Public Funds and Financing - As introduced, creates the medical expense relief fund to assist the next of kin and the estate of a decedent who was enrolled in TennCare at the time of death with paying the decedent's medical debt and expenses; requires the department of human services to administer the fund and the awarding of grants. - Amends TCA Title 4, Chapter 3; Title 9 and Title 71.

SB 647 creates a $250 million medical expense relief fund to help the next of kin or estate of a person who died while enrolled in TennCare pay outstanding medical bills and related costs, including unpaid premiums and benefits. The Tennessee Department of Human Services will administer the fund, requiring applicants to submit documentation of the deceased person's medical debt and financial need. Grants may be awarded directly to families, estates, or medical providers, but must be used exclusively for the deceased's medical expenses. The fund, initially funded by a state appropriation, will carry forward any unspent balance to the next fiscal year.