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Bill > HB1074
TN HB1074
TN HB1074AN ACT to amend Tennessee Code Annotated, Title 56 and Title 63, Chapter 1, relative to prior authorization for healthcare services.
summary
Introduced
02/05/2025
02/05/2025
In Committee
03/12/2025
03/12/2025
Crossed Over
Passed
04/08/2025
04/08/2025
Dead
Signed/Enacted/Adopted
04/08/2025
04/08/2025
Introduced Session
114th General Assembly
Bill Summary
As enacted, removes the requirement that a provider notify a patient of communication between the provider and a health insurance entity or healthcare facility concerning additional information needed to process a prior authorization request for the patient; removes the requirement that an utilization review agent notify the enrollee and the provider or healthcare facility when additional information is needed from the enrollee, provider, or healthcare facility to make a determination on the request for prior authorization. - Amends TCA Title 56 and Title 63, Chapter 1.
AI Summary
This bill proposes amendments to Tennessee Code Annotated in Titles 56 and 63, specifically focusing on prior authorization for healthcare services. The bill removes Section 63-1-171 entirely from the Tennessee Code and eliminates subdivision (a)(4) from Section 56-6-705. Prior authorization is a process where healthcare providers must obtain approval from a health insurance entity before performing certain medical services or treatments. While the government-provided summary suggests the bill includes a requirement for healthcare providers to notify patients about communications with their health insurance entity regarding prior authorization requests within seven days, the actual bill text does not reflect this specific provision. The changes appear to be technical in nature, potentially simplifying or removing existing regulations related to healthcare service authorization. The bill would take effect immediately upon becoming law, as stated in Section 3, which emphasizes that the public welfare requires its implementation.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (3)
Last Action
Comp. became Pub. Ch. 125 (on 04/08/2025)
bill text
bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=HB1074&ga=114 |
| BillText | https://publications.tnsosfiles.com/acts/114/pub/pc0125.pdf |
| Amendment 1-0 to HB1074 | https://www.capitol.tn.gov/Bills/114/Amend/HA0031.pdf |
| Fiscal Memo for HA0031 (4013) | https://www.capitol.tn.gov/Bills/114/Fiscal/FM0170.pdf |
| Fiscal Note - SB1063 | https://www.capitol.tn.gov/Bills/114/Fiscal/SB1063.pdf |
| BillText | https://www.capitol.tn.gov/Bills/114/Bill/HB1074.pdf |
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