republic-os/legislation/us/states/tn/110/sb-2639.md

---
type: "Bill"
title: "TennCare - As enacted, prohibits the bureau and HCFA from imposing a fine or penalty on any provider when developing or implementing any payment reform initiative involving the use of episodes of care; revises other provisions regarding payments to healthcare providers. - Amends TCA Title 8, Chapter 27 and Title 71, Chapter 5."
description: "TennCare - As enacted, prohibits the bureau and HCFA from imposing a fine or penalty on any provider when developing or implementing any payment reform initiative involving the use of episodes of care; revises other provisions regarding payments to healthcare providers. - Amends TCA Title 8, Chapter 27 and Title 71, Chapter 5."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "110"
identifier: "SB 2639"
citation: "Tennessee SB 2639 (110)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Hensley", "Sexton C"]
version_count: 1
action_count: 41
vote_count: 2
first_action: "2018-01-22"
last_action: "2018-04-23"
source: "openstates"
source_identifier: "ocd-bill/7c17df3e-3ccc-47c8-9b94-e849ff2772e2"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2639&GA=110"
source_hash: "20d74395e938e346d1b76c0855c95e99c6ea53afff1044c1c70fcbeeaab0061b"
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 2639 (110) — TennCare - As enacted, prohibits the bureau and HCFA from imposing a fine or penalty on any provider when developing or implementing any payment reform initiative involving the use of episodes of care; revises other provisions regarding payments to healthcare providers. - Amends TCA Title 8, Chapter 27 and Title 71, Chapter 5.

## Version chain

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

1. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/110/Bill/SB2639.pdf)

## Votes

- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, & Means Committee Ayes 9, Nays 0 PNV 0 3/20/2018 Passed — **9–0** (pass) · upper
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Commerce and Labor Committee Ayes 9, Nays 0 PNV 0 3/14/2018 Passed — **9–0** (pass) · upper

## Sponsors

- Hensley — primary (person)
- Sexton C — primary (person)

## Timeline

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

- **2018-01-22** Filed for intro. `introduction, reading-1`
- **2018-01-24** Intro., P1C. `introduction`
- **2018-01-25** P2C, ref. to Health Committee `referral-committee`
- **2018-01-30** Assigned to s/c Health Subcommittee `referral-committee`
- **2018-02-01** Introduced, Passed on First Consideration `introduction`
- **2018-02-01** Filed for introduction `introduction, reading-1`
- **2018-02-05** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2018-03-07** Placed on Senate Health and Welfare Committee calendar for 3/14/2018
- **2018-03-07** Placed on s/c cal Health Subcommittee for 3/14/2018
- **2018-03-14** Recommended for passage with amendment/s, refer to Senate Commerce and Labor Committee Ayes 9, Nays 0 PNV 0
- **2018-03-14** Placed on s/c cal Health Subcommittee for 3/21/2018
- **2018-03-14** Action Def. in s/c Health Subcommittee to 3/21/2018
- **2018-03-14** Sponsor(s) Added.
- **2018-03-19** Placed on Senate Commerce and Labor Committee calendar for 3/20/2018
- **2018-03-19** Rule #83(8) Suspended, to be heard in S. C&L Comm. 3/20/18
- **2018-03-20** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2018-03-21** Placed on cal. Health Committee for 3/27/2018
- **2018-03-21** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
- **2018-03-27** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2018-03-28** Placed on cal. Calendar & Rules Committee for 3/29/2018
- **2018-03-29** H. Placed on Regular Calendar for 4/4/2018
- **2018-04-03** Placed on Senate Regular Calendar calendar for 4/5/2018
- **2018-04-04** Engrossed; ready for transmission to Sen.
- **2018-04-04** Sponsor(s) Added.
- **2018-04-04** Passed H., as am., Ayes 84, Nays 0, PNV 0 `passage`
- **2018-04-04** Passed H., as am., Ayes 84, Nays 0, PNV <pnv> `passage`
- **2018-04-04** H. adopted am. (Amendment 1 - HA1018) `amendment-passage`
- **2018-04-05** Companion House Bill substituted
- **2018-04-05** Passed Senate, Ayes 31, Nays 0 `passage`
- **2018-04-05** Amendment withdrawn. (Amendment 1 - SA0812)
- **2018-04-05** Amendment withdrawn. (Amendment 2 - SA0862)
- **2018-04-05** Senate substituted House Bill for companion Senate Bill.
- **2018-04-05** Received from House, Passed on First Consideration `introduction`
- **2018-04-06** Enrolled; ready for sig. of H. Speaker.
- **2018-04-09** Signed by H. Speaker
- **2018-04-10** Transmitted to Governor for his action. `executive-receipt`
- **2018-04-10** Signed by Senate Speaker
- **2018-04-19** Signed by Governor. `executive-signature`
- **2018-04-23** Comp. became Pub. Ch. 766
- **2018-04-23** Pub. Ch. 766
- **2018-04-23** Effective date(s) 07/01/2018

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7c17df3e-3ccc-47c8-9b94-e849ff2772e2`. Confidence: reported (aggregated from official Tennessee legislature records).