Health Care - As introduced, requires TennCare to create a methodology to make medicaid facility fee reimbursement rates for birthing centers comparable to rates for similar services provided at a hospital; requires the department of health to give priority to allocating federal rural health transformation program grant funds to birthing centers in rural counties and urban counties that serve residents of rural counties. - Amends TCA Title 68 and Title 71.

SB 2287 requires Tennessee's Medicaid program (TennCare) to create a method for setting birthing center reimbursement rates that match hospital rates for similar services, with annual increases tied to hospital rate changes. It also directs the state health department to prioritize allocating federal rural health grant funds to birthing centers in rural counties, and to second priority to urban centers serving rural residents without local birthing options. This bill directly affects birthing centers (especially in rural areas) and Medicaid beneficiaries who use these services. The key changes are concrete: standardized reimbursement rates and targeted grant funding to improve access to maternity care in underserved regions.