All Roll Calls
Yes: 193 • No: 0
TennesseeHB 0782114th General Assembly (2025-2026)House
AN ACT to amend Tennessee Code Annotated, Title 71, relative to TennCare.
Sponsored By: Sponsor information unavailable
Signed by Governor
TennCare
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More care options for Tennessee seniors
The law allows TennCare to approve one additional Program of All-Inclusive Care for the Elderly (PACE) pilot. It must serve a Tennessee grand division that had no PACE program in 2024. PACE combines medical and long-term care for frail older adults who need nursing-home-level care and meet federal eligibility rules. Applicants must identify themselves, their proposed center, and their service area, including ZIP codes and a map. TennCare must confirm that applicants meet federal requirements and are qualified to serve that area. Applicants must show unmet need, estimate eligible residents, explain their estimates, and project enrollment and market saturation. The law also allows an existing PACE program in a county with 366,200–366,300 residents to expand into adjoining counties. Added counties must have 12,700–12,800, 32,800–32,875, or 108,600–108,700 residents. These counts use the 2020 federal census or a later federal census. Health plans and care-options counselors must consider PACE before referring recipients to nursing homes or other long-term care facilities. TennCare must establish referral procedures, enforce federal quality and performance standards, and monitor reports submitted to federal officials and TennCare. Annual reports go to legislative leaders and finance committee chairs by January 1, starting in 2026. The law takes effect upon becoming law and allows TennCare to issue rules through the state's administrative rulemaking process.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
Caleb Hemmer
Democrat • House
Bryan Terry
Republican • House
Roll Call Votes
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 COMMITTEE
Yes: 27 • No: 0
House vote • 4/17/2025
HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE
Yes: 11 • 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
Effective date(s) 05/21/2025
5/27/2025Pub. Ch. 502
5/27/2025Signed by Governor.
5/21/2025Transmitted to Governor for his action.
5/9/2025HouseSigned by Senate Speaker
5/8/2025SenateSigned by H. Speaker
4/30/2025HouseEnrolled; ready for sig. of H. Speaker.
4/28/2025HousePassed Senate, Ayes 33, Nays 0
4/22/2025SenateSenate substituted House Bill for companion Senate Bill.
4/22/2025SenateReceived from House, Passed on First Consideration
4/22/2025SenateEngrossed; ready for transmission to Sen.
4/21/2025HousePassed H., Ayes 86, Nays 0, PNV 1
4/21/2025HouseH. Placed on Consent Calendar for 4/21/2025
4/17/2025HousePlaced on cal. Calendar & Rules Committee for 4/17/2025
4/17/2025HouseSponsor(s) Added.
4/17/2025HouseRec. for pass; ref to Calendar & Rules Committee
4/17/2025HouseRec. for pass by s/c ref. to Finance, Ways, and Means Committee
4/17/2025HousePlaced on s/c cal Finance, Ways, and Means Subcommittee for 4/17/2025
4/16/2025HousePlaced on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2025
4/9/2025HousePlaced behind the budget
4/9/2025HousePlaced on s/c cal Finance, Ways, and Means Subcommittee for 4/9/2025
4/2/2025HouseAssigned to s/c Finance, Ways, and Means Subcommittee
4/2/2025HouseRec. for pass; ref to Finance, Ways, and Means Committee
3/31/2025HousePlaced on cal. Government Operations Committee for 3/31/2025
3/26/2025HouseRec. for pass; ref to Government Operations Committee
3/25/2025House
Bill Text
Enrolled / Public Chapter
Fiscal Note
Introduced
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