---
type: "Bill"
title: "TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2024. - Amends TCA Title 71, Chapter 5, Part 10."
description: "TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2024. - Amends TCA Title 71, Chapter 5, Part 10."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "113"
identifier: "HB 493"
citation: "Tennessee HB 493 (113)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Johnson C"]
version_count: 3
action_count: 31
vote_count: 8
first_action: "2023-01-25"
last_action: "2023-05-19"
source: "openstates"
source_identifier: "ocd-bill/757905aa-6e8b-492c-a4ad-213c0894e9ce"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0493&GA=113"
source_hash: "b48d480a2758bbefb23311a94ac25fb29aceaf3bbc18d15146f9299a793d071d"
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 HB 493 (113) — TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2024. - Amends TCA Title 71, Chapter 5, Part 10.

## Version chain

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

1. **Amendment HA0128** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0128.pdf)
2. **Amendment SA0221** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0221.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/HB0493.pdf)

## Votes

- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/7/2023 (5) — **0–0** (fail) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/3/2023 3/30/2023 (2) — **0–0** (fail) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/14/2023 — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/3/2023 Passed (1) — **95–0** (pass) · lower
- FLOOR VOTE: Third Consideration 4/18/2023 Passed (1) — **31–0** (pass) · upper
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/28/2023 (3) — **0–0** (pass) · lower
- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/7/2023 — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 3/22/2023 (4) — **0–0** (pass) · lower

## Sponsors

- Johnson C — primary (person)

## Timeline

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

- **2023-01-25** Filed for introduction `filing`
- **2023-01-30** Intro., P1C. `introduction`
- **2023-02-01** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2023-02-01** P2C, ref. to Insurance Committee `referral-committee`
- **2023-03-01** Placed on s/c cal Insurance Subcommittee for 3/7/2023
- **2023-03-07** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2023-03-08** Placed on cal. Insurance Committee for 3/14/2023
- **2023-03-14** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2023-03-15** Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/22/2023
- **2023-03-15** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2023-03-21** Sponsor(s) Added. `sponsorship`
- **2023-03-22** Placed on cal. Finance, Ways, and Means Committee for 3/28/2023
- **2023-03-22** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2023-03-28** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2023-03-29** Placed on cal. Calendar & Rules Committee for 3/30/2023
- **2023-03-30** H. Placed on Regular Calendar for 4/3/2023
- **2023-04-03** Passed H., as am., Ayes 95, Nays 0, PNV 0 `passage`
- **2023-04-03** H. adopted am. (Amendment 1 - HA0128) `amendment-passage`
- **2023-04-03** Sponsor(s) Added. `sponsorship`
- **2023-04-04** Engrossed; ready for transmission to Sen. `receipt`
- **2023-04-05** Received from House, Passed on First Consideration `introduction`
- **2023-04-18** Passed Senate, Ayes 31, Nays 0 `passage`
- **2023-04-18** Amendment withdrawn. (Amendment 1 - SA0221)
- **2023-04-18** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2023-04-24** Enrolled; ready for sig. of H. Speaker. `enrolled`
- **2023-04-28** Signed by H. Speaker `passage`
- **2023-05-03** Signed by Senate Speaker `passage`
- **2023-05-04** Transmitted to Governor for his action. `executive-receipt`
- **2023-05-11** Signed by Governor. `executive-signature`
- **2023-05-19** Effective date(s) 07/01/2023
- **2023-05-19** Pub. Ch. 384

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/757905aa-6e8b-492c-a4ad-213c0894e9ce`. Confidence: reported (aggregated from official Tennessee legislature records).