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TN HB0018

TN HB0018
AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.


summary

Introduced
11/25/2024
In Committee
02/11/2025
Crossed Over
Passed
Dead
03/05/2025

Introduced Session

114th General Assembly

Bill Summary

As introduced, directs the bureau to establish a temporary TennCare benefits program to provide medical assistance on a temporary basis to certain individuals who do not qualify for enrollment in TennCare, CoverKids, or a successor program; requires the bureau to submit a waiver to the federal centers for medicare and medicaid services by December 31, 2025. - Amends TCA Title 71, Chapter 5.

AI Summary

This bill establishes a temporary TennCare benefits program in Tennessee designed to provide medical assistance to individuals who do not currently qualify for existing healthcare programs. The program would offer medical coverage for up to 12 months within a 24-month period, with a lifetime maximum of 60 months, for two distinct groups: individuals under 21 years old and those 21 and older. Both groups must have family incomes at or below 138% of the federal poverty level and be ineligible for standard TennCare, CoverKids, or similar programs. The program will be funded through 90% federal funds and 10% state funds, and will not impact the existing TennCare block grant financing agreement. The Bureau of TennCare is required to submit a waiver application to federal Medicare and Medicaid services by December 31, 2025, and develop administrative rules for implementing the program, including application processes and beneficiary tracking. Importantly, the program is not an entitlement and is subject to annual appropriations, with enrollment beginning six months after federal waiver approval. The bill aims to provide temporary medical assistance to low-income individuals who fall through gaps in current healthcare coverage.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (1)

Last Action

Failed in Insurance Committee (on 03/05/2025)

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