Amends TCA Title 9, Chapter 8; Title 16; Title 18; Title 20; Title 21; Title 27; Title 28; Title 29; Title 33; Title 45; Title 47; Title 63; Title 68 and Title 71.

HEALTHCARE FACILITIES This bill (i) requires a facility that accepts public funds as compensation for losses due to providing uncompensated care to ensure that an amount of outstanding patient debt equal to the amount of public funds accepted is designated as satisfied and (ii) prohibits the facility from seeking a judgment or take other legal action to collect from the debtor any portion of such debt that is so designated. This bill requires a facility that accepts public funds as described above to notify the patient whose debt has been satisfied. Such notification must include the amount of satisfied patient debt, and if applicable, instructions on how to pay the remaining balance of the patient's debt. This bill requires the health facilities commission to promulgate rules to establish a process for facilities that accept public funds to use to offset uncompensated care losses to ensure that the facility maximizes the number of patients with outstanding debt that is designated as satisfied. This bill provides that a facility that violates the above provisions is subject to sanctions by the health facilities commission. ANNUAL REPORT This bill requires the department of health, in collaboration with the bureau of TennCare, to submit an annual report to the general assembly no later than December 1, 2024, and by each December 1 thereafter, that includes a report on all expenditures in the previous calendar year for virtual disproportionate share hospital (DSH) payments and for payments to hospitals for uncompensated care to charity patients with all of those payments being made in accordance with, and as those categories of payments are defined in, the TennCare 1115 demonstration waiver from the federal centers for medicare and medicaid services.