AN ACT to amend Tennessee Code Annotated, Title 71, relative to TennCare.
The implementation of SB1361 is expected to have a positive impact on TennCare recipients by improving access to dental services and ensuring that in-network providers are compensated in accordance with industry standards. By tying reimbursement rates to the national average, the bill addresses the financial disparities that could hinder providers from delivering essential dental care to needy populations. This could result in an increase in the number of dental service providers willing to accept TennCare patients, thus expanding access to vital healthcare services.
Senate Bill 1361, also known as SB1361, proposes amendments to the Tennessee Code Annotated, specifically targeting the TennCare program. The bill mandates that the Bureau of TennCare reimburse in-network dental service providers at a minimum rate aligned with the national median fee for dental services, as surveyed by the American Dental Association's Health Policy Institute. This change aims to ensure that TennCare recipients receive adequate dental care that reflects current fee standards nationwide.
While the bill aims to enhance dental service accessibility, there may be points of contention regarding out-of-network reimbursement. SB1361 allows for reimbursement to out-of-network providers but includes copayment or deductible requirements, potentially placing an additional financial burden on TennCare recipients. Critics might argue that this provision could discourage recipients from seeking dental care, given the possible added costs, which could defeat the bill's purpose of improving healthcare access.