Tennessee 2025-2026 Regular Session

Tennessee Senate Bill SB0401 Compare Versions

OldNewDifferences
11
2-HOUSE BILL 1387
3- By Harris
2+<BillNo> <Sponsor>
43
54 SENATE BILL 401
65 By Lamar
76
87
98 SB0401
109 000078
1110 - 1 -
1211
1312 AN ACT to amend Tennessee Code Annotated, Title 71,
1413 relative to TennCare.
1514
1615 WHEREAS, access to health care for children is important to the child, the child's family,
1716 and society at large; and
1817 WHEREAS, access to health care can influence a child's physical and emotional health,
1918 growth and development, and capacity to reach their full potential as adults; and
2019 WHEREAS, children are at increased risk of developing preventable conditions if
2120 appropriate care is not available when they are sick or injured; and
2221 WHEREAS, many children who are under the age of eighteen and Tennessee residents
2322 already qualify for the TennCare Medicaid program or the CoverKids program; and
2423 WHEREAS, this State has a compelling interest to ensure all eligible children in
2524 Tennessee have continuous access to healthcare coverage; now, therefore,
2625 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
2726 SECTION 1. Tennessee Code Annotated, Title 71, Chapter 5, Part 1, is amended by
2827 adding the following as a new section:
2928 (a) As used in this section:
3029 (1) "CoverKids program" means the program created pursuant to the
3130 CoverKids Act of 2006, compiled in chapter 3, part 11 of this title;
3231 (2) "Director" means the director of TennCare;
3332 (3) "Division" means the division of TennCare; and
3433 (4) "Minor" means a person who has not attained eighteen (18) years of
3534 age.
3635
3736
3837 - 2 - 000078
3938
4039 (b) Notwithstanding ยง 71-5-106 or another law, and to the extent permitted by
4140 federal law, on and after July 1, 2026, a minor who is enrolled in TennCare medicaid or
4241 the CoverKids program remains eligible for TennCare medicaid and the CoverKids
4342 program until the minor reaches eighteen (18) years of age.
4443 (c) On and after July 1, 2026, the division shall not subject a minor who is
4544 enrolled in TennCare medicaid or the CoverKids program to a redetermination of
4645 eligibility or disenroll the minor from TennCare medicaid or the CoverKids program
4746 unless the division has knowledge to indicate that:
4847 (1) The minor's parent or guardian requests the minor's voluntary
4948 disenrollment;
5049 (2) The minor is deceased;
5150 (3) The minor no longer resides in this state;
5251 (4) The minor's family income exceeds eligibility limits for TennCare
5352 medicaid and the CoverKids program; or
5453 (5) Initial enrollment of the minor was based on a division error or on
5554 fraud, abuse, or perjury by the minor's parent or guardian in a manner that would
5655 disqualify the minor for enrollment eligibility in TennCare medicaid or the
5756 CoverKids program.
5857 (d) This section does not prohibit the division from shifting an enrolled minor
5958 from TennCare medicaid to the CoverKids program, or from the CoverKids program to
6059 TennCare medicaid, for purposes of maintaining eligibility.
6160 (e) The director shall submit to the federal centers for medicare and medicaid
6261 services a request for any federal waiver the director deems necessary to effectuate this
6362 section no later than December 31, 2025.
6463 SECTION 2. This act takes effect upon becoming a law, the public welfare requiring it.