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HB 428

TennCare - As introduced, requires TennCare to provide eligible covered enrollees with continuous glucose monitoring; establishes criteria for eligibility. - Amends TCA Title 56 and Title 71.

114th Regular Session (2025-2026) Introduced by Elaine Davis

Tennessee's HB 428 requires TennCare to cover continuous glucose monitoring devices for eligible diabetic enrollees, expanding access to diabetes management technology for low-income state residents.

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Bill Summary · HB 428

Legislative bill overview

HB 428 mandates that Tennessee's TennCare program provide continuous glucose monitoring (CGM) devices to eligible enrolled beneficiaries who meet specific clinical criteria. The bill amends state law governing both TennCare operations and insurance regulations to establish these coverage requirements and eligibility standards.

Why is this important

Continuous glucose monitoring can significantly improve diabetes management outcomes and reduce complications, particularly for patients requiring insulin therapy. This legislation affects thousands of TennCare beneficiaries' access to a technology that many private insurance plans already cover, while creating potential budgetary implications for the state's Medicaid program.

Potential points of contention

  • Cost and budget impact: CGM devices and supplies represent ongoing expenses; critics may argue about fiscal sustainability and whether funds could be allocated to other health priorities
  • Eligibility criteria definition: The bill's specific clinical criteria for who qualifies could be debated—narrower criteria limit costs but exclude some patients; broader criteria increase access but expense
  • Implementation logistics: Questions may arise about which devices are covered, replacement schedules, training requirements, and whether TennCare's infrastructure can support widespread distribution

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

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