TN HB2243

Health insurance entities are prohibited from including patients with religious or medical vaccination exemptions in the denominator when calculating provider vaccination-related quality measures, ratings, or reimbursement tiers

Insurers must exclude exempt patients from provider vaccination rate performance calculations when providers submit documentation of the patient's exemption status

Health insurance entities cannot terminate providers from networks, reduce reimbursement rates, or withhold incentive payments solely because providers retain vaccine-exempt patients in their practice

Claims denied, reduced, or recouped in violation of these provisions are classified as "clean claims" subject to interest penalties and remediation requirements under existing timely reimbursement law

Effective July 1, 2026, applying to contracts entered into, renewed, amended, or delivered on or after that date