SB 1134 - HB 1223
FISCAL NOTE
Fiscal Review Committee
Tennessee General Assembly
March 6, 2025
Fiscal Analyst: Justin Billingsley | Email: justin.billingsley@capitol.tn.gov | Phone: 615-741-2564
SB 1134 - HB 1223
SUMMARY OF BILL: Requires the Tennessee Advisory Commission on
Intergovernmental Relations (TACIR) to perform a comprehensive evaluation of health insurance
processes and statistics including, but not limited to, coverage denials, prior authorization, reserve
funds, claim appeals, and the manner in which state agencies audit health insurers. Requires TACIR
to report its findings and recommendations to the Chairs of certain legislative committees by
January 15, 2026. Specifies that such evaluation should not include healthcare policies provided
through the TennCare program or CoverKids program, or the successor of either program.
FISCAL IMPACT:
NOT SIGNIFICANT
Assumption:
• According to TACIR, the study may be performed utilizing existing staff and resources;
therefore, any increase in state expenditures is estimated to be not significant.
CERTIFICATION:
The information contained herein is true and correct to the best of my knowledge.
Bojan Savic, Executive Director