Amends TCA Title 56 and Title 71.
Tennessee SB0437 mandates that health benefit plans offering mental health and substance abuse services must provide coverage through a psychiatric collaborative care model (PCCM) for plans issued on or after January 1, 2026. The bill affects health benefit plans and managed care organizations, specifically those contracting with the state for TennCare or CoverKids programs. Key changes include the adjustment of the effective date to January 1, 2026, and the removal of the requirement for compliance with certain state and federal laws for denying coverage based on medical necessity.
Tennessee SB0437 mandates that health benefit plans offering mental health and substance abuse services must provide coverage through a psychiatric collaborative care model (PCCM) for plans issued on or after January 1, 2026. The bill affects health benefit plans and managed care organizations, specifically those contracting with the state for TennCare or CoverKids programs. Key changes include the adjustment of the effective date to January 1, 2026, and the removal of the requirement for compliance with certain state and federal laws for denying coverage based on medical necessity.
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Reeves, Shane
114th General Assembly
January 28, 2025
April 30, 2025
Pub. Ch. 168