Managed Care Organizations - As introduced, prohibits any managed care organization that contracts with the bureau of TennCare to provide medical assistance from providing reimbursement or coverage for a medical procedure if the performance or administration of the procedure is for the purpose of enabling a person to identify with, or live as, a purported identity inconsistent with the person's sex, or treating purported discomfort or distress from a discordance between a person's sex and asserted identity. - Amends TCA Title 4; Title 56; Title 68 and Title 71.
  • Bill History
  • Amendments
  • Video
  • Summary
  • Fiscal Note
  • Votes
  • Actions For HB1215Date
    Returned to the Clerk's Desk.04/18/2023
    Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/18/202304/12/2023
    Def. to Special Calendar to be Published with Final Calendar in Finance, Ways, and Means Subcommittee03/15/2023
    Placed behind the budget03/15/2023
    Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/15/202303/08/2023
    Action Def. in s/c Finance, Ways, and Means Subcommittee to 3/15/202303/08/2023
    Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/8/202303/01/2023
    Action Def. in s/c Finance, Ways, and Means Subcommittee to 3/8/202303/01/2023
    Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/1/202302/22/2023
    Assigned to s/c Finance, Ways, and Means Subcommittee02/22/2023
    Rec. for pass. if am., ref. to Finance, Ways, and Means Committee02/21/2023
    Placed on cal. Insurance Committee for 2/21/202302/15/2023
    Rec. for pass by s/c ref. to Insurance Committee02/14/2023
    Sponsor(s) Added.02/13/2023
    Placed on s/c cal Insurance Subcommittee for 2/14/202302/08/2023
    Assigned to s/c Insurance Subcommittee02/07/2023
    P2C, ref. to Insurance Committee02/02/2023
    Intro., P1C.02/01/2023
    Filed for introduction01/31/2023
    Actions For SB1339Date
    Sponsor change.03/08/2023
    Sponsor(s) Added.03/08/2023
    Sponsor(s) Added.02/24/2023
    Passed on Second Consideration, refer to Senate Commerce and Labor Committee02/06/2023
    Introduced, Passed on First Consideration02/02/2023
    Filed for introduction01/31/2023
  • AmendmentsFiscal Memos
    HA0013Amendment 1-0 to HB1215Fiscal Memo for HA0013 (3881)  
    No amendments for SB1339.

    NOTE: Each fiscal memorandum applies only to the amendment(s) identified in the memorandum. The fiscal memorandum must be matched to any amendments that have been adopted.

  • Videos containing keyword: HB1215

  • Fiscal Summary

    Other Fiscal Impact – The proposed legislation may result in changes to contract structures and negotiated prices with the TennCare program which would result in an increase in state expenditures. Any such increase is dependent on multiple unknown variables and cannot be reasonably determined.


    Bill Summary

    This bill prohibits a managed care organization ("MCO") that contracts with the bureau of TennCare ("bureau") to provide medical assistance from providing reimbursement or coverage for a medical procedure if the performance or administration of the procedure is for the purpose of either enabling a person to identify with, or live as, a purported identity inconsistent with the person's sex or treating purported discomfort or distress from a discordance between a person's sex and asserted identity. This prohibition applies to an MCO's coverage or reimbursement for medical expenses through the following entities and programs:

    (1) The bureau;

    (2) A private health insurance program regulated by this state;

    (3) A state or local insurance program; and

    (4) Any other program for insurance or medical assistance regulated or administered by another state.

    Within 30 days of the effective date of this bill, the bureau must appropriately revise or amend the contract between an MCO and the bureau to be in accordance with this bill. An MCO in violation of this bill and contracting with the bureau on the effective date of this bill has 90 days to come into compliance. If the MCO does not come into compliance, then this bill prohibits such MCO from being eligible to provide such medical assistance. Additionally, if an MCO fails to remedy any violation of this bill within 90 days, then such MCO is also prohibited from providing such medical assistance.

  • FiscalNote for HB1215/SB1339 filed under HB1215

  • House Floor and Committee Votes

              HB1215 by Sexton - HOUSE INSURANCE COMMITTEE:
    Rec. for pass; if am., ref to Finance, Ways, and Means Committee 2/21/2023
              Voice Vote - Ayes Prevail Rep(s). Freeman, Hemmer, Johnson G, Mitchell, Thompson requested to be recorded as voting No

              HB1215 by Sexton - INSURANCE SUBCOMMITTEE:
    Rec. for pass by s/c ref. to Insurance Committee 2/14/2023
              Voice Vote - Ayes Prevail Rep(s). Hemmer, Mitchell requested to be recorded as voting No

    Senate Floor and Committee Votes

    Votes for Bill SB1339 by the Senate are not available.