HB 173 sets new minimum (100%) and maximum (120%) reimbursement rates for rural hospitals providing services to TennCare patients, directly affecting rural hospitals with 49 or fewer beds located outside urbanized areas. The bill requires these rates to be calculated based on each hospital's current federal Medicare reimbursement rates. It amends Tennessee Code to define "rural hospital" and mandates that TennCare's reimbursement levels align with Medicare rates for routine inpatient care. The director may seek federal waivers to implement this without expanding Medicaid eligibility.
HB 39, the "Menstrual Hygiene Products Accessibility Act," requires all Tennessee public school districts and charter schools serving senior high schools (grades 9-12) to provide free feminine hygiene products (such as tampons, pads, and menstrual cups) in all women's/girls' bathrooms, locker rooms, and with school nurses. These products must be available at no cost exclusively for student use, and the law takes effect July 1, 2025. The bill amends Tennessee law to mandate this access, replacing prior language that only authorized (but did not require) such provisions.
HB 1158 would allow TennCare enrollees in Part A of the Katie Beckett program (children with disabilities requiring long-term care) to use their allocated funds for home and community-based services through health reimbursement arrangements. The bill requires the TennCare director to take necessary actions, including seeking federal waiver amendments, to enable this option. It directly affects families enrolled in the Katie Beckett program who currently access care funding through traditional methods. The policy change aims to provide greater flexibility in how these funds are utilized for care services.
HB 195 establishes separate reimbursement rates for ambulance services under Tennessee's TennCare program. Urban ambulance providers will be reimbursed at 67.5% of Medicare rates, while rural ambulance providers will receive 100% of Medicare rates for services to TennCare recipients. The bill also authorizes emergency medical equipment grants for for-profit rural ambulance service providers. These changes directly affect ambulance companies operating in rural or urban areas that bill TennCare. The policy aims to address cost disparities between service areas while maintaining existing billing frameworks.
SB 1377, the Voluntary Portable Benefit Plan Act, allows businesses to voluntarily contribute to portable benefit plans for independent contractors. These plans, administered by third-party providers chosen by the contractor, cover health, disability, unemployment, life insurance, and retirement benefits. Contributions can be made directly by the business or by withholding a portion of the contractor’s pay, but only with a clear written opt-in agreement and the ability to opt out at any time. The bill amends Tennessee law to ensure these contributions cannot be used to determine a worker’s employment classification as an employee or independent contractor.
HB 62 authorizes Tennessee athletic trainers to use dry needling for preventing, treating, and rehabilitating athletic injuries, directly affecting licensed athletic trainers in the state. The bill requires the Board of Athletic Trainers to establish minimum competency standards that practitioners must demonstrate to safely perform dry needling. It clarifies that this practice does not constitute acupuncture under existing law. The policy change expands athletic trainers' scope of practice with specific safety safeguards, effective March 28, 2025.
SB 569 prevents pharmacies from charging administrative fees for hormonal contraceptives when a patient's insurance covers the cost and includes pharmacy benefits. It directly affects insured patients seeking hormonal contraceptives and pharmacists who previously might have charged such fees. The bill amends Tennessee law to remove language allowing pharmacies to require these fees, ensuring patients covered by insurance do not face additional costs. The law takes effect July 1, 2025, and applies to all pharmacies in Tennessee.
SB 174 amends Tennessee law to update requirements for surgical assistants seeking board registration. It adds the American Board of Surgical Assistants (ABSA) as an accepted credentialing body alongside the National Commission for Certification of Surgical Assistants, allowing applicants to maintain current ABSA credentials. The bill also removes the December 31, 2019, deadline for applicants to register based on practical experience, making registration more flexible. This change directly affects surgical assistants in Tennessee seeking state licensure, effective March 25, 2025. The law modifies Tennessee Code Annotated § 63-6-219(b)(1) and (b)(3).
HB 1319 extends Tennessee's CoverKids program, which provides health insurance for children, by changing its expiration date from June 30, 2025, to June 30, 2030. It amends Tennessee Code Annotated Section 71-3-1113 to update this deadline. The bill directly affects low-income children and families enrolled in CoverKids, ensuring continued eligibility for coverage through 2030. This is a straightforward extension of an existing program, with no changes to eligibility criteria or funding structure. The bill became law on April 8, 2025.
HB 1157, the "Restore Trust in Public Health Messaging Act," requires Tennessee's Department of Health, local health departments, and state executive branch to ensure all public communications about FDA-regulated products (like medications) accurately reflect the FDA-approved or FDA-authorized labels. It prohibits promoting information that conflicts with these labels, including general product categories unless universally true or properly qualified. The law mandates an internal compliance review by July 2025, annual reporting to state officials starting in 2026, and a complaint process for violations with potential penalties. This directly affects state health agencies' public messaging about medical products, aiming to align communications with federal FDA standards.
