Bill > SB1852

This bill, known as the "TennCare Buy-In Act," establishes a new program allowing certain Tennessee residents to purchase health coverage through the state's existing TennCare system, which is Tennessee's medical assistance program. The program aims to provide an affordable health coverage option by leveraging TennCare's infrastructure and provider networks, with the goal of reducing uncompensated care costs for hospitals and improving health outcomes. To be eligible, individuals must be Tennessee residents between 18 and 65 years old, not eligible for Medicare or other TennCare programs, not incarcerated, and meet citizenship requirements, while also paying a monthly premium based on their household income as a percentage of the Federal Poverty Level (FPL), which are federal guidelines for poverty. The Department of Finance and Administration will administer the program, setting premium schedules on a sliding scale, potentially offering lower or waived premiums for lower incomes, and establishing cost-sharing like copayments and deductibles in line with federal law. Enrollees will receive the full scope of TennCare benefits, excluding non-emergency medical transportation, delivered through managed care organizations and provider networks. The bill also outlines application and enrollment procedures, annual eligibility renewals, and requires the department to seek federal approval and funding, with collected premium revenues dedicated to program costs. Finally, the department will conduct regular fiscal reviews to ensure the program's long-term sustainability.

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https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=SB1852&ga=114