5a13be122b
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
92 lines
6.4 KiB
Markdown
92 lines
6.4 KiB
Markdown
---
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type: "Bill"
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title: "Managed Care Organizations - As enacted, prohibits a managed care organization from including a provision in the managed care organization's contract with a qualified nursing facility to provide medicaid nursing facility services, that permit actual or constructive termination by the MCO without cause, for convenience, or termination without specifying the grounds for termination; requires the bureau of TennCare, in conjunction with the department of commerce and insurance, to review and approve all standard contract templates used by MCOs for facility contracting to ensure compliance. - Amends TCA Title 56; Title 68, Chapter 11 and Title 71, Chapter 5."
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description: "Managed Care Organizations - As enacted, prohibits a managed care organization from including a provision in the managed care organization's contract with a qualified nursing facility to provide medicaid nursing facility services, that permit actual or constructive termination by the MCO without cause, for convenience, or termination without specifying the grounds for termination; requires the bureau of TennCare, in conjunction with the department of commerce and insurance, to review and approve all standard contract templates used by MCOs for facility contracting to ensure compliance. - Amends TCA Title 56; Title 68, Chapter 11 and Title 71, Chapter 5."
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jurisdiction: "us/states/tn"
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legislature: "Tennessee General Assembly"
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session: "114"
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identifier: "HB 2093"
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citation: "Tennessee HB 2093 (114)"
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classification: ["bill"]
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subjects: ["Managed Care Organizations"]
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status: "enacted"
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primary_sponsors: ["Williams"]
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version_count: 3
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action_count: 30
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vote_count: 6
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first_action: "2026-02-02"
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last_action: "2026-05-26"
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source: "openstates"
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source_identifier: "ocd-bill/36b32387-3f65-4299-9b53-3fc668a06a2e"
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source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=HB2093&ga=114"
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source_hash: "77a58e274e932608fe72872e0884e68a8a0778fbd01cc39d75104330b8c80e7d"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-tn"]
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---
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# Tennessee HB 2093 (114) — Managed Care Organizations - As enacted, prohibits a managed care organization from including a provision in the managed care organization's contract with a qualified nursing facility to provide medicaid nursing facility services, that permit actual or constructive termination by the MCO without cause, for convenience, or termination without specifying the grounds for termination; requires the bureau of TennCare, in conjunction with the department of commerce and insurance, to review and approve all standard contract templates used by MCOs for facility contracting to ensure compliance. - Amends TCA Title 56; Title 68, Chapter 11 and Title 71, Chapter 5.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Amendment HA0948** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0948.pdf)
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2. **Amendment SA1003** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA1003.pdf)
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3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/HB2093.pdf)
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## Votes
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- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/6/2026 Passed (3) — **12–0** (pass) · lower
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- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/13/2026 4/9/2026 (2) — **0–0** (fail) · lower
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- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 3/31/2026 Passed (4) — **17–0** (pass) · lower
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- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2026 Passed (1) — **92–0** (pass) · lower
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- FLOOR VOTE: Third Consideration 4/16/2026 Passed (1) — **29–0** (pass) · upper
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- HOUSE HEALTH SUBCOMMITTEE: Rec for pass if am by s/c ref. to Health Committee 3/25/2026 Passed (5) — **7–0** (pass) · lower
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## Sponsors
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- Williams — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-02-02** Filed for introduction `filing`
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- **2026-02-04** Intro., P1C. `introduction`
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- **2026-02-05** Assigned to s/c Health Subcommittee `referral-committee`
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- **2026-02-05** P2C, ref. to Health Committee - Government Operations for Review `referral-committee`
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- **2026-03-04** Placed on s/c cal Health Subcommittee for 3/11/2026
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- **2026-03-11** Placed on s/c cal Health Subcommittee for 3/18/2026
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- **2026-03-11** Action Def. in s/c Health Subcommittee to 3/18/2026
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- **2026-03-18** Placed on s/c cal Health Subcommittee for 3/25/2026
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- **2026-03-18** Action Def. in s/c Health Subcommittee to 3/25/2026
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- **2026-03-25** Placed on cal. Health Committee for 3/31/2026
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- **2026-03-25** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
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- **2026-03-31** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
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- **2026-04-01** Placed on cal. Government Operations Committee for 4/6/2026
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- **2026-04-06** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
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- **2026-04-08** Placed on cal. Calendar & Rules Committee for 4/9/2026
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- **2026-04-09** H. Placed on Regular Calendar for 4/13/2026
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- **2026-04-16** Passed Senate, Ayes 29, Nays 0 `passage`
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- **2026-04-16** Amendment withdrawn. (Amendment 1 - SA1003)
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- **2026-04-16** Senate substituted House Bill for companion Senate Bill. `substitution`
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- **2026-04-16** Received from House, Passed on First Consideration `introduction`
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- **2026-04-16** Engrossed; ready for transmission to Sen. `receipt`
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- **2026-04-16** Passed H., as am., Ayes 92, Nays 0, PNV 4 `passage`
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- **2026-04-16** H. adopted am. (Amendment 1 - HA0948) `amendment-passage`
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- **2026-04-23** Enrolled; ready for sig. of H. Speaker. `enrolled`
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- **2026-04-30** Signed by H. Speaker `passage`
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- **2026-05-05** Signed by Senate Speaker `passage`
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- **2026-05-07** Transmitted to Governor for his action. `executive-receipt`
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- **2026-05-19** Signed by Governor. `executive-signature`
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- **2026-05-26** Effective date(s) 07/01/2026
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- **2026-05-26** Pub. Ch. 1004
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/36b32387-3f65-4299-9b53-3fc668a06a2e`. Confidence: reported (aggregated from official Tennessee legislature records).
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