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HB 1887

Disability and Aging, Dept. Of - As introduced, creates a licensure process for prescribed pediatric extended care programs; requires TennCare to submit a waiver to the federal centers for medicare and medicaid services seeking approval to provide coverage and benefits for those who receive services from a prescribed pediatric extended care program. - Amends TCA Title 52; Title 56 and Title 71.

114th Regular Session (2025-2026)

Tennessee creates licensure for pediatric extended care programs and seeks Medicaid federal approval to cover services at these new facilities.

Taken off notice for cal in s/c Finance, Ways and Means Subcommittee of Finance, Ways and Means Committee
#dept.of #disabilityandaging
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Bill Summary · HB 1887

Legislative bill overview

HB 1887 establishes a new licensure framework for "prescribed pediatric extended care programs" in Tennessee and directs TennCare (the state's Medicaid program) to seek federal approval to cover services provided by these facilities. The bill amends three sections of Tennessee law governing health, insurance, and government operations to implement this regulatory structure.

Why is this important

This bill would create a new category of healthcare facility for children with complex medical needs, potentially filling a gap in available care options. The federal waiver requirement means Tennessee's Medicaid program would need CMS approval before expanding benefits, which carries both financial and administrative implications for the state healthcare system.

Potential points of contention

  • Definition and scope unclear: The bill's terminology "prescribed pediatric extended care programs" is not defined in this summary, making it difficult to assess what services qualify and who would be eligible
  • Federal waiver uncertainty: CMS approval is not guaranteed; the state could invest in licensure infrastructure only to have a waiver request denied
  • Cost implications: Expanding TennCare coverage requires state budget allocation; the fiscal impact and funding source are not specified in this summary
  • Regulatory burden: New licensure requirements may increase compliance costs for facilities or reduce provider availability if standards are too stringent

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

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