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TN HB0711

TN HB0711
AN ACT to amend Tennessee Code Annotated, Title 71, relative to TennCare.


summary

Introduced
02/03/2025
In Committee
03/18/2025
Crossed Over
Passed
Dead

Introduced Session

Potential new amendment
114th General Assembly

Bill Summary

As introduced, enacts the "TennCare Network Reporting Reform Act." - Amends TCA Title 71.

AI Summary

This bill introduces the "TennCare Network Reporting Reform Act", which requires the Tennessee Medicaid program (TennCare) to publish detailed annual public reports about its waiver programs. Specifically, TennCare must gather and make available on its website comprehensive data about network adequacy for 1115(c) and 1915(c) waiver programs by January 15, 2026, and each subsequent year. These waiver programs include services for people with disabilities like the CHOICES, Employment and Community First CHOICES, Katie Beckett, self-determination, and home and community-based services programs. The published data must include metrics such as service utilization percentage (the proportion of allocated benefit units actually used), appointment wait times, and the time between service approval and actual service receipt. The reports must be broken down by service type, waiver group, county, and demographics, use data from the previous calendar year, be publicly accessible, and downloadable in a comma-separated values file format. The bill aims to increase transparency and provide stakeholders with detailed information about the accessibility and effectiveness of TennCare's disability services.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (1)

Last Action

Taken off notice for cal. in Insurance Committee (on 04/02/2025)

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