---
type: "Bill"
title: "TennCare - As enacted, directs the commissioner of finance and administration to submit to the federal centers for medicare and medicaid services a waiver or waivers pursuant to Section 1115 of the Social Security Act for the purpose of establishing a distinct Katie Beckett program. - Amends TCA Title 4; Title 33; Title 56; Title 68 and Title 71."
description: "TennCare - As enacted, directs the commissioner of finance and administration to submit to the federal centers for medicare and medicaid services a waiver or waivers pursuant to Section 1115 of the Social Security Act for the purpose of establishing a distinct Katie Beckett program. - Amends TCA Title 4; Title 33; Title 56; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "SB 476"
citation: "Tennessee SB 476 (111)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Roberts", "Whitson"]
version_count: 5
action_count: 57
vote_count: 9
first_action: "2019-02-01"
last_action: "2019-05-29"
source: "openstates"
source_identifier: "ocd-bill/a3e0e251-23f9-421f-8efe-dac66dcdf8f8"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0476&GA=111"
source_hash: "f8c535480c579783eeb0d4da95a794b706a440dd20ff13a05f349ea8a791ecd4"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-tn"]
---

# Tennessee SB 476 (111) — TennCare - As enacted, directs the commissioner of finance and administration to submit to the federal centers for medicare and medicaid services a waiver or waivers pursuant to Section 1115 of the Social Security Act for the purpose of establishing a distinct Katie Beckett program. - Amends TCA Title 4; Title 33; Title 56; Title 68 and Title 71.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Amendment HA0147** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0147.pdf)
2. **Amendment HA0500** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0500.pdf)
3. **Amendment SA0174** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0174.pdf)
4. **Amendment SA0445** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0445.pdf)
5. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/SB0476.pdf)

## Votes

- SENATE FINANCE, WAYS AND MEANS COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 10, Nays 0 PNV 0 4/30/2019 Passed (2) — **10–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/30/2019 Passed (1) — **96–0** (pass) · lower
- HOUSE INSURANCE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/26/2019 — **0–0** (pass) · lower
- FLOOR VOTE: Third Consideration 5/1/2019 Passed (1) — **31–0** (pass) · upper
- HOUSE TENNCARE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/20/2019 — **0–0** (fail) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/30/2019 4/29/2019 (2) — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/24/2019 (3) — **0–0** (pass) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 3/26/2019 Passed — **9–0** (pass) · upper
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/24/2019 (4) — **0–0** (pass) · lower

## Sponsors

- Roberts — primary (person)
- Whitson — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2019-02-01** Filed for introduction `reading-1, introduction`
- **2019-02-04** Filed for introduction `reading-1, introduction`
- **2019-02-04** Intro., P1C. `introduction`
- **2019-02-06** Introduced, Passed on First Consideration `introduction`
- **2019-02-06** Assigned to s/c TennCare Subcommittee `referral-committee`
- **2019-02-06** P2C, ref. to Insurance Committee `referral-committee`
- **2019-02-07** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2019-02-20** Placed on s/c cal TennCare Subcommittee for 2/27/2019
- **2019-02-27** Taken off notice for cal in s/c TennCare Subcommittee of Insurance Committee
- **2019-03-06** Placed on s/c cal TennCare Subcommittee for 3/13/2019
- **2019-03-13** Placed on s/c cal TennCare Subcommittee for 3/20/2019
- **2019-03-13** Action Def. in s/c TennCare Subcommittee to 3/20/2019
- **2019-03-19** Placed on Senate Commerce and Labor Committee calendar for 3/26/2019
- **2019-03-20** Placed on cal. Insurance Committee for 3/26/2019
- **2019-03-20** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2019-03-26** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0
- **2019-03-26** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-03-27** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/3/2019
- **2019-03-27** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2019-04-03** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/10/2019
- **2019-04-03** Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/10/2019
- **2019-04-10** Placed behind the budget
- **2019-04-17** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/25/2019
- **2019-04-18** Placed on Senate Finance, Ways, and Means Committee calendar for 4/23/2019
- **2019-04-23** Placed on Senate Finance, Ways, and Means Committee calendar for 4/24/2019
- **2019-04-23** Action deferred in Senate Finance, Ways, and Means Committee to 4/24/2019
- **2019-04-24** Action deferred in Senate Finance, Ways, and Means Committee to 4/25/2019
- **2019-04-24** Placed on cal. Calendar & Rules Committee for 4/29/2019
- **2019-04-24** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2019-04-24** Placed on cal. Finance, Ways, and Means Committee for 4/24/2019
- **2019-04-24** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-04-25** Action deferred in Senate Finance, Ways, and Means Committee to 4/29/2019
- **2019-04-25** Placed on Senate Finance, Ways, and Means Committee calendar for 4/25/2019
- **2019-04-29** Placed on Senate Finance, Ways, and Means Committee calendar for 4/30/2019
- **2019-04-29** Action deferred in Senate Finance, Ways, and Means Committee to 4/30/2019
- **2019-04-29** Placed on Senate Finance, Ways, and Means Committee calendar for 4/29/2019
- **2019-04-29** H. Placed on Regular Calendar for 4/30/2019
- **2019-04-30** Placed on Senate Regular Calendar for 5/1/2019
- **2019-04-30** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 10, Nays 0 PNV 0
- **2019-04-30** Engrossed; ready for transmission to Sen.
- **2019-04-30** Passed H., as am., Ayes 96, Nays 0, PNV 0 `passage`
- **2019-04-30** H. adopted am. (Amendment 2 - HA0500) `amendment-passage`
- **2019-04-30** H. adopted am. (Amendment 1 - HA0147) `amendment-passage`
- **2019-05-01** Companion House Bill substituted
- **2019-05-01** Passed Senate, Ayes 31, Nays 0 `passage`
- **2019-05-01** Amendment withdrawn. (Amendment 2 - SA0445)
- **2019-05-01** Amendment withdrawn. (Amendment 1 - SA0174)
- **2019-05-01** Senate substituted House Bill for companion Senate Bill.
- **2019-05-01** Received from House, Passed on First Consideration `introduction`
- **2019-05-08** Enrolled; ready for sig. of H. Speaker.
- **2019-05-10** Signed by H. Speaker
- **2019-05-14** Signed by Senate Speaker
- **2019-05-16** Transmitted to Governor for his action. `executive-receipt`
- **2019-05-24** Signed by Governor. `executive-signature`
- **2019-05-29** Comp. became Pub. Ch. 494
- **2019-05-29** Pub. Ch. 494
- **2019-05-29** Effective date(s) 05/24/2019

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a3e0e251-23f9-421f-8efe-dac66dcdf8f8`. Confidence: reported (aggregated from official Tennessee legislature records).