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.

SB 1390 expands Tennessee's TennCare Program of All-Inclusive Care for the Elderly (PACE) by creating a new pilot program in a grand division without an existing PACE service area as of 2024. It also allows an existing PACE program in a specific county (population 366,200-366,300) to expand into contiguous counties meeting defined population thresholds (12,700-12,800; 32,800-32,875; or 108,600-108,700). The bill requires applicants to submit service area plans, market analyses, and proof of unmet need, while directing TennCare to coordinate referrals and monitor program quality. This law directly affects elderly Tennesseans eligible for nursing facility-level care who require comprehensive, integrated services through PACE programs.