PRIA Logo™
TennesseeHB 0782114th General Assembly (2025-2026)HouseWALLET

AN ACT to amend Tennessee Code Annotated, Title 71, relative to TennCare.

Sponsored By: Greg Martin (Republican)

Became Law

TennCare

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 0 costs, 1 mixed.

New PACE pilot and referrals for seniors

TennCare authorizes one new PACE program as a pilot in a grand division that had no PACE in 2024. If you are being considered for nursing home placement, managed care plans and counselors must consider PACE and have referral protocols. This adds a community‑based care option for frail, elderly TennCare members when appropriate.

Limited PACE expansion to nearby counties

If a PACE program is in a county with 366,200–366,300 people (2020 or later census), it may expand only into neighboring counties with populations of 12,700–12,800, 32,800–32,875, or 108,600–108,700. This can extend PACE access to residents of those qualifying contiguous counties.

Stronger oversight and reports for PACE

TennCare ensures PACE programs meet CMS and state quality standards. PACE organizations must send regular data and reports to TennCare and CMS. Beginning January 1, 2026, TennCare sends a PACE report to the House and Senate leaders and finance chairs every January 1. The TennCare director can issue rules under the state administrative procedures to carry this out.

New application rules for PACE providers

To seek the single authorized pilot, a provider must first send a letter of intent. The letter must name the applicant, list proposed zip codes with a service area map, and give the proposed PACE center site. TennCare checks that applicants meet federal PACE rules at 42 CFR Part 460 and certifies they are qualified in the proposed area. Applicants must submit a market analysis that estimates eligible people, explains methods and assumptions, shows expected market capture and saturation, and proves unmet need.

Sponsors & Cosponsors

Sponsor

  • Greg Martin

    Republican • House

Cosponsors

  • Caleb Hemmer

    Democrat • House

  • Bryan Terry

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 193 • No: 0

Senate vote • 4/22/2025

FLOOR VOTE: Motion to Adopt 4/22/2025

Yes: 33 • No: 0

House vote • 4/21/2025

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 4/21/2025

FLOOR VOTE: CONSENT CALENDAR PASSAGE ON THIRD CONSIDERATION 4/21/2025

Yes: 86 • No: 0

House vote • 4/17/2025

HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE

Yes: 11 • No: 0

House vote • 4/17/2025

HOUSE FINANCE, WAYS, AND MEANS COMMITTEE

Yes: 27 • No: 0

House vote • 3/31/2025

HOUSE GOVERNMENT OPERATIONS COMMITTEE

Yes: 15 • No: 0

House vote • 3/25/2025

HOUSE INSURANCE COMMITTEE

Yes: 17 • No: 0

House vote • 3/18/2025

HOUSE TENNCARE SUBCOMMITTEE

Yes: 4 • No: 0

Actions Timeline

  1. Pub. Ch. 502

    5/27/2025

  2. Effective date(s) 05/21/2025

    5/27/2025

  3. Signed by Governor.

    5/21/2025

  4. Transmitted to Governor for his action.

    5/9/2025House

  5. Signed by Senate Speaker

    5/8/2025Senate

  6. Signed by H. Speaker

    4/30/2025House

  7. Enrolled; ready for sig. of H. Speaker.

    4/28/2025House

  8. Received from House, Passed on First Consideration

    4/22/2025Senate

  9. Senate substituted House Bill for companion Senate Bill.

    4/22/2025Senate

  10. Passed Senate, Ayes 33, Nays 0

    4/22/2025Senate

  11. Passed H., Ayes 86, Nays 0, PNV 1

    4/21/2025House

  12. Engrossed; ready for transmission to Sen.

    4/21/2025House

  13. Rec. for pass by s/c ref. to Finance, Ways, and Means Committee

    4/17/2025House

  14. Rec. for pass; ref to Calendar & Rules Committee

    4/17/2025House

  15. Sponsor(s) Added.

    4/17/2025House

  16. Placed on cal. Calendar & Rules Committee for 4/17/2025

    4/17/2025House

  17. H. Placed on Consent Calendar for 4/21/2025

    4/17/2025House

  18. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/17/2025

    4/16/2025House

  19. Placed behind the budget

    4/9/2025House

  20. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2025

    4/9/2025House

  21. Assigned to s/c Finance, Ways, and Means Subcommittee

    4/2/2025House

  22. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/9/2025

    4/2/2025House

  23. Rec. for pass; ref to Finance, Ways, and Means Committee

    3/31/2025House

  24. Placed on cal. Government Operations Committee for 3/31/2025

    3/26/2025House

  25. Rec. for pass; ref to Government Operations Committee

    3/25/2025House

Bill Text

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

Related Bills

Back to State Legislation