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TN HB2093

TN HB2093
AN ACT to amend Tennessee Code Annotated, Title 56; Title 68, Chapter 11 and Title 71, Chapter 5, relative to managed care organizations.


summary

Introduced
02/02/2026
In Committee
04/06/2026
Crossed Over
04/16/2026
Passed
05/19/2026
Dead
Signed/Enacted/Adopted
05/26/2026

Introduced Session

114th General Assembly

Bill Summary

As enacted, prohibits a managed care organization from including a provision in the managed care organization's contract with a qualified nursing facility to provide medicaid nursing facility services, that permit actual or constructive termination by the MCO without cause, for convenience, or termination without specifying the grounds for termination; requires the bureau of TennCare, in conjunction with the department of commerce and insurance, to review and approve all standard contract templates used by MCOs for facility contracting to ensure compliance. - Amends TCA Title 56; Title 68, Chapter 11 and Title 71, Chapter 5.

AI Summary

This bill, effective July 1, 2026, aims to protect qualified nursing facilities by preventing managed care organizations (MCOs), which are entities like health maintenance organizations that contract with the state's TennCare program to provide services, from terminating their contracts without specific, valid reasons. The bill defines "termination" as the involuntary removal of a nursing facility from an MCO's network or the TennCare program, excluding voluntary departures. It explicitly prohibits MCO contracts from allowing termination without cause, for convenience, or without stating the grounds for termination. Furthermore, the bureau of TennCare, in collaboration with the department of commerce and insurance, will be responsible for reviewing and approving all standard contract templates used by MCOs to ensure they comply with these new provisions, thereby centralizing the authority for removing a nursing facility from the TennCare program with the state's bureau.

Committee Categories

Government Affairs, Health and Social Services

Sponsors (1)

Last Action

Effective date(s) 07/01/2026 (on 05/26/2026)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Long-term Care and Elderly Issues

bill text


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