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Bill > HB0502


TN HB0502

TN HB0502
AN ACT to amend Tennessee Code Annotated, Title 56 and Title 71, relative to TennCare.


summary

Introduced
01/29/2025
In Committee
02/26/2025
Crossed Over
03/11/2025
Passed
04/03/2025
Dead
Signed/Enacted/Adopted
04/04/2025

Introduced Session

114th General Assembly

Bill Summary

As enacted, authorizes the bureau to provide coverage and treatment on behalf of an enrollee for the diagnosis, including genetic testing, and treatment of Kleefstra syndrome in the same manner and to the same extent that the bureau provides coverage for autism spectrum disorder, Trisomy 21 or Down syndrome, and other similar or related genetic disorders, when determined to be medically necessary. - Amends TCA Title 56 and Title 71.

AI Summary

This bill aims to require TennCare (Tennessee's Medicaid program) to provide coverage and benefits for individuals with Kleefstra syndrome, a rare genetic disorder caused by a mutation or deletion in the EHMT1 gene. The bill defines Kleefstra syndrome as a condition affecting multiple body systems and characterized by symptoms such as developmental delay, intellectual disability, distinctive facial features, speech and hearing disorders, seizures, gastrointestinal issues, respiratory infections, autism, obesity, and organ defects. Specifically, the bill mandates that TennCare provide coverage for diagnosis (including genetic testing) and treatment of Kleefstra syndrome in the same manner as coverage for other genetic disorders like autism spectrum disorder and Down syndrome. The coverage may include early intervention services aimed at improving the enrollee's quality of life and development, such as appropriate therapies, medications, educational programs, treatments, and necessary medical equipment. Additionally, the bill authorizes the TennCare director to apply for federal waivers as needed to implement these provisions. The bill is set to take effect on July 1, 2025, with the goal of supporting individuals and families affected by this rare genetic condition.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (12)

Last Action

Effective date(s) 07/01/2025 (on 04/04/2025)

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