All Roll Calls
Yes: 191 • No: 1
TennesseeHB 1864114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities.
Sponsored By: Gary Hicks, Gary (Republican)
Became Law
TennCare
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Medicaid nursing home payments delayed one year
This law delays some Medicaid nursing home payment and rule changes by one year. Dates that said July 1, 2025 now say July 1, 2026. FY 2025-2026 now reads FY 2026-2027. Dates that said June 30, 2026 now say June 30, 2027. The change takes effect July 1, 2026. Current reimbursement terms stay in place until then.
Sponsors & Cosponsors
Sponsor
Gary Hicks, Gary
Republican • House
Cosponsors
Clay Doggett, Clay
Republican • House
David B. Hawk, David B.
Republican • House
William Lamberth, William
Republican • House
Debra Moody, Debra
Republican • House
Roll Call Votes
Senate vote • 4/20/2026
FLOOR VOTE: Third Consideration 4/20/2026
Yes: 29 • No: 1
House vote • 4/13/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 4/13/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/13/2026
Yes: 93 • No: 0
House vote • 4/7/2026
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
Pub. Ch. 990
5/26/2026Effective date(s) 07/01/2026
5/26/2026Signed by Governor.
5/19/2026Transmitted to Governor for his action.
5/7/2026HouseSigned by Senate Speaker
5/5/2026SenateSigned by H. Speaker
4/30/2026HouseEnrolled; ready for sig. of H. Speaker.
4/23/2026HouseSenate substituted House Bill for companion Senate Bill.
4/20/2026SenateAmendment withdrawn. (Amendment 1 - SA0976)
4/20/2026SenatePassed Senate, Ayes 29, Nays 1
4/20/2026SenateReceived from House, Passed on First Consideration
4/14/2026SenateH. adopted am. (Amendment 1 - HA0697)
4/13/2026HousePassed H., as am., Ayes 93, Nays 0, PNV 0
4/13/2026HouseSponsor(s) Added.
4/13/2026HouseEngrossed; ready for transmission to Sen.
4/13/2026HouseH. Placed on Regular Calendar for 4/13/2026
4/9/2026HousePlaced on cal. Calendar & Rules Committee for 4/9/2026
4/8/2026HouseRec. for pass; ref to Calendar & Rules Committee
4/7/2026HouseSponsor(s) Added.
4/7/2026HouseRec. for pass by s/c ref. to Finance, Ways, and Means Committee
4/1/2026HousePlaced on cal. Finance, Ways, and Means Committee for 4/7/2026
4/1/2026HousePlaced on s/c cal Finance, Ways, and Means Subcommittee for 4/1/2026
3/25/2026HouseRec. for pass; ref to Finance, Ways, and Means Committee
3/23/2026HouseAssigned to s/c Finance, Ways, and Means Subcommittee
3/23/2026HousePlaced on cal. Government Operations Committee for 3/23/2026
3/18/2026House
Bill Text
HA0697 (Substitute)
4/13/2026
Enrolled / Public Chapter
Fiscal Note
Introduced
SA0976
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