Tennessee Senate Bill SB2091

Tennessee 2023-2024 Regular Session

• Introduced: 1/29/24
• Chaptered: 3/19/24
• Passed: 3/19/24

Caption

AN ACT to amend Tennessee Code Annotated, Section 71-05-117, relative to third parties for medical services.

Impact

With the passage of SB2091, third parties will be required to accept the state's assignment of rights to payment, which could help streamline the reimbursement process for medical services provided to individuals eligible for state assistance. This amendment aligns third-party operations more closely with existing state regulations, thereby providing a clearer pathway for claims related to state-funded services. The bill also shortens the timeframe in which claims must be submitted, effectively reducing it from 90 to 60 days, thereby enhancing the efficiency of claims processing.

Summary

SB2091 amends Tennessee Code Annotated, Section 71-05-117, which pertains to third parties for medical services. The bill introduces several provisions aimed at clarifying and enhancing the responsibilities of third-party payers when it comes to claims for medical services. This includes accepting the state's right to recover costs and providing prior authorizations that are consistent with state laws, ultimately modifying the framework within which third parties operate regarding state-funded healthcare services.

Sentiment

The sentiment surrounding SB2091 appears to be largely supportive, particularly among healthcare providers and advocates for more efficient state recovery processes. The legislative discussions highlight a recognition of the need for clearer guidelines in dealing with third-party payers. However, some concerns were raised regarding the potential impact on small providers who may struggle with the new timeline for claim submissions, suggesting a divide between larger healthcare entities and smaller practices.

Contention

Notable points of contention regarding SB2091 involve the changes to claim submission timelines and the responsibilities imposed on third parties. Critics argue that the reduction in the submission period may hinder some medical service providers, especially smaller practices, from effectively managing their billing operations. Nonetheless, supporters contend that these changes will facilitate quicker reimbursements and reduce bureaucratic delays in the healthcare system, ultimately benefiting both the state and its residents.