# Tennessee SB 0576: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment. Tennessee SB 0576, AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment., is a 114th General Assembly (2025-2026) Senate bill sponsored by no sponsor on record; status signed, last action 2025-04-29 (Effective date(s) 06/30/2025) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-SB0576-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Tennessee SB 0576 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment. - Status: signed - Chamber: Senate - Introduced: 2025-01-30 - Last action: 2025-04-29, Effective date(s) 06/30/2025 - Sponsors: no sponsor on record - Cosponsors: 1 - Subjects: TennCare - Touches household money: no - Roll calls: 4 (146 yes, 0 no in all) - Economic provisions PRIA read: 6 ## Summary No summary available. ## Bill overview: provisions PRIA read - Hospital program allocation grows by $29,220: benefit, low. The law raises a hospital program allocation from $2.1114 million to $2.14062 million for fiscal year 2025–2026. That is an increase of $29,220. The supplied text does not identify the recipients or explain any change in household costs or benefits. - Hospital reimbursement for toddler care stays funded: benefit, low. The law allocates $598,945 for specified nonemergency inpatient care for children ages 12 to 24 months. Hospital reimbursement stays at the fiscal year 2024–2025 emergency-care rate. The money supports provider reimbursement; it does not create a cash payment to families or set their out-of-pocket… - Hospitals gain records and partial-year payment options: benefit, low. Hospitals can support assessment calculations with certificate-of-need application data or equivalent financial reports filed with the Health Facilities Commission or another state agency that licensed them. Covered hospitals that close or become excluded between July 1, 2025, and June 30, 2026, ow… - State funds hospital payment program management: benefit, low. The law provides $382,400 for six full-time state employees to help run hospital payment programs. It also provides $1.6 million for a program manager contract. Together, the $1.9824 million supports program setup, operations, and ongoing management. This is administrative funding, not a direct pay… - Hospital assessment continues with payment safeguards: mixed, low. Effective at 11:59 p.m. on June 30, 2025, the law extends Tennessee’s hospital assessment framework through July 1, 2026. The assessment starts after required federal approvals arrive, except the approval listed in § 71-5-2003(b)(1)(B). When statutory approval requirements are satisfied, hospitals… - Hospital funding formulas and minimum shares change: mixed, low. For specified transfer calculations tied to June 30, 2025, Tennessee uses Medicaid days and total outpatient payments from hospitals’ 2021 Joint Annual Reports. For fiscal year 2025–2026, one directed-payment distribution tier’s minimum share falls from 37% to 36%. This gives the state more allocat… ## Sponsors and cosponsors - Cosponsor: Ed Jackson (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-14 | Senate | FLOOR VOTE: as Amended Third Consideration 4/14/2025 | pass | 32 | 0 | | | 2025-04-14 | House | FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/14/2025 | pass | 96 | 0 | | | 2025-04-08 | Senate | SENATE FINANCE, WAYS AND MEANS COMMITTEE | pass | 9 | 0 | | | 2025-03-12 | Senate | SENATE HEALTH AND WELFARE COMMITTEE | pass | 9 | 0 | | ## Bill text - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0252.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/SB0576.pdf) - HA0147: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0147.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/SB0576.pdf) - SA0104: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0104.pdf) ## Related bills - SB 0539: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13; Title 48; Title 49; Title 67 and Title 68, relative to low-income housing. (signed) - SB 0254: AN ACT to amend Tennessee Code Annotated, Title 38; Title 39; Title 40 and Title 55, relative to criminal law. (signed) - SB 0198: AN ACT to amend Tennessee Code Annotated, Title 67, relative to taxes. (signed) - HB 2670: AN ACT to amend Chapter 33 of the Private Acts of 1985; as amended by Chapter 85 of the Private Acts of 2004; and any other acts amendatory thereto, relative t… (signed) - HB 2666: AN ACT to amend Chapter 131 of the Private Acts of 1969; as amended by Chapter 85 of the Private Acts of 1987; Chapter 74 of the Private Acts of 1995; Chapter… (signed) - HB 2656: AN ACT to amend Chapter 325 of the Private Acts of 1945; as amended by Chapter 335 of the Private Acts of 1968; Chapter 282 of the Private Acts of 1972; Chapte… (signed) ## Sources - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0252.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/SB0576.pdf) - [HA0147 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0147.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/SB0576.pdf) - [SA0104 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0104.pdf) ## Related - [SB 0539: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13; Title 48; Title 49…](https://policyrisk.com/state-bill/TN-SB0539-2025-2026) - [SB 0254: AN ACT to amend Tennessee Code Annotated, Title 38; Title 39; Title 40 and Titl…](https://policyrisk.com/state-bill/TN-SB0254-2025-2026) - [SB 0198: AN ACT to amend Tennessee Code Annotated, Title 67, relative to taxes.](https://policyrisk.com/state-bill/TN-SB0198-2025-2026) - [HB 2670: AN ACT to amend Chapter 33 of the Private Acts of 1985; as amended by Chapter 8…](https://policyrisk.com/state-bill/TN-HB2670-2025-2026) - [HB 2666: AN ACT to amend Chapter 131 of the Private Acts of 1969; as amended by Chapter…](https://policyrisk.com/state-bill/TN-HB2666-2025-2026) - [HB 2656: AN ACT to amend Chapter 325 of the Private Acts of 1945; as amended by Chapter…](https://policyrisk.com/state-bill/TN-HB2656-2025-2026) - [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-SB0576-2025-2026 (as of 2026-11-01).