# Tennessee HB 1864: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities. Tennessee HB 1864, AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities., is a 114th General Assembly (2025-2026) House bill sponsored by no sponsor on record; status signed, last action 2026-05-26 (Effective date(s) 07/01/2026) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-HB1864-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Tennessee HB 1864 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities. - Status: signed - Chamber: House - Introduced: 2026-01-21 - Last action: 2026-05-26, Effective date(s) 07/01/2026 - Sponsors: no sponsor on record - Cosponsors: 4 - Subjects: TennCare - Touches household money: no - Roll calls: 8 (191 yes, 1 no in all) - Economic provisions PRIA read: 1 ## Summary No summary available. ## Bill overview: provisions PRIA read - Tennessee nursing home Medicaid periods shift later: mixed, low. 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… ## Sponsors and cosponsors - Cosponsor: Clay Doggett (Republican), House - Cosponsor: David B. Hawk (Republican), House - Cosponsor: William Lamberth (Republican), House - Cosponsor: Debra Moody (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-20 | Senate | FLOOR VOTE: Third Consideration 4/20/2026 | pass | 29 | 1 | | | 2026-04-13 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/13/2026 | pass | 93 | 0 | | | 2026-04-13 | House | HOUSE CALENDAR & RULES COMMITTEE | fail | 0 | 0 | | | 2026-04-07 | House | HOUSE FINANCE, WAYS, AND MEANS COMMITTEE | pass | 25 | 0 | | | 2026-04-01 | House | HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE | pass | 10 | 0 | | | 2026-03-23 | House | HOUSE GOVERNMENT OPERATIONS COMMITTEE | pass | 13 | 0 | | | 2026-03-17 | House | HOUSE INSURANCE COMMITTEE | pass | 16 | 0 | | | 2026-03-03 | House | HOUSE TENNCARE SUBCOMMITTEE | pass | 5 | 0 | | ## Actions (35) - 2026-05-26: Effective date(s) 07/01/2026 - 2026-05-26: Pub. Ch. 990 - 2026-05-19: Signed by Governor. - 2026-05-07: Transmitted to Governor for his action. (House) - 2026-05-05: Signed by Senate Speaker (Senate) - 2026-04-30: Signed by H. Speaker (House) - 2026-04-23: Enrolled; ready for sig. of H. Speaker. (House) - 2026-04-20: Passed Senate, Ayes 29, Nays 1 (Senate) - 2026-04-20: Amendment withdrawn. (Amendment 1 - SA0976) (Senate) - 2026-04-20: Senate substituted House Bill for companion Senate Bill. (Senate) - 2026-04-14: Received from House, Passed on First Consideration (Senate) - 2026-04-13: Engrossed; ready for transmission to Sen. (House) - 2026-04-13: Sponsor(s) Added. (House) - 2026-04-13: Passed H., as am., Ayes 93, Nays 0, PNV 0 (House) - 2026-04-13: H. adopted am. (Amendment 1 - HA0697) (House) - 2026-04-09: H. Placed on Regular Calendar for 4/13/2026 (House) - 2026-04-08: Placed on cal. Calendar & Rules Committee for 4/9/2026 (House) - 2026-04-07: Sponsor(s) Added. (House) - 2026-04-07: Rec. for pass; ref to Calendar & Rules Committee (House) - 2026-04-01: Placed on cal. Finance, Ways, and Means Committee for 4/7/2026 (House) - 2026-04-01: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee (House) - 2026-03-25: Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/1/2026 (House) - 2026-03-23: Assigned to s/c Finance, Ways, and Means Subcommittee (House) - 2026-03-23: Rec. for pass; ref to Finance, Ways, and Means Committee (House) - 2026-03-18: Placed on cal. Government Operations Committee for 3/23/2026 (House) - 2026-03-17: Rec. for pass. if am., ref. to Government Operations Committee (House) - 2026-03-11: Placed on cal. Insurance Committee for 3/17/2026 (House) - 2026-03-10: Action def. in Insurance Committee to 3/17/2026 (House) - 2026-03-04: Placed on cal. Insurance Committee for 3/10/2026 (House) - 2026-03-03: Rec. for pass by s/c ref. to Insurance Committee (House) - 2026-02-25: Placed on s/c cal Tenncare Subcommittee for 3/3/2026 (House) - 2026-02-02: Assigned to s/c Tenncare Subcommittee (House) - 2026-02-02: P2C, ref. to Insurance Committee - Government Operations for Review (House) - 2026-01-22: Intro., P1C. (House) - 2026-01-21: Filed for introduction (House) ## Bill text - HA0697 (Substitute), 2026-04-13: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0697.pdf) - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0990.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/HB1864.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/HB1864.pdf) - SA0976: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0976.pdf) ## Related bills - HB 1720: AN ACT to amend Tennessee Code Annotated, Title 5; Title 6; Title 7 and Title 13, relative to zoning outside of municipal boundaries. (failed) - HB 1710: AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 1 and Title 4, Chapter 58, relative to public benefits. (failed) - HB 1667: AN ACT to amend Tennessee Code Annotated, Title 6 and Title 7, relative to penalties for violations of ordinances. (failed) - HB 1690: AN ACT to amend Tennessee Code Annotated, Title 29; Title 55 and Title 56, relative to motor vehicle financial responsibility. (failed) - HB 1681: AN ACT to amend Tennessee Code Annotated, Title 7; Title 9; Title 12; Title 13; Title 66; Title 67 and Title 68, relative to infrastructure development distric… (failed) - HB 1380: AN ACT to amend Tennessee Code Annotated, Title 67, Chapter 5, Part 7, relative to property tax relief for elderly persons. (failed) ## Sources - [HA0697 (Substitute) (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0697.pdf) - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0990.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/HB1864.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/HB1864.pdf) - [SA0976 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0976.pdf) ## Related - [HB 1720: AN ACT to amend Tennessee Code Annotated, Title 5; Title 6; Title 7 and Title 1…](https://policyrisk.com/state-bill/TN-HB1720-2025-2026) - [HB 1710: AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 1 and Title 4, Chapt…](https://policyrisk.com/state-bill/TN-HB1710-2025-2026) - [HB 1667: AN ACT to amend Tennessee Code Annotated, Title 6 and Title 7, relative to pena…](https://policyrisk.com/state-bill/TN-HB1667-2025-2026) - [HB 1690: AN ACT to amend Tennessee Code Annotated, Title 29; Title 55 and Title 56, rela…](https://policyrisk.com/state-bill/TN-HB1690-2025-2026) - [HB 1681: AN ACT to amend Tennessee Code Annotated, Title 7; Title 9; Title 12; Title 13;…](https://policyrisk.com/state-bill/TN-HB1681-2025-2026) - [HB 1380: AN ACT to amend Tennessee Code Annotated, Title 67, Chapter 5, Part 7, relative…](https://policyrisk.com/state-bill/TN-HB1380-2025-2026) - [Tennessee bills](https://policyrisk.com/states/tennessee/bills) - [Tennessee state hub](https://policyrisk.com/states/tennessee) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/TN-HB1864-2025-2026 (as of 2026-11-01).