Tennessee 2023-2024 Regular Session

Tennessee Senate Bill SB2791

Introduced
2/1/24  
Chaptered
5/29/24  

Caption

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

Impact

This bill modifies Tennessee's existing healthcare framework by introducing less restrictive financial criteria for Medicaid access, specifically targeting working individuals with disabilities. The program is designed to remove barriers that can prevent these individuals from achieving economic independence, thereby broadening the scope of Medicaid under TennCare. It aims to improve employment outcomes without the risk of losing healthcare coverage when income increases, which is a significant concern for many individuals with disabilities. The program is expected to take effect by January 1, 2025, contingent upon federal approval.

Summary

SB2791, known as the "TennCare for Working Individuals with Disabilities Act," is a legislative initiative designed to enhance healthcare access for individuals with disabilities who are employed. The bill establishes a buy-in program that allows eligible workers with disabilities to obtain or retain Medicaid health insurance coverage by paying premiums based on their income. It aims to facilitate the transition to employment for individuals who might otherwise face barriers due to stringent income and resource limitations associated with Medicaid eligibility.

Sentiment

The sentiment surrounding SB2791 is largely positive, with supporters highlighting its potential to greatly improve the quality of life for working individuals with disabilities. Advocates argue that by allowing these individuals to maintain necessary health coverage while working, the bill promotes independence and economic participation. However, some concerns have been raised regarding the sustainability of premiums and the administration of the program, which will require effective management to balance accessibility and fiscal responsibility.

Contention

Notably, discussions around the bill have included debates on the adequacy of the proposed premium structure and whether it sufficiently meets the needs of individuals with varying levels of income. While the bill's supporters emphasize its importance for enhancing healthcare access and employment opportunities, critics caution about the long-term viability of a program that relies on income from individuals who may already be facing financial challenges. The implementation timeline and the need for federal waivers have also been points of contention among stakeholders.

Companion Bills

TN HB2940

Crossfiled AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

Previously Filed As

TN HB2940

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN HB2424

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN SB2360

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN HB1611

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN SB2240

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN HB2631

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN HB0018

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN SB0164

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN HB1087

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

TN SB1414

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

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