SB0185In Committee

Amends TCA Title 63; Title 68 and Title 71, Chapter 5.

Tennessee SB0185 amends existing laws regarding reimbursement rates for rural hospitals serving TennCare enrollees by establishing minimum and maximum aggregate rates based on the hospital's current Medicare reimbursement, specifically setting a minimum of 10% and a maximum of 120% for routine, nonspecialized inpatient services. The bill also mandates that the bureau of TennCare provide an updated list of Medicare Severity-Diagnosis Related Groups (MS-DRGs) directly to participating rural hospitals, in addition to publishing it online. This legislation primarily affects rural hospitals, defined as those with no more than 49 licensed beds located outside urbanized areas.

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Overview

Tennessee SB0185 amends existing laws regarding reimbursement rates for rural hospitals serving TennCare enrollees by establishing minimum and maximum aggregate rates based on the hospital's current Medicare reimbursement, specifically setting a minimum of 10% and a maximum of 120% for routine, nonspecialized inpatient services. The bill also mandates that the bureau of TennCare provide an updated list of Medicare Severity-Diagnosis Related Groups (MS-DRGs) directly to participating rural hospitals, in addition to publishing it online. This legislation primarily affects rural hospitals, defined as those with no more than 49 licensed beds located outside urbanized areas.

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Sponsor

Jackson, Ed

Details
Session

114th General Assembly

Introduced

January 15, 2025

Last Action

April 20, 2026

Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2026

Subjects
TennCareManaged Care OrganizationsHospitals and Health Care Facilities

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