HB1864

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities.

Complete·5/26/26

Adjusts Medicaid reimbursement for Tennessee nursing facilities, including establishing a budget adjustment factor.

This bill amends Tennessee's Medicaid reimbursement for nursing facilities by introducing a budget adjustment factor (BAF). The BAF is calculated to align annual expected Medicaid expenditures with the nursing facility (NF) budget target. It may be positive or negative and is applied as a percentage adjustment to all provider reimbursement rate components. The bill also mandates that the Tennessee Bureau of TennCare provide notice to relevant committees if it reduces payments on a pro rata basis using the BAF.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Sponsors

0
5
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Democratic CaucusRepublican Caucus

Roll Call Votes

29 Yea

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1 Nay

D

History

May 26

Pub. Ch. 990

May 26

Effective date(s) 07/01/2026

May 19

Signed by Governor.