Bill > HB1993

This bill mandates that health insurance providers in Tennessee must reimburse licensed medical laboratories for testing services at a rate no lower than the federal Centers for Medicare & Medicaid Services (CMS) clinical laboratory fee schedule, provided the laboratory is eligible to be an in-network provider. This aims to ensure fair payment for laboratory services. Additionally, managed health insurance providers, which are types of health insurance plans that manage healthcare costs and services, are allowed to require these laboratories to meet the same performance standards as their in-network counterparts in order to receive this minimum reimbursement rate. The bill also clarifies that insurance providers cannot deny a licensed medical laboratory the right to participate as an in-network provider under the same terms as other labs, nor can they prevent patients from choosing their preferred licensed medical laboratory if it is a participating provider.

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https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=HB1993&ga=114