HB 479 - SB 530 FISCAL NOTE Fiscal Review Committee Tennessee General Assembly February 24, 2025 Fiscal Analyst: Rebecca Chandler | Email: rebecca.chandler@capitol.tn.gov | Phone: 615-741-2564 HB 479 - SB 530 SUMMARY OF BILL: Enacts the Tennessee National Guard Servicemember’s Medical Readiness Act. Establishes a TRICARE premium reimbursement program within the Military Department (DOM) to assist eligible Tennessee National Guard (TNG) members with healthcare costs. Authorizes reimbursement grants for eligible servicemembers who pay premiums for TRICARE Reserve Select or TRICARE Dental Program coverage. Requires the Adjunct General to develop policies and guidelines for administering reimbursements and ensures that any federal reimbursement for these premiums supersedes state reimbursement. FISCAL IMPACT: STATE GOVERNMENT EXPENDITURES General Fund FY25-26 & Subsequent Years $9,828,300 Total Positions Required: 1 Assumptions: • TRICARE is the U.S. military’s government-managed health insurance program, providing coverage for active-duty service members, National Guard members, reservists, retirees, and their families. • The proposed legislation creates a reimbursement program within DOM to support eligible TNG members by authorizing reimbursement for premiums paid under TRICARE Reserve Select and the TRICARE Dental Program. • There are 12,412 members of the Tennessee National Guard, 9,808 are eligible for TRICARE Reserve Select and TRICARE Dental Program coverage. • For the purpose of this analysis, it is assumed that all eligible TNG members will apply for both health and dental coverage. The monthly premium for TRICARE health and dental is $82.84 per member ($51.95 health premium + $30.89 dental premium), leading to an estimated monthly state expenditure of $812,495 (9,808 members × $82.84 in premiums). • The recurring increase in state expenditures is estimated to be $9,749,940 ($812,495 x 12 months) in FY25-26 and subsequent years. • The DOM payroll office will oversee the program by verifying eligibility and processing reimbursements through payroll submission. To manage the program, the Department will require one additional Administrative Services Assistant 3 position (ASA3) to evaluate qualifying packets and oversee disbursement of reimbursements. The cost for this position is outlined below: HB 479 - SB 530 2 Title Salary Benefits # Positions Total ASA3 $60,336 $18,038 1 $78,374 • Therefore, the proposed legislation is expected to result in a recurring cost of $9,828,314 ($9,749,940 + $78,374) annually, beginning in FY25-26. • It is assumed that the Adjunct General can develop policies and guidelines for administering reimbursements within existing resources and personnel. • The proposed legislation specifies that federal reimbursement supersedes state reimbursement; however, the extent and timing of federal reimbursement for this program cannot be reasonably determined. None such reimbursement is assumed. CERTIFICATION: The information contained herein is true and correct to the best of my knowledge. Bojan Savic, Executive Director