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SB 185

TennCare - As introduced, establishes TennCare minimum and maximum reimbursement rate levels for rural hospitals and requires that the reimbursement rate is based on the rural hospital's current federal fiscal year. - Amends TCA Title 63; Title 68 and Title 71, Chapter 5.

114th Regular Session (2025-2026) Introduced by Ed Jackson

SB 185 merely declares legislative intent to adjust the Budget Act of 2025; it contains no funds or operative changes and thus has no current effect.

Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2026
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Bill Summary · SB 185

SB 185 — Appropriations: supplemental; general supplemental; provide for (Budget Act of 2025)

Status: Referred to Committee on Appropriations
Introduced: January 23, 2025
Author / Origin: Committee on Budget and Fiscal Review (legislative counsel digest)
Subject: Appropriations — supplemental / Budget Act of 2025

Purpose / Intent

SB 185, as introduced, is a short, high‑level intent bill related to the Budget Act of 2025. The bill states the Legislature’s intent to enact statutory changes relating to the Budget Act of 2025. In its introduced form the bill does not itself amend program statutes or appropriate funds — it functions as a statement of legislative intent and a placeholder for future statutory or conforming changes tied to the 2025 budget process.

Key provisions (as introduced)

  • Section 1 (sole substantive section): “It is the intent of the Legislature to enact statutory changes relating to the Budget Act of 2025.”
  • No line‑item appropriations, dollar amounts, program changes, or operative legislative changes are included in the introduced text.

Fiscal effect

  • Legislative digest metadata: Vote required — majority; Appropriation: NO; Fiscal Committee: NO; Local Program: NO.
  • A fiscal note filed (FN‑6YK6R33‑1, 02/24/2025) reports that, as introduced, SB 185 “would not directly affect state or local funding.”
  • Because the bill contains only an intent statement and no appropriations or substantive statutory changes in its introduced form, it has no direct fiscal impact at present.

Who would be affected

  • Immediately: no programs, state funds, local governments, or private parties are affected because the bill contains no operative changes.
  • Potentially affected in future: state departments, agencies and programs that are changed by subsequent statutory conforming measures or supplemental appropriations tied to the Budget Act of 2025. SB 185, if amended or followed by implementing language, would be the vehicle for those changes.

Procedural / next steps

  • Introduced January 23, 2025; referred to the Committee on Appropriations (and noted in the legislative digest as related to the Committee on Budget and Fiscal Review).
  • Typical path: committee hearings and amendments; if amended to include statutory changes or appropriations, the bill would move through fiscal/appropriations review and floor votes.
  • As drafted, SB 185 functions as a placeholder often used during budget season to reflect legislative intent and to reserve a vehicle for later statutory or conforming changes tied to the enacted budget.

How to read this bill in context

SB 185 should be viewed as a procedural/intent measure at introduction. Stakeholders tracking supplemental appropriations or statutory “trailer” (conforming) legislation tied to the Budget Act of 2025 should watch for:
- committee analyses and amendments that insert specific statutory or funding language;
- companion budget or budget‑committee reports that reference this bill; and
- subsequent fiscal notes, appropriation amounts, and implementation dates if the bill is expanded beyond the intent statement.

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

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