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TN HB0364
Bill
Status
1/27/2025
Primary Sponsor
Rebecca Alexander
Click for details
AI Summary
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Cited as "Emma's Bill," amends TennCare medical necessity determination requirements under Tennessee Code Annotated, Section 71-5-144
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Creates an exception to the "least costly alternative" requirement when determining medical necessity for TennCare patients
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Requires the bureau to consider a patient's overall condition when determining funding levels and medical services, even if it results in higher costs
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Mandates comprehensive medical review including: mobility, cognitive awareness, need for constant nursing supervision, and need for ventilators or life-sustaining equipment regardless of daily usage hours
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Takes effect July 1, 2025
Legislative Description
AN ACT to amend Tennessee Code Annotated, Title 4 and Title 71, relative to TennCare.
TennCare
Last Action
Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2025
4/9/2025