TN HB2046

Beginning July 1, 2026, the first $150 million in health maintenance organization (HMO) tax revenue must be used to draw down federal matching funds for TennCare provider reimbursements

Physicians, advanced practice registered nurses, and physician assistants receiving TennCare reimbursements for evaluation and management, obstetrics and gynecology, or anesthesia CPT codes are eligible for increased payments

Reimbursement rates will be set at up to 110% of current Medicare reimbursement rates for the same CPT codes

The Bureau of TennCare and Department of Commerce and Insurance are authorized to promulgate rules to implement the new reimbursement structure

Rulemaking authority takes effect immediately upon passage; all other provisions take effect July 1, 2026