AN ACT to amend Tennessee Code Annotated, Title 56 and Title 71, relative to prior authorization.
Impact
The passage of SB 0460 is anticipated to have a positive impact on state laws by streamlining the process for obtaining necessary repairs for CRT and manual wheelchairs, thereby enhancing access to essential healthcare technology. By reducing bureaucratic hurdles, the bill aims to support individuals who depend on these devices, particularly within programs like TennCare, which provides health coverage to low-income residents. The bill represents a significant step toward improving the efficiency of the healthcare system in Tennessee, which could lead to better health outcomes for individuals with disabilities.
Summary
Senate Bill 0460 amends the Tennessee Code regarding prior authorization requirements within the healthcare system, specifically as it relates to complex rehabilitation technology (CRT) and manual wheelchairs. The bill seeks to eliminate prior authorization for the repair of such equipment under certain conditions, making it easier for individuals who rely on this technology to receive timely repairs. The primary stipulation is that prior authorization may only be required if repairs are covered under a manufacturer's warranty, if the cost of repairs exceeds that of replacement, or if a wheelchair or CRT is nearing the end of its recommended lifespan.
Sentiment
General sentiment around SB 0460 has been largely supportive, as it addresses an important issue faced by individuals requiring assistance from complex rehabilitation technology. Advocates for the bill argue that it removes unnecessary barriers that hinder access to critical medical equipment. The smooth passage in the legislative process, with a significant majority voting in favor, suggests a strong consensus on the necessity of this reform. However, some concerns remain regarding the potential for increased costs to insurance providers, which could impact overall healthcare expenditures.
Contention
Despite its strong support, there have been points of contention raised. Opponents of the bill have voiced concerns about the implications of reducing prior authorization requirements, arguing it may lead to a surge in repair requests that could strain resources and potentially escalate costs for managed care organizations. The debate underscores the ongoing tension between ensuring access to necessary medical equipment and managing healthcare costs effectively. Nevertheless, proponents maintain that the benefits of providing immediate access to repairs significantly outweigh these potential drawbacks.
AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 47, Chapter 18; Title 56; Title 68 and Title 71, relative to complex rehabilitation technology.
AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 47, Chapter 18; Title 56; Title 68 and Title 71, relative to complex rehabilitation technology.
Enacts "Killian's law"; establishes a timely repair for wheelchair program; extends the warranty period for wheelchairs to 2 years; deems all wheelchair repairs needed within 5 years of initial prescription medically necessary.