All Roll Calls
Yes: 157 • No: 0
TennesseeHB 2093114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 56; Title 68, Chapter 11 and Title 71, Chapter 5, relative to managed care organizations.
Sponsored By: Ryan Williams, Ryan (Republican)
Became Law
Managed Care Organizations
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
No-cause end to Medicaid nursing home contracts banned
Beginning July 1, 2026, TennCare managed care plans cannot end nursing home contracts without a stated reason. Contracts cannot allow ending a facility “for convenience” or with no cause. “Termination” does not include when a facility chooses to leave on its own. The TennCare bureau and the Department of Commerce and Insurance must approve standard contract templates to make sure they follow this rule. The rule applies to contracts entered into, renewed, amended, or delivered on or after July 1, 2026.
Sponsors & Cosponsors
Sponsor
Ryan Williams, Ryan
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/16/2026
FLOOR VOTE: Third Consideration 4/16/2026
Yes: 29 • No: 0
House vote • 4/16/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2026
Yes: 92 • No: 0
House vote • 4/13/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 4/6/2026
HOUSE GOVERNMENT OPERATIONS COMMITTEE
Yes: 12 • No: 0
House vote • 3/31/2026
HOUSE HEALTH COMMITTEE
Yes: 17 • No: 0
House vote • 3/25/2026
HOUSE HEALTH SUBCOMMITTEE
Yes: 7 • No: 0
Actions Timeline
Pub. Ch. 1004
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.
4/23/2026HouseH. adopted am. (Amendment 1 - HA0948)
4/16/2026HousePassed H., as am., Ayes 92, Nays 0, PNV 4
4/16/2026HouseEngrossed; ready for transmission to Sen.
4/16/2026HouseReceived from House, Passed on First Consideration
4/16/2026SenateSenate substituted House Bill for companion Senate Bill.
4/16/2026SenateAmendment withdrawn. (Amendment 1 - SA1003)
4/16/2026SenatePassed Senate, Ayes 29, Nays 0
4/16/2026SenateH. 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
4/6/2026HousePlaced on cal. Government Operations Committee for 4/6/2026
4/1/2026HouseRec. for pass. if am., ref. to Government Operations Committee
3/31/2026HouseRec for pass if am by s/c ref. to Health Committee
3/25/2026HousePlaced on cal. Health Committee for 3/31/2026
3/25/2026HouseAction Def. in s/c Health Subcommittee to 3/25/2026
3/18/2026HousePlaced on s/c cal Health Subcommittee for 3/25/2026
3/18/2026HouseAction Def. in s/c Health Subcommittee to 3/18/2026
3/11/2026HousePlaced on s/c cal Health Subcommittee for 3/18/2026
3/11/2026House
Bill Text
HA0948 (Substitute)
4/16/2026
Enrolled / Public Chapter
Fiscal Note
Introduced
SA1003
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