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TN HB0173
Bill
Status
1/15/2025
Primary Sponsor
Brock Martin
Click for details
AI Summary
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Rural hospitals (49 beds or fewer in non-urbanized areas) must receive TennCare reimbursement rates based on percentages of their current federal fiscal year Medicare reimbursement levels
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Minimum reimbursement for routine, nonspecialized inpatient services at rural hospitals is set at 100% of Medicare rates, with a maximum of 120%
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TennCare director may seek federal waivers to implement the new reimbursement structure without requiring Medicaid expansion
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Bureau of TennCare must publish MS-DRG (diagnosis-related group) lists by service category on its website and update them annually
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Bureau must furnish updated MS-DRG lists directly to participating rural hospitals each year
Legislative Description
AN ACT to amend Tennessee Code Annotated, Title 63; Title 68 and Title 71, Chapter 5, relative to hospital reimbursement.
TennCare
Last Action
Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2025
4/9/2025