TennCare - As introduced, enacts "Emma's Bill," which requires that when making a determination of medical necessity, the bureau shall take into consideration the patient's overall condition and use such overall condition as a factor to determine the level of funding and what medical items and services the patient receives, even if such determination does not result in the least costly course of diagnosis or treatment. - Amends TCA Title 4 and Title 71.

SB 650 ("Emma's Bill") requires Tennessee's TennCare program to consider a patient's overall health condition - not just cost - when deciding if medical services are medically necessary. It directly affects TennCare patients (particularly those with complex needs like ventilator use or mobility issues) and the Tennessee Department of Health (the "bureau" making coverage decisions). The bill amends TennCare rules to mandate that reviewers assess factors like mobility, cognitive ability, need for supervision, and life-sustaining equipment, even if the chosen care isn't the least expensive option. This shifts the focus from cost-cutting to holistic patient needs in coverage determinations. The law takes effect July 1, 2025.