Amends TCA Title 71, Chapter 5.
ON MARCH 16, 2023, THE HOUSE ADOPTED AMENDMENT #1 AND PASSED HOUSE BILL 152, AS AMENDED.<br /> <br /> AMENDMENT #1 rewrites this bill to make the following changes to the present law relative to the annual coverage assessment act: <br /> <br /> (1) Changes the name of the present law to the "Annual Coverage Assessment Act of 2023"; and<br /> <br /> (2) Revises the present law provision that provides that monies credited or deposited to the maintenance of coverage trust fund, together with all federal matching funds, must be available to and used by the bureau only for expenditures in the TennCare program and include, amongst other purposes:<br /> <br /> (A) Expenditure for benefits and services under the TennCare program, including those that would have been subject to reduction or elimination from TennCare funding for FY 2023-2024, except for the availability of one-time funding for that year for, amongst others in present law:<br /> <br /> (i) Maintenance of payments for graduate medical education of at least $48 million, instead of $50 million, or a successor program as approved by CMS;<br /> <br /> (ii) An amount of $579,438, instead of $568,022, to maintain reimbursement at the same emergency care rate as in FY 2022-2023 for nonemergent care to children 12 to 24 months old;<br /> <br /> (iii) An amount of $70,900, instead of $2,030,1000, to the bureau to offset the elimination of the provision in the TennCare managed care contractor risk agreements for hospitals as follows: CRA 2.12.9.60-Specify in applicable provider agreements that all providers who participate in the federal 340B program give TennCare MCOs the benefit of 340B pricing; and<br /> <br /> (iv) An amount of $1,426,700, instead of $750,000, to provide funding for stipends for physicians and other healthcare providers who commit to work in designated medically underserved areas in this state;<br /> <br /> (B) The amount of payment to covered hospitals to be no less than forty and eight tenths percent, instead of thirty-eight and four tenths percent, of unreimbursed TennCare costs for all hospitals licensed by the state that reported TennCare charges and revenue and total expenses on the 2021 JAR, excluding state-owned hospitals;<br /> <br /> (C) Other programs and initiatives developed by the bureau, in consultation with the Tennessee Hospital Association, to offset the unreimbursed costs of providing services to TennCare enrollees and the financial consequences of the public health emergency. This amendment adds that the state portion of the funding for programs and initiatives developed under this provision must be used to obtain federal matching funds to raise funds up to $350,000,000; and<br /> <br /> (D) Other programs and initiatives developed by the bureau in consultation with the Tennessee Hospital Association to offset the unreimbursed costs of providing services to TennCare enrollees and the financial consequences of the public health emergency. The state portion must be provided to obtain federal matching funds to produce up to a maximum payment of $337,040,000 in hospital assistance.<br />
ON MARCH 16, 2023, THE HOUSE ADOPTED AMENDMENT #1 AND PASSED HOUSE BILL 152, AS AMENDED.<br /> <br /> AMENDMENT #1 rewrites this bill to make the following changes to the present law relative to the annual coverage assessment act: <br /> <br /> (1) Changes the name of the present law to the "Annual Coverage Assessment Act of 2023"; and<br /> <br /> (2) Revises the present law provision that provides that monies credited or deposited to the maintenance of coverage trust fund, together with all federal matching funds, must be available to and used by the bureau only for expenditures in the TennCare program and include, amongst other purposes:<br /> <br /> (A) Expenditure for benefits and services under the TennCare program, including those that would have been subject to reduction or elimination from TennCare funding for FY 2023-2024, except for the availability of one-time funding for that year for, amongst others in present law:<br /> <br /> (i) Maintenance of payments for graduate medical education of at least $48 million, instead of $50 million, or a successor program as approved by CMS;<br /> <br /> (ii) An amount of $579,438, instead of $568,022, to maintain reimbursement at the same emergency care rate as in FY 2022-2023 for nonemergent care to children 12 to 24 months old;<br /> <br /> (iii) An amount of $70,900, instead of $2,030,1000, to the bureau to offset the elimination of the provision in the TennCare managed care contractor risk agreements for hospitals as follows: CRA 2.12.9.60-Specify in applicable provider agreements that all providers who participate in the federal 340B program give TennCare MCOs the benefit of 340B pricing; and<br /> <br /> (iv) An amount of $1,426,700, instead of $750,000, to provide funding for stipends for physicians and other healthcare providers who commit to work in designated medically underserved areas in this state;<br /> <br /> (B) The amount of payment to covered hospitals to be no less than forty and eight tenths percent, instead of thirty-eight and four tenths percent, of unreimbursed TennCare costs for all hospitals licensed by the state that reported TennCare charges and revenue and total expenses on the 2021 JAR, excluding state-owned hospitals;<br /> <br /> (C) Other programs and initiatives developed by the bureau, in consultation with the Tennessee Hospital Association, to offset the unreimbursed costs of providing services to TennCare enrollees and the financial consequences of the public health emergency. This amendment adds that the state portion of the funding for programs and initiatives developed under this provision must be used to obtain federal matching funds to raise funds up to $350,000,000; and<br /> <br /> (D) Other programs and initiatives developed by the bureau in consultation with the Tennessee Hospital Association to offset the unreimbursed costs of providing services to TennCare enrollees and the financial consequences of the public health emergency. The state portion must be provided to obtain federal matching funds to produce up to a maximum payment of $337,040,000 in hospital assistance.<br />
Track Tennessee Legislation Like a Pro
Join hundreds of professionals using LegisGo to stay ahead of legislative changes.
Instant Alerts
Get notified when bills you track move through the legislature
AI Summaries
Understand complex legislation in seconds with AI-powered analysis
Full Access
All 132 legislators, committee schedules, and voting records