Bill > HB0869

This bill makes several changes to Tennessee's health records and insurance regulations. It modifies existing law to require health insurance entities to establish and maintain five specific application programming interfaces (APIs), which are technical tools that allow different software systems to communicate and exchange data. These APIs include patient access, provider directory, payer-to-payer exchange, provider access, and prior authorization APIs, all of which are defined by federal regulations (42 CFR § 422.119-122). The bill requires health insurance entities to implement these APIs at the earliest date required by the Centers for Medicare & Medicaid Services (CMS) for their regulated plan types. Additionally, the bill removes some existing language from sections of Tennessee Code related to health records, potentially simplifying the existing regulations. The changes are set to take effect on July 1, 2025, with the stated goal of facilitating better access to health information for patients and healthcare providers by standardizing digital information exchange methods.

Business and Industry, Health and Social Services

https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=HB0869&ga=114