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---
type: "Bill"
title: "TennCare - As enacted, directs the governor, through the commissioner of finance and administration, to submit a waiver amendment to the centers for medicare and medicaid services to provide TennCare II funding by means of a block grant indexed for inflation and population growth. - Amends TCA Title 4; Title 33; Title 56 and Title 71."
description: "TennCare - As enacted, directs the governor, through the commissioner of finance and administration, to submit a waiver amendment to the centers for medicare and medicaid services to provide TennCare II funding by means of a block grant indexed for inflation and population growth. - Amends TCA Title 4; Title 33; Title 56 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "SB 1428"
citation: "Tennessee SB 1428 (111)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Bailey", "Hill T"]
version_count: 4
action_count: 57
vote_count: 13
first_action: "2019-02-06"
last_action: "2019-05-29"
source: "openstates"
source_identifier: "ocd-bill/3aa4f3f9-8fbf-4254-96fe-a5fd48675747"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB1428&GA=111"
source_hash: "84b819bc1d4177fac574fa846f875fd643642e2ffca0991225a30e27257dd167"
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 1428 (111) — TennCare - As enacted, directs the governor, through the commissioner of finance and administration, to submit a waiver amendment to the centers for medicare and medicaid services to provide TennCare II funding by means of a block grant indexed for inflation and population growth. - Amends TCA Title 4; Title 33; Title 56 and Title 71.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Amendment HA0032** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0032.pdf)
2. **Amendment HA0294** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0294.pdf)
3. **Amendment SA0358** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0358.pdf)
4. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/SB1428.pdf)
## Votes
- HOUSE INSURANCE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/5/2019 — **00** (pass) · lower
- FLOOR VOTE: Motion to Adopt Conference Committee Report 5/2/2019 Passed (1) — **266** (pass) · upper
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/11/2019 4/4/2019 (3) — **00** (fail) · lower
- FLOOR VOTE: MESSAGE CALENDAR 2 MOTION TO ADOPT CONFERENCE COMMITTEE REPORT 5/2/2019 Passed (1) — **6319** (pass) · lower
- HOUSE TENNCARE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 2/27/2019 — **00** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/26/2019 (4) — **00** (pass) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0 4/16/2019 Passed — **81** (pass) · upper
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 4/23/2019 Passed — **81** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 4/30/2019 Passed (2) — **245** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/11/2019 Passed — **6822** (pass) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee 3/20/2019 (5) — **00** (fail) · lower
- FLOOR VOTE: REGULAR CALENDAR LAY ON THE TABLE MOTION TO ADOPT AMENDMENT # 2 BY STEWART PASSAGE ON THIRD CONSIDERATION 4/11/2019 Passed — **6822** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/11/2019 Passed (2) — **6821** (pass) · lower
## Sponsors
- Bailey — primary (person)
- Hill T — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-02-06** Intro. `introduction`
- **2019-02-06** Filed for introduction `reading-1, introduction`
- **2019-02-07** Introduced, Passed on First Consideration `introduction`
- **2019-02-07** Filed for introduction `reading-1, introduction`
- **2019-02-07** P1C.
- **2019-02-11** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2019-02-11** P2C, ref. to Insurance Committee `referral-committee`
- **2019-02-13** Assigned to s/c TennCare Subcommittee `referral-committee`
- **2019-02-20** Placed on s/c cal TennCare Subcommittee for 2/27/2019
- **2019-02-27** Placed on cal. Insurance Committee for 3/5/2019
- **2019-02-27** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2019-03-05** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-03-06** Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/13/2019
- **2019-03-06** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2019-03-13** Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/20/2019
- **2019-03-13** No Action Taken
- **2019-03-20** Placed on cal. Finance, Ways, and Means Committee for 3/26/2019
- **2019-03-20** Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee `referral-committee`
- **2019-03-26** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2019-04-03** Placed on Senate Commerce and Labor Committee calendar for 4/9/2019
- **2019-04-03** Placed on cal. Calendar & Rules Committee for 4/4/2019
- **2019-04-04** H. Placed on Regular Calendar for 4/11/2019
- **2019-04-09** Action deferred in Senate Commerce and Labor Committee to 4/16/2019
- **2019-04-10** Placed on Senate Commerce and Labor Committee calendar for 4/16/2019
- **2019-04-11** Engrossed; ready for transmission to Sen.
- **2019-04-11** Passed H., as am., Ayes 68, Nays 21, PNV 1 `passage`
- **2019-04-11** H. adopted am. (Amendment 1 - HA0032) `amendment-passage`
- **2019-04-11** Am. tabled. (Amendment 2 - HA0294) `amendment-deferral`
- **2019-04-15** Received from House, Passed on First Consideration `introduction`
- **2019-04-16** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0
- **2019-04-17** Placed on Senate Health and Welfare Committee calendar for 4/23/2019
- **2019-04-17** Refer to Senate Health & Welfare Committee
- **2019-04-17** Recalled from Senate Calendar Committee
- **2019-04-23** Recommended for passage, refer to Senate Calendar Committee
- **2019-04-25** Placed on Senate Regular Calendar for 4/30/2019
- **2019-04-30** Companion House Bill substituted
- **2019-04-30** H. nonconcurred in S. am. no. 1
- **2019-04-30** Passed Senate as amended, Ayes 24, Nays 5 `passage`
- **2019-04-30** Senate adopted Amendment (Amendment 1 - SA0358)
- **2019-04-30** Senate substituted House Bill for companion Senate Bill.
- **2019-05-01** Senate refused to recede from amendment 1
- **2019-05-01** Placed on Senate Message Calendar 2 for 5/1/2019
- **2019-05-02** Conference Committee report adopted, Ayes 26, Nays 6
- **2019-05-02** Conf. comm. report adopted, Ayes 63, Nays 19 PNV 1
- **2019-05-02** Conf. comm. appointed. (T. Hill, Howell, Zachary)
- **2019-05-02** Conference Committee appointed. (Bailey, Yarbro, Watson, Bell, Robinson)
- **2019-05-02** Conf. comm. appointed. ( T.Hill, C.Sexton, Smith, Crawford, Hakeem)
- **2019-05-02** H. refused to recede from its non-concurrence
- **2019-05-02** H. Placed on Message Calendar 2 for 5/2/19
- **2019-05-09** Enrolled; ready for sig. of H. Speaker.
- **2019-05-10** Signed by H. Speaker
- **2019-05-14** Signed by Senate Speaker
- **2019-05-17** Transmitted to Governor for his action. `executive-receipt`
- **2019-05-24** Signed by Governor. `executive-signature`
- **2019-05-29** Comp. became Pub. Ch. 481
- **2019-05-29** Pub. Ch. 481
- **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/3aa4f3f9-8fbf-4254-96fe-a5fd48675747`. Confidence: reported (aggregated from official Tennessee legislature records).