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TennesseeHB 1864114th General Assembly (2025-2026)House

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities.

Sponsored By: Sponsor information unavailable

Signed by Governor

TennCare

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Bill Overview

Analyzed Economic Effects

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

Tennessee nursing home Medicaid periods shift later

Beginning July 1, 2026, the law shifts Tennessee nursing facilities’ Medicaid assessment and related payment periods one year later. The July 1, 2025–June 30, 2026 period becomes July 1, 2026–June 30, 2027. Related start dates and payment requirements move to July 1, 2026, and fiscal year 2026–2027. A related June 30, 2026 deadline moves to June 30, 2027. The law specifies no new dollar amounts or direct changes to residents’ benefits or eligibility.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Clay Doggett

    Republican • House

  • David B. Hawk

    Republican • House

  • William Lamberth

    Republican • House

  • Debra Moody

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 191 • No: 1

Senate vote • 4/20/2026

FLOOR VOTE: Third Consideration 4/20/2026

Yes: 29 • No: 1

House vote • 4/13/2026

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/13/2026

Yes: 93 • No: 0

House vote • 4/13/2026

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 4/7/2026

HOUSE FINANCE, WAYS, AND MEANS COMMITTEE

Yes: 25 • No: 0

House vote • 4/1/2026

HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE

Yes: 10 • No: 0

House vote • 3/23/2026

HOUSE GOVERNMENT OPERATIONS COMMITTEE

Yes: 13 • No: 0

House vote • 3/17/2026

HOUSE INSURANCE COMMITTEE

Yes: 16 • No: 0

House vote • 3/3/2026

HOUSE TENNCARE SUBCOMMITTEE

Yes: 5 • No: 0

Actions Timeline

  1. Effective date(s) 07/01/2026

    5/26/2026

  2. Pub. Ch. 990

    5/26/2026

  3. Signed by Governor.

    5/19/2026

  4. Transmitted to Governor for his action.

    5/7/2026House

  5. Signed by Senate Speaker

    5/5/2026Senate

  6. Signed by H. Speaker

    4/30/2026House

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

    4/23/2026House

  8. Passed Senate, Ayes 29, Nays 1

    4/20/2026Senate

  9. Amendment withdrawn. (Amendment 1 - SA0976)

    4/20/2026Senate

  10. Senate substituted House Bill for companion Senate Bill.

    4/20/2026Senate

  11. Received from House, Passed on First Consideration

    4/14/2026Senate

  12. Engrossed; ready for transmission to Sen.

    4/13/2026House

  13. Sponsor(s) Added.

    4/13/2026House

  14. Passed H., as am., Ayes 93, Nays 0, PNV 0

    4/13/2026House

  15. H. adopted am. (Amendment 1 - HA0697)

    4/13/2026House

  16. H. Placed on Regular Calendar for 4/13/2026

    4/9/2026House

  17. Placed on cal. Calendar & Rules Committee for 4/9/2026

    4/8/2026House

  18. Sponsor(s) Added.

    4/7/2026House

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

    4/7/2026House

  20. Placed on cal. Finance, Ways, and Means Committee for 4/7/2026

    4/1/2026House

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

    4/1/2026House

  22. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/1/2026

    3/25/2026House

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

    3/23/2026House

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

    3/23/2026House

  25. Placed on cal. Government Operations Committee for 3/23/2026

    3/18/2026House

Bill Text

  • HA0697 (Substitute)

    4/13/2026

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

  • SA0976

    PDF

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