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TN SB0748

TN SB0748
AN ACT to amend Tennessee Code Annotated, Title 71, relative to TennCare.


summary

Introduced
02/04/2025
In Committee
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 rules for ground-based ambulance services based in Tennessee. Specifically, the bill requires TennCare to reimburse ambulance services at two different rates: for emergency services, ambulance providers will receive at least 67.5% of the federal Medicare program's allowable charge for participating providers, and for nonemergency services, they will receive 100% of the Medicare program's allowable charge. This change aims to ensure that ambulance services are adequately compensated for their services to TennCare recipients, with a higher reimbursement rate for nonemergency transport compared to emergency transport. The bill will take effect immediately upon becoming law, with the stated purpose of serving the public welfare by providing more consistent and potentially more financially sustainable reimbursement for ambulance services in the state.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (2)

Last Action

Assigned to General Subcommittee of Senate Finance, Ways, and Means Committee (on 04/21/2025)

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