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HB 372

TennCare - As introduced, enacts the "Tennessee Medicaid Modernization and Access Act of 2025," which aligns TennCare's current Medicaid reimbursement rates for obstetrics/gynecology, primary care, outpatient mental health, and substance use disorder treatment with the Medicare fee schedule or average commercial rates, whichever is higher. - Amends TCA Title 63; Title 68 and Title 71.

114th Regular Session (2025-2026) Introduced by Bud Hulsey

Overview: HB 372, the "Tennessee Medicaid Modernization and Access Act of 2025", was taken off the notice calendar for the Finance, Ways, and Means Subcommittee on November 12, 202

Taken off notice for cal in s/c Finance, Ways and Means Subcommittee of Finance, Ways and Means Committee
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Bill Summary · HB 372

Overview: HB 372, the "Tennessee Medicaid Modernization and Access Act of 2025", was taken off the notice calendar for the Finance, Ways, and Means Subcommittee on November 12, 2024.

Purpose and Intent: The bill seeks to align TennCare's current Medicaid reimbursement rates for certain healthcare services with the Medicare fee schedule or average commercial rates, whichever is higher. The goal is to improve access to obstetrics/gynecology, primary care, outpatient mental health, and substance use disorder treatment for TennCare enrollees.

Key Provisions:
- Aligns TennCare reimbursement rates for obstetrics/gynecology, primary care, outpatient mental health, and substance use disorder treatment with the Medicare fee schedule or average commercial rates, whichever is higher
- Amends relevant sections of the Tennessee Code Annotated to implement these changes

Affected Parties and Impacts:
- TennCare enrollees, who may see improved access to certain healthcare services
- Healthcare providers who serve TennCare patients, as the reimbursement rate changes could impact their revenue

Procedural and Timeline Considerations:
The bill has been taken off the notice calendar for the Finance, Ways, and Means Subcommittee, indicating it is currently not moving forward in the legislative process.

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

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