---
type: "Bill"
title: "TennCare - As enacted, extends the ground ambulance service annual assessment to June 30, 2027; changes the penalty imposed by the bureau on an ambulance provider for each day an assessment remains unpaid from $50 per calendar day to 5 percent of the principal amount owed per month for each month. - Amends TCA Title 71, Chapter 5, Part 15."
description: "TennCare - As enacted, extends the ground ambulance service annual assessment to June 30, 2027; changes the penalty imposed by the bureau on an ambulance provider for each day an assessment remains unpaid from $50 per calendar day to 5 percent of the principal amount owed per month for each month. - Amends TCA Title 71, Chapter 5, Part 15."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 2221"
citation: "Tennessee SB 2221 (114)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Yager"]
version_count: 1
action_count: 25
vote_count: 4
first_action: "2026-02-02"
last_action: "2026-05-27"
source: "openstates"
source_identifier: "ocd-bill/959d6657-368c-4771-ba85-8826a6fa026e"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB2221&ga=114"
source_hash: "31823b0be0f8b0a6650aeb7454f5137f501ca6a17ee1e65cf1ebfb95a4041016"
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 2221 (114) — TennCare - As enacted, extends the ground ambulance service annual assessment to June 30, 2027; changes the penalty imposed by the bureau on an ambulance provider for each day an assessment remains unpaid from $50 per calendar day to 5 percent of the principal amount owed per month for each month. - Amends TCA Title 71, Chapter 5, Part 15.

## Version chain

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

1. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB2221.pdf)

## Votes

- FLOOR VOTE: Motion to Adopt 4/6/2026 Passed (1) — **32–0** (pass) · upper
- SENATE FINANCE, WAYS AND MEANS COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 4/1/2026 Passed (2) — **10–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/21/2026 Passed (1) — **84–0** (pass) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage, refer to Senate Finance, Ways, and Means Committee 3/17/2026 Passed (3) — **9–0** (pass) · upper

## Sponsors

- Yager — primary (person)

## Timeline

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

- **2026-02-02** Refer to Senate Delayed Bills Committee
- **2026-02-02** Filed for introduction `filing`
- **2026-03-02** Introduced, Passed on First Consideration `introduction`
- **2026-03-02** Approved by Delayed Bills Committee
- **2026-03-04** Sponsor(s) Added. `sponsorship`
- **2026-03-05** Passed on Second Consideration, refer to Senate Health and Welfare Committee `referral-committee`
- **2026-03-11** Placed on Senate Health and Welfare Committee calendar for 3/17/2026
- **2026-03-17** Recommended for passage, refer to Senate Finance, Ways, and Means Committee
- **2026-03-30** Placed on Senate Finance, Ways, and Means Committee calendar for 4/1/2026
- **2026-03-30** Rule #83(8) Suspended, to be heard in Senate Finance, Ways & Means Committee on 4/1/2026
- **2026-03-31** Placed on Senate Finance, Ways, and Means Committee calendar for 4/1/2026
- **2026-04-01** Recommended for passage, refer to Senate Calendar Committee
- **2026-04-02** Placed on Senate Consent Calendar 2 for 4/6/2026
- **2026-04-06** Engrossed; ready for transmission to House `receipt`
- **2026-04-06** Passed Senate, Ayes 32, Nays 0 `passage`
- **2026-04-08** Rcvd. from S., held on H. desk.
- **2026-04-21** Passed H., Ayes 84, Nays 0, PNV 0 `passage`
- **2026-04-21** Subst. for comp. HB. `substitution`
- **2026-04-29** Enrolled and ready for signatures `enrolled`
- **2026-04-30** Signed by Senate Speaker `passage`
- **2026-05-07** Signed by H. Speaker `passage`
- **2026-05-11** Transmitted to Governor for action. `executive-receipt`
- **2026-05-22** Signed by Governor. `executive-signature`
- **2026-05-27** Effective date(s) 05/22/2026
- **2026-05-27** Pub. Ch. 1123

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/959d6657-368c-4771-ba85-8826a6fa026e`. Confidence: reported (aggregated from official Tennessee legislature records).