| 4 | 3 | | |
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| 5 | 4 | | HOUSE BILL 29 |
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| 6 | 5 | | By Cepicky |
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| 7 | 6 | | |
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| 8 | 7 | | |
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| 9 | 8 | | HB0029 |
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| 10 | 9 | | 000671 |
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| 11 | 10 | | - 1 - |
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| 12 | 11 | | |
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| 13 | 12 | | AN ACT to amend Tennessee Code Annotated, Title 56, |
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| 14 | 13 | | Chapter 7 and Title 63, relative to payment for |
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| 15 | 14 | | services rendered by chiropractors. |
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| 16 | 15 | | |
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| 17 | 16 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE: |
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| 18 | 17 | | SECTION 1. Tennessee Code Annotated, Section 56-7-2404, is amended by deleting |
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| 19 | 18 | | the word "chiropractor" wherever it appears in subsection (a) and substituting "chiropractic |
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| 20 | 19 | | physician"; and is further amended by deleting the word "chiropractors" from subdivision (a)(2) |
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| 21 | 20 | | and substituting "chiropractic physicians". |
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| 22 | 21 | | SECTION 2. Tennessee Code Annotated, Section 56-7-2404(a), is amended by adding |
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| 23 | 22 | | the following new subdivision: |
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| 24 | 23 | | (3) |
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| 25 | 24 | | (A) When a health insurance entity is determining the amount of |
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| 26 | 25 | | reimbursement to be paid pursuant to subdivision (a)(1) or (2) for a service or |
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| 27 | 26 | | procedure that is identified and listed in a nationally recognized services and |
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| 28 | 27 | | procedures code book that is used by the health insurance entity, the health |
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| 29 | 28 | | insurance entity shall not discriminate between a chiropractic physician and a |
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| 30 | 29 | | physician licensed pursuant to title 63, chapter 6 or chapter 9, with respect to the |
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| 31 | 30 | | methodology used to calculate reimbursement or the amount of reimbursement. |
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| 32 | 31 | | A health insurance entity shall not attempt to circumvent this subdivision (a)(3) by |
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| 33 | 32 | | creating a chiropractic-specific code or payment methodology not listed in the |
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| 34 | 33 | | nationally recognized services and procedures code book used by the health |
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| 35 | 34 | | insurance entity for determining the amount of reimbursement. |
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| 36 | 35 | | |
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| 37 | 36 | | |
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| 38 | 37 | | - 2 - 000671 |
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| 39 | 38 | | |
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| 40 | 39 | | (B) This subdivision (a)(3) does not limit the ability of a health insurance |
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| 41 | 40 | | entity to utilize national uniform relative value units (RVUs) that account for the |
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| 42 | 41 | | relative resources used in furnishing a service or procedure. |
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| 43 | 42 | | (C) As used in this subdivision (a)(3): |
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| 44 | 43 | | (i) "Health insurance entity" has the same meaning as defined in |
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| 45 | 44 | | ยง 56-7-109; and |
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| 46 | 45 | | (ii) "Nationally recognized services and procedures code book" |
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| 47 | 46 | | includes, but is not limited to, the American Medical Association's Current |
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| 48 | 47 | | Procedural Terminology (CPT) code book. |
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| 49 | 48 | | (D) This subdivision (a)(3) does not apply to: |
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| 50 | 49 | | (i) The TennCare program established under the Medical |
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| 51 | 50 | | Assistance Act of 1968, compiled in title 71, chapter 5, part 1, or a |
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| 52 | 51 | | successor medicaid program; |
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| 53 | 52 | | (ii) The CoverKids program established under the CoverKids Act |
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| 54 | 53 | | of 2006, compiled in title 71, chapter 3, part 11, or a successor program; |
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| 55 | 54 | | or |
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| 56 | 55 | | (iii) Insurance coverage provided by this state or local |
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| 57 | 56 | | governments of this state. |
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| 58 | 57 | | SECTION 3. This act takes effect on July 1, 2025, the public welfare requiring it. |
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