Amends TCA Title 52 and Title 71.

Tennessee SB1178 requires the commissioner of the Department of Disability and Aging to develop guidelines for hiring family caregivers by Medicaid-participating service provider agencies and mandates that these guidelines be published annually. The bill affects individuals with disabilities receiving services and their family caregivers, prohibiting discrimination in hiring based on familial relationships, residence, age, or guardianship status. Key provisions include the requirement for annual dissemination of guidelines and the stipulation that family caregivers cannot be compensated for care exceeding designated service limits.