Amends TCA Title 56 and Title 71.
Tennessee SB1372 prohibits health insurance entities and managed care organizations (MCOs) from conditioning network participation agreements for healthcare providers on all-products clauses, rendering such provisions void and imposing civil penalties for violations. The bill also establishes the "TennCare Provider Remedy Plan," which mandates appointment wait time standards for various healthcare services, requires regular secret shopper surveys to assess provider directory accuracy, and directs the development of network adequacy standards. Key provisions include specific wait time limits for appointments and the requirement for the bureau of TennCare to create remediation plans for identified deficiencies in MCO networks.
Tennessee SB1372 prohibits health insurance entities and managed care organizations (MCOs) from conditioning network participation agreements for healthcare providers on all-products clauses, rendering such provisions void and imposing civil penalties for violations. The bill also establishes the "TennCare Provider Remedy Plan," which mandates appointment wait time standards for various healthcare services, requires regular secret shopper surveys to assess provider directory accuracy, and directs the development of network adequacy standards. Key provisions include specific wait time limits for appointments and the requirement for the bureau of TennCare to create remediation plans for identified deficiencies in MCO networks.
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