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HB 2411

Boards and Commissions - As enacted, integrates the bureau of TennCare into the statewide planning and policy council’s structure and mission by adding the director of long-term care services and a managed care organization representative to its membership; expands the council’s advisory and reporting duties to include TennCare’s director, services, and waiver implementation alongside existing department programs. - Amends TCA Title 52, Chapter 5, Part 6 and Title 71, Chapter 5.

114th Regular Session (2025-2026) Introduced by Renea Jones

Bill integrates Tennessee's Medicaid (TennCare) program into statewide planning council by adding long-term care director and managed care organization representative to expand oversight of services and waivers.

Comp. became Pub. Ch. 716
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Bill Summary · HB 2411

Legislative bill overview

HB 2411 expands Tennessee's statewide planning and policy council by formally integrating the TennCare bureau into its structure. The bill adds the director of long-term care services and a managed care organization representative to the council's membership and expands the council's advisory duties to oversee TennCare's operations, services, and waiver implementation.

Why is this important

TennCare is Tennessee's Medicaid program serving hundreds of thousands of low-income residents. This structural change affects how healthcare policy is coordinated at the state level and could influence long-term care delivery, managed care operations, and federal Medicaid waiver decisions. The integration signals a shift toward more centralized policy oversight of one of the state's largest health programs.

Potential points of contention

  • Governance clarity: Adding managed care organization representatives to government planning councils raises questions about potential conflicts of interest, as MCOs have financial stakes in TennCare policy decisions
  • Administrative burden vs. coordination: Expanding council duties could improve coordinated planning, but may also create redundant oversight layers or slow decision-making
  • Representation gaps: The bill specifies TennCare director and MCO representation but doesn't explicitly include consumer advocates or beneficiary voices, potentially limiting input from those directly affected by TennCare policies

Compiled from official sources — confirm details with the bill’s official record.

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