---
type: "Bill"
title: "TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2027; makes other related revisions. - Amends TCA Title 71, Chapter 5, Part 10."
description: "TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2027; makes other related revisions. - Amends TCA Title 71, Chapter 5, Part 10."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "HB 1864"
citation: "Tennessee HB 1864 (114)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Hicks G"]
version_count: 3
action_count: 35
vote_count: 8
first_action: "2026-01-21"
last_action: "2026-05-26"
source: "openstates"
source_identifier: "ocd-bill/9e348ae3-152e-4324-bea6-896450b51552"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=HB1864&ga=114"
source_hash: "f82e216f1edf0866b37f6b31233c254c7dac2b8ccd13a09cff75a24bae68e388"
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 1864 (114) — TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2027; makes other related revisions. - 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 HA0697** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0697.pdf)
2. **Amendment SA0976** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0976.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/HB1864.pdf)

## Votes

- FLOOR VOTE: Third Consideration 4/20/2026 Passed (1) — **29–1** (pass) · upper
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/13/2026 4/9/2026 (2) — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/7/2026 Passed (3) — **25–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/13/2026 Passed (1) — **93–0** (pass) · lower
- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Finance, Ways, and Means Committee 3/23/2026 Passed — **13–0** (pass) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 3/17/2026 Passed — **16–0** (pass) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/1/2026 Passed (4) — **10–0** (pass) · lower
- HOUSE TENNCARE SUBCOMMITTEE: Rec. for pass by s/c ref. to Insurance Committee 3/3/2026 Passed — **5–0** (pass) · lower

## Sponsors

- Hicks G — primary (person)

## Timeline

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

- **2026-01-21** Filed for introduction `filing`
- **2026-01-22** Intro., P1C. `introduction`
- **2026-02-02** Assigned to s/c Tenncare Subcommittee `referral-committee`
- **2026-02-02** P2C, ref. to Insurance Committee - Government Operations for Review `referral-committee`
- **2026-02-25** Placed on s/c cal Tenncare Subcommittee for 3/3/2026
- **2026-03-03** Rec. for pass by s/c ref. to Insurance Committee `committee-passage-favorable`
- **2026-03-04** Placed on cal. Insurance Committee for 3/10/2026
- **2026-03-10** Action def. in Insurance Committee to 3/17/2026
- **2026-03-11** Placed on cal. Insurance Committee for 3/17/2026
- **2026-03-17** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
- **2026-03-18** Placed on cal. Government Operations Committee for 3/23/2026
- **2026-03-23** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2026-03-23** Rec. for pass; ref to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2026-03-25** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/1/2026
- **2026-04-01** Placed on cal. Finance, Ways, and Means Committee for 4/7/2026
- **2026-04-01** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2026-04-07** Sponsor(s) Added. `sponsorship`
- **2026-04-07** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2026-04-08** Placed on cal. Calendar & Rules Committee for 4/9/2026
- **2026-04-09** H. Placed on Regular Calendar for 4/13/2026
- **2026-04-13** Engrossed; ready for transmission to Sen. `receipt`
- **2026-04-13** Sponsor(s) Added. `sponsorship`
- **2026-04-13** Passed H., as am., Ayes 93, Nays 0, PNV 0 `passage`
- **2026-04-13** H. adopted am. (Amendment 1 - HA0697) `amendment-passage`
- **2026-04-14** Received from House, Passed on First Consideration `introduction`
- **2026-04-20** Passed Senate, Ayes 29, Nays 1 `passage`
- **2026-04-20** Amendment withdrawn. (Amendment 1 - SA0976)
- **2026-04-20** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2026-04-23** Enrolled; ready for sig. of H. Speaker. `enrolled`
- **2026-04-30** Signed by H. Speaker `passage`
- **2026-05-05** Signed by Senate Speaker `passage`
- **2026-05-07** Transmitted to Governor for his action. `executive-receipt`
- **2026-05-19** Signed by Governor. `executive-signature`
- **2026-05-26** Effective date(s) 07/01/2026
- **2026-05-26** Pub. Ch. 990

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9e348ae3-152e-4324-bea6-896450b51552`. Confidence: reported (aggregated from official Tennessee legislature records).