Tennessee 2023-2024 Regular Session

Tennessee Senate Bill SB1740

Introduced
1/10/24  
Engrossed
4/15/24  
Enrolled
4/25/24  
Passed
5/9/24  

Caption

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

Impact

The enactment of SB 1740 is expected to significantly influence how healthcare is financed in Tennessee. By implementing this annual coverage assessment, the state aims to stabilize funding for hospitals, diverting resources to support services for division enrollees and uninsured individuals. Additionally, the bill ensures that funds generated from this assessment are utilized solely for specific healthcare purposes, avoiding diversion to other state funds, thus underscoring a more focused approach to healthcare funding.

Summary

Senate Bill 1740, also known as the Annual Coverage Assessment Act of 2024, amends existing Tennessee law concerning the annual coverage assessment imposed on hospitals. The bill mandates an assessment of six percent on covered hospitals based on their net patient revenue minus Medicare revenue, which is critical for funding the state’s TennCare program. The purpose of this legislation is to secure federal matching funds for the state’s healthcare programs, particularly aimed at covering costs associated with services for uninsured patients and ensuring that hospitals are appropriately compensated for the care they provide.

Sentiment

Discussions surrounding SB 1740 have generated mixed sentiments. Proponents argue that this bill is essential for maintaining the viability of hospitals, particularly in underfunded areas, while ensuring that they can meet the needs of vulnerable populations. However, concerns have also been raised about the potential financial burden on hospitals, especially smaller facilities that may struggle with added assessments. The sentiment reflects a broader debate on how to adequately fund healthcare while ensuring affordability and accessibility.

Contention

A notable point of contention regarding SB 1740 is how the annual coverage assessment could affect hospital operations and ultimately patient care. Critics of the bill argue that forcing hospitals to pay an increased assessment may lead to higher costs for patients or reduce services, particularly in rural areas where operational margins are already thin. Additionally, there are questions about the efficacy of these assessments in genuinely addressing healthcare needs versus simply serving as fiscal measures to secure federal funding without substantial improvements in patient services.

Companion Bills

TN HB1723

Crossfiled AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

Previously Filed As

TN HB1723

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN SB0576

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN HB0829

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN HB0152

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN SB0289

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN SB0577

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN HB1000

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN HB1826

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to coverage of rapid whole genome sequencing.

TN SB1762

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to coverage of rapid whole genome sequencing.

TN HB0493

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to the nursing home assessment.

Similar Bills

TN HB1723

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN SB0289

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

TN HB0152

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.

MS HB1026

Medicaid; make various technical amendments to the program.

MS SB2823

Medicaid; revise various technical provisions related thereto, including reimbursement levels and facility eligibility.

TN SB2297

AN ACT to amend Tennessee Code Annotated, Title 33; Title 53; Title 63 and Title 68, relative to the use of buprenorphine products.

TN HB2308

AN ACT to amend Tennessee Code Annotated, Title 33; Title 53; Title 63 and Title 68, relative to the use of buprenorphine products.

TN SB0576

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to the annual coverage assessment.