SB 210 establishes separate reimbursement rates for rural and urban ambulance services under Tennessee's TennCare program. Rural ambulance providers will receive 100% of Medicare's allowable charge for services to TennCare recipients, while urban providers receive 67.5%. The bill also authorizes emergency medical services equipment grants for for-profit rural ambulance providers. It defines "rural" and "urban" areas using federal standards (per 42 CFR 414.605) to determine service locations. This directly affects ambulance service providers operating in rural versus urban areas and ensures TennCare covers their services at these adjusted rates.
HB 179 modifies Tennessee's criminal abortion law by adding exceptions that exempt certain abortions from criminal prosecution. It specifies that performing an abortion is not a crime if it is necessary to protect the pregnant person's physical or mental health, or if the pregnancy resulted from rape or incest (as defined in Tennessee law). The bill amends Title 39, Chapter 15 of Tennessee Code, reclassifying such abortions as non-criminal under these specific circumstances. This change takes effect July 1, 2025, directly affecting licensed physicians performing abortions and pregnant individuals in these defined situations.
House Joint Resolution 91 is a symbolic resolution expressing the Tennessee General Assembly's support for the SREB Crisis Recovery Network. It directly supports Tennessee schools, districts, and postsecondary institutions by endorsing a regional network that provides long-term, specialized counseling services after crises like natural disasters, school shootings, or public emergencies. The resolution recognizes that schools often lack sustained mental health resources, especially in rural areas, and highlights the network’s role in deploying trained counselors to aid recovery for students, teachers, and communities over extended periods. This is a non-binding statement of support, not a law imposing new requirements.
SB 402 prohibits healthcare providers from reporting a patient's medical debt to credit bureaus and bans credit bureaus from including medical debt in consumer credit reports. It directly affects patients (preventing medical debt from damaging credit scores), healthcare providers (who can no longer report such debt to bureaus), and credit bureaus (which must remove existing medical debt records). The law takes effect July 1, 2025, covering all medical debt from healthcare services, though providers may still report to debt collectors. Violations are enforced under Tennessee's Consumer Protection Act, with remedies available through the Attorney General's office.
HB 310 creates a legal presumption that post-traumatic stress disorder (PTSD) diagnosed in law enforcement officers or emergency medical responders (like EMTs and paramedics) was incurred while performing job duties, making it automatically eligible for workers' compensation coverage. This applies to those diagnosed after responding to specific incidents, shifting the burden to employers to prove otherwise. The bill amends Tennessee workers' compensation laws (TCA Title 7, Chapter 51 and Title 50, Chapter 6) to explicitly include these professions under the presumption, removing prior exclusions of "firefighter" language. It directly affects first responders who develop PTSD in the line of duty, streamlining their access to benefits starting July 1, 2025.
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.
HB 782 creates a new pilot PACE (Programs of All-Inclusive Care for Elderly) program in one Tennessee grand division without an existing PACE program as of 2024, while allowing current PACE providers in counties with a 2020 census population of 366,200-366,300 to expand into contiguous counties meeting specific population thresholds (12,700-12,800, 32,800-32,875, or 108,600-108,700). It requires applicants to submit service area maps, market analyses proving unmet need, and CMS compliance certifications, and mandates annual reports to legislative leaders. The bill directly affects elderly Tennesseans eligible for PACE care (meeting federal CMS criteria) and PACE providers seeking to expand services. It became effective May 21, 2025, after Governor approval.
SB 289 creates a legal presumption that post-traumatic stress disorder (PTSD) diagnosed in law enforcement officers and emergency medical responders (EMTs) is work-related if it results from responding to specific incidents, making it automatically eligible for workers' compensation coverage. This directly affects those first responders by streamlining their claims process without requiring separate proof of work connection. The bill amends Tennessee Code Sections 7-51-206 and 50-6-101 to replace "firefighter" with "law enforcement officer or emergency medical responder" throughout the relevant workers' compensation provisions. The change takes effect July 1, 2025, applying to claims for PTSD incurred while performing official duties.
HB 717 creates the "Caring for Caregivers Act," establishing a pilot program that provides financial grants to family caregivers of individuals with Alzheimer's disease or related dementia. It directly affects caregivers who provide unpaid care to eligible family members living in private homes (not facilities) and incur eligible expenses like home modifications, medical equipment, or respite care. The program offers up to $6,000 annually per caregiver, with eligibility based on household income not exceeding $37,000 (adjusted annually for inflation) and requiring the care recipient to need assistance with at least two activities of daily living. The pilot runs from July 2025 through December 2028, funded through initial appropriations and dedicated state funds.
SB 1426, known as "Lucca's Law," requires TennCare managed care plans to cover medically necessary treatments for children diagnosed with PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections) and PANS (pediatric acute-onset neuropsychiatric syndrome). It mandates coverage for antibiotics, behavioral therapies, immune-modulating drugs, plasma exchange, and IV immunoglobulin therapy, with no higher copays or deductibles than other similar treatments. The law also prohibits denying or delaying coverage based on prior treatment history or different diagnostic labels, and requires coverage to be provided without lifetime limits. This applies to all TennCare managed care organizations starting January 1, 2026, and specifies that PANDAS/PANS must be coded as autoimmune encephalitis until new medical codes are established.
