TennCare - As enacted, directs the director to establish an additional PACE program as a pilot in one of the two grand divisions where a PACE program did not exist in 2024; permits a current PACE program in a county with a specific population to expand into contiguous counties having specifically listed populations. - Amends TCA Title 71.

HB 782 creates a new pilot PACE (Programs of All-Inclusive Care for Elderly) program in one Tennessee grand division without an existing PACE program as of 2024, while allowing current PACE providers in counties with a 2020 census population of 366,200-366,300 to expand into contiguous counties meeting specific population thresholds (12,700-12,800, 32,800-32,875, or 108,600-108,700). It requires applicants to submit service area maps, market analyses proving unmet need, and CMS compliance certifications, and mandates annual reports to legislative leaders. The bill directly affects elderly Tennesseans eligible for PACE care (meeting federal CMS criteria) and PACE providers seeking to expand services. It became effective May 21, 2025, after Governor approval.