TN HB1887

Creates a new state licensing framework for prescribed pediatric extended care centers (PPECs), which are nonresidential facilities serving four or more medically dependent or technologically dependent minors (age 20 or younger) who require ongoing skilled nursing care or medical devices to sustain life functions.

Requires centers to obtain initial and renewal licenses (valid for 3 years), pass inspections, maintain criminal background checks for all employees/volunteers, and comply with building, sanitation, and staffing standards established by the department.

Limits services to a maximum of 12 hours per 24-hour period with a maximum patient capacity of 60 per center; prohibits centers from operating at the same location as child care agencies or other licensed facilities.

Authorizes the department to deny, suspend, or revoke licenses and impose administrative fines up to $500 per violation; establishes operating without a license as a Class B misdemeanor for each day of violation.

Requires TennCare to provide coverage for PPEC services and directs the director to submit any necessary federal waiver request to CMS by December 31, 2026; the act takes effect January 1, 2027 for all purposes except rulemaking.