed
Placed on cal. Calendar & Rules Committee for 4/9/2026
lower
Apr 6, 2026
Lower · Passed
Rec. for pass; ref to Calendar & Rules Committee
lower
Apr 1, 2026
Lower · Passed
Placed on cal. Government Operations Committee for 4/6/2026
lower
Mar 31, 2026
Lower · Passed
Rec. for pass. if am., ref. to Government Operations Committee
lower
Mar 25, 2026
Committee
Rec for pass if am by s/c ref. to Health Committee
lower
Mar 25, 2026
Lower · Passed
Placed on cal. Health Committee for 3/31/2026
lower
Mar 18, 2026
Lower · Passed
Action Def. in s/c Health Subcommittee to 3/25/2026
lower
Mar 18, 2026
Lower · Passed
Placed on s/c cal Health Subcommittee for 3/25/2026
lower
Mar 11, 2026
Lower · Passed
Action Def. in s/c Health Subcommittee to 3/18/2026
lower
Mar 11, 2026
Lower · Passed
Placed on s/c cal Health Subcommittee for 3/18/2026
lower
Mar 4, 2026
Lower · Passed
Placed on s/c cal Health Subcommittee for 3/11/2026
lower
Feb 5, 2026
Committee
P2C, ref. to Health Committee - Government Operations for Review
lower
Feb 5, 2026
Committee
Assigned to s/c Health Subcommittee
lower
Feb 4, 2026
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Ryan Williams
RRepublican
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