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Bill > HB1864
TN HB1864
TN HB1864AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities.
summary
Introduced
01/21/2026
01/21/2026
In Committee
04/07/2026
04/07/2026
Crossed Over
04/13/2026
04/13/2026
Passed
Dead
Introduced Session
Potential new amendment
114th General Assembly
Bill Summary
As introduced, extends the nursing home annual assessment fee to June 30, 2027; makes other related revisions. - Amends TCA Title 71, Chapter 5, Part 10.
AI Summary
This bill extends the nursing home annual assessment fee, which is a fee paid by nursing facilities, to June 30, 2027, and makes other related changes to how Medicaid reimbursement for nursing facilities is calculated. It introduces new definitions for terms like "budget adjustment factor" (BAF), which is a percentage adjustment to reimbursement rates to meet budget targets, and "rebase" or "rebasing," a process to update reimbursement rates based on current costs. The bill also clarifies that cost reports with audit issues will be excluded from calculations and establishes a process for notifying legislative committees if payments are reduced. The changes are set to take effect on July 1, 2026, for most purposes, with provisions for rule-making taking effect upon becoming law.
Committee Categories
Budget and Finance, Business and Industry, Government Affairs, Health and Social Services
Sponsors (5)
Last Action
Received from House, Passed on First Consideration (on 04/14/2026)
bill text
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=HB1864&ga=114 |
| Amendment 1-0 to HB1864 | https://www.capitol.tn.gov/Bills/114/Amend/HA0697.pdf |
| Fiscal Memo for HA0697 (14398) | https://www.capitol.tn.gov/Bills/114/Fiscal/FM2024.pdf |
| Fiscal Note - HB1864 | https://www.capitol.tn.gov/Bills/114/Fiscal/HB1864.pdf |
| BillText | https://www.capitol.tn.gov/Bills/114/Bill/HB1864.pdf |
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