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TN HB0201

TN HB0201
AN ACT to amend Tennessee Code Annotated, Title 71, relative to TennCare.


summary

Introduced
01/16/2025
In Committee
03/12/2025
Crossed Over
Passed
Dead

Introduced Session

114th General Assembly

Bill Summary

As introduced, requires the bureau of TennCare to reimburse certain public or private ground-based ambulance services that bill for transports at a rate not less than 67.5 percent of the federal medicare program's allowable charge for participating providers for emergency services and 100 percent of the federal medicare program's allowable charge for participating providers for nonemergency services. - Amends TCA Title 71.

AI Summary

This bill amends Tennessee's TennCare (the state's Medicaid program) reimbursement regulations for ground-based ambulance services. Specifically, the bill requires TennCare to reimburse ambulance services located in Tennessee at specific rates based on the type of service provided: for emergency services, the reimbursement must be at least 67.5% of the federal Medicare program's allowable charge for participating providers, and for nonemergency services, the reimbursement must be at least 100% of the Medicare program's allowable charge. This change aims to ensure that ambulance services in Tennessee receive fair compensation for their services to TennCare recipients, with higher reimbursement rates for nonemergency transports. The bill will take effect immediately upon becoming law, with the stated purpose of serving the public welfare by supporting local ambulance services.

Committee Categories

Budget and Finance, Business and Industry, Health and Social Services

Sponsors (12)

Last Action

Sponsor(s) Added. (on 03/05/2026)

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