This Tennessee bill (SB 259) clarifies that parents, legal guardians, or custodians can access all health and medical records of unemancipated minors - including records from treatments provided without parental consent. It also permits school staff to provide basic first aid (bandages, gauze, or ice packs) for minor cuts, scrapes, or bumps. The law affects parents, schools, and healthcare providers by expanding access to minors' health records and defining school staff's limited medical authority. It amends Tennessee codes related to healthcare, education, and minor treatment (Titles 33, 36, 37, 49, 63, and 68).
SB 1389 prohibits healthcare providers participating in Tennessee's TennCare or CoverKids programs from refusing to treat patients solely because they decline vaccines or immunizations. It requires the state to stop reimbursing providers who violate this rule and mandates the TennCare director to create implementing regulations. The law excludes oncology and organ transplant specialists from the prohibition. The bill takes effect July 1, 2025, with rules to be established under state administrative procedures.
SB 706, the "TennCare Network Reporting Reform Act," requires Tennessee's Medicaid program (TennCare) to publicly report specific data about service access starting in 2026. It directly affects TennCare beneficiaries, particularly those using disability waiver programs like CHOICES and Employment and Community First CHOICES, by making system performance data accessible. The bill mandates annual publication of metrics including appointment wait times, time between service approval and receipt, service utilization rates, and network adequacy data, broken down by service type, county, and demographics. This data must be published on TennCare's website in a downloadable CSV format for public transparency.
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.
SB 1053 would allow TennCare enrollees in Part A of the Katie Beckett program (children with disabilities requiring long-term care) to access their allocated community-based care funds through health reimbursement arrangements instead of traditional service delivery. 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 by expanding how they can use their state-funded care resources. The change modifies Tennessee Code Annotated § 71-5-164 to implement this flexibility in fund utilization. This is a procedural policy change focused on administrative access to existing funds.
SB 185 establishes minimum (100%) and maximum (120%) reimbursement rates for rural hospitals providing routine inpatient services to TennCare enrollees. It directly affects rural hospitals defined as those with 49 or fewer beds located in non-urban census areas. The bill requires these rates to be based on each hospital's current Medicare reimbursement rates for the federal fiscal year, rather than a fixed formula. The legislation is pending review by the Senate Finance Committee and has not yet become law.
SB 748 changes how Tennessee's TennCare program reimburses ambulance services. It requires TennCare to pay public or private ambulance providers in Tennessee at least 67.5% of Medicare's rate for emergency transports and 100% of Medicare's rate for non-emergency transports. This applies specifically to ambulance services with a base of operations in Tennessee that bill for covered services provided to TennCare recipients. The bill amends Tennessee law to establish these specific reimbursement rates relative to Medicare's allowable charges.
SB 334, the "Tennessee Medicaid Modernization and Access Act of 2025," requires TennCare to update reimbursement rates for key healthcare services - including obstetrics/gynecology, primary care, outpatient mental health, and substance use disorder treatment - to match either the Medicare fee schedule or average commercial rates (whichever is higher) starting in 2025. This directly affects Medicaid beneficiaries (by improving access to these services) and healthcare providers (by ensuring fairer payments). The bill mandates annual rate reviews to maintain alignment with federal guidelines and allows providers to request administrative hearings for payment disputes. It also includes provisions for quality-based incentive payments in underserved areas and requires annual reports on fiscal impacts and service access improvements.
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.
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.
