TennCare - As introduced, reestablishes the TennCare advisory commission. - Amends TCA Title 4 and Title 71.
  • Bill History
  • Amendments
  • Video
  • Summary
  • Fiscal Note
  • Votes
  • Actions For HB0290Date
    Taken off notice for cal in s/c Finance, Ways & Means Subcommittee of Finance, Ways & Means Committee04/18/2018
    Placed on s/c cal Finance, Ways & Means Subcommittee for 4/18/1804/11/2018
    Placed on s/c cal Finance, Ways & Means Subcommittee for 4/13/201804/04/2018
    Placed behind the budget03/28/2018
    Placed on s/c cal Finance, Ways & Means Subcommittee for 3/28/201803/21/2018
    Taken off notice for cal in s/c Finance, Ways & Means Subcommittee of Finance, Ways & Means Committee05/08/2017
    Placed on s/c cal Finance, Ways & Means Subcommittee for 5/8/201705/03/2017
    Placed on s/c cal Finance, Ways & Means Subcommittee for 5/2/201704/26/2017
    Placed behind the budget04/26/2017
    Placed on s/c cal Finance, Ways & Means Subcommittee for 4/26/201704/25/2017
    Assigned to s/c Finance, Ways & Means Subcommittee04/25/2017
    Rec. for pass; ref to Finance, Ways & Means Committee04/25/2017
    Placed on cal. Government Operations Committee for 4/26/201704/19/2017
    Sponsor(s) Added.04/18/2017
    Rec. for pass. if am., ref. to Government Operations Committee04/18/2017
    Placed on cal. Health Committee for 4/18/201704/12/2017
    Rec for pass if am by s/c ref. to Health Committee04/12/2017
    Sponsor(s) Added.04/06/2017
    Placed on s/c cal Health Subcommittee for 4/12/201704/05/2017
    Action Def. in s/c Health Subcommittee to 4/12/201704/05/2017
    Move to Heel04/05/2017
    Placed on s/c cal Health Subcommittee for 4/5/201703/29/2017
    Action Def. in s/c Health Subcommittee to 4/5/201703/29/2017
    Placed on s/c cal Health Subcommittee for 3/29/201703/22/2017
    Reset on Final cal. of Health Subcommittee03/22/2017
    Placed on s/c cal Health Subcommittee for 3/22/201703/15/2017
    Action Def. in s/c Health Subcommittee to 3/22/201703/08/2017
    Sponsor(s) Added.03/07/2017
    Placed on s/c cal Health Subcommittee for 3/8/201703/01/2017
    Sponsor(s) Added.03/01/2017
    Assigned to s/c Health Subcommittee02/03/2017
    P2C, ref. to Health Committee-- Government Operations for Review02/02/2017
    Intro., P1C.02/01/2017
    Filed for intro.01/31/2017
    Actions For SB1155Date
    Action deferred in Senate Finance, Ways & Means to first calendar of 201805/09/2017
    Placed on Senate Finance, Ways, and Means Committee calendar for 5/9/201705/08/2017
    Action deferred in Senate Finance, Ways, and Means Committee to 5/8/201705/03/2017
    Placed on Senate Finance, Ways, and Means Committee calendar for 5/3/201705/03/2017
    Action deferred in Senate Finance, Ways, and Means Committee to 5/3/201705/02/2017
    Placed on Senate Finance, Ways, and Means Committee calendar for 5/2/201705/01/2017
    Action deferred in Senate Finance, Ways, and Means Committee to 5/2/201705/01/2017
    Placed on Senate Finance, Ways, and Means Committee calendar for 5/1/201704/26/2017
    Action deferred in Senate Finance, Ways & Means Committee / Behind the budget04/18/2017
    Placed on Senate Finance, Ways, and Means Committee calendar for 4/18/201704/12/2017
    Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 1 PNV 004/10/2017
    Placed on Senate Health and Welfare Committee calendar for 4/10/201704/05/2017
    Action deferred in Senate Health and Welfare Committee to 4/12/201704/05/2017
    Placed on Senate Health and Welfare Committee calendar for 4/5/201703/29/2017
    Action deferred in Senate Health and Welfare Committee to 4/5/201703/29/2017
    Placed on Senate Health and Welfare Committee calendar for 3/29/201703/23/2017
    Sponsor(s) Added.03/22/2017
    Recommended for passage with amendment/s, refer to Senate Health and Welfare Committee Ayes 8, Nays 0 PNV 003/22/2017
    Placed on Senate Government Operations Committee calendar for 3/22/201703/15/2017
    Action deferred in Senate Government Operations Committee to 3/22/201703/15/2017
    Sponsor(s) Added.03/14/2017
    Placed on Senate Government Operations Committee calendar for 3/15/201703/08/2017
    Action deferred in Senate Government Operations Committee to 3/15/201703/08/2017
    Placed on Senate Government Operations Committee calendar for 3/8/201703/02/2017
    Sponsor(s) Added.02/14/2017
    Passed on Second Consideration, refer to Senate Government Operations Committee02/13/2017
    Introduced, Passed on First Consideration02/09/2017
    Filed for introduction02/09/2017
  • AmendmentsFiscal Memos
    HA0498Amendment 1-1 to HB0290Fiscal Memo for HA0498 (6257)  Fiscal Memo for HA0498 (6257)  
    AmendmentsFiscal Memos
    SA0161Amendment 1-1 to SB1155Fiscal Memo for SA0161 (5302)  
    SA0372Amendment 2-1 to SB1155Fiscal Memo for SA0372 (6257)  Fiscal Memo for SA0372 (6257)  

    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: HB0290

  • Fiscal Summary

    Increase State Expenditures - $1,900/Each One-Day Meeting


    Bill Summary

    This bill reestablishes the TennCare advisory commission and schedules the commission for sunrise review June 30, 2019.

    PRESENT LAW

    Present law provide for a TennCare advisory commission with 13 members appointed by the governor. Membership on the commission must include a representative of the advocacy community; the chair of the health committee of the house of representatives, or the chair's designee; the chair of the health and welfare committee of the senate, or the chair's designee; two representatives from the Tennessee business community; three representatives from the provider community; one person chosen by the governor from a list of three persons nominated by the speaker of the house of representatives; and one person chosen by the governor from a list of three persons nominated by the speaker of the senate.

    Members serve three-year terms. The governor appoints a chair and vice-chair to one-year terms from the membership of the commission.

    Present law provides that the purpose of the commission is to review annually the health care operations including, but not limited to, cost-management analysis, benefits, enrollment, eligibility, costs, and performance of the TennCare program and to make recommendations to the governor regarding cost-containment strategies and cost-effective program improvements. Such recommendations by the commission are to include an assessment of the effectiveness of the existing TennCare program, specific steps that could be taken to reduce program costs, and an evaluation of whether the program is optimizing its use of resources to best meet the needs of TennCare enrollees. Under present law, proposed modifications submitted by the commission that may result in increased program expenditures should be accompanied by recommendations to achieve commensurate savings in other program areas in order to achieve overall management of program costs. Present law requires the commission to present its recommendations in writing to the governor no later than November 10 of each year.

    THIS BILL

    This bill reconstitutes the commission to be composed of the following 15 members to be appointed by the house and senate speakers:

    (1) One member of the health and welfare committee of the senate appointed by the speaker of the senate, or a designee of that member;
    (2) One member of the senate appointed by the speaker of the senate, or a designee of that member;
    (3) One member of the health committee of the house of representatives appointed by the speaker of the house of representatives, or a designee of that member;
    (4) One member of the house of representatives appointed by the speaker of the house of representatives, or a designee of that member;
    (5) One member representing hospitals appointed by the speaker of the senate;
    (6) One (member representing hospitals appointed by the speaker of the house of representatives;
    (7) One member representing physicians appointed by the speaker of the senate;
    (8) One member representing physicians appointed by the speaker of the house of representatives;
    (9) One member representing nursing homes appointed by the speaker of the senate;
    (10) One (1) member representing nursing homes appointed by the speaker of the house of representatives;
    (11) One member representing providers of home and community-based services appointed by the speaker of the senate;
    (12) One member representing providers of home and community-based services appointed by the speaker of the house of representatives;
    (13) One member representing providers of behavioral health services appointed by the speaker of the senate;
    (14) One member representing providers of behavioral health services appointed by the speaker of the house of representatives; and
    (15) One member representing the advocacy community to be jointly appointed by the speaker of the senate and the speaker of the house of representatives.


    Except for initial appointments, members will be appointed to three-year terms. The members of the advisory commission will elect a chair and vice-chair of the commission from the membership of the commission who will serve one-year terms as chair and vice-chair. This bill provides for initial terms ranging from one to three years in order to stagger terms, as detailed in this bill.

    This bill rewrites the provisions described above under PRESENT LAW regarding the purposes and the duties of the commission to instead provide the following:

    (1) The purpose of the commission is to review annually the health care operations including, but not limited to, cost-management analysis, benefits, enrollment, eligibility, costs, and performance of the TennCare program and to make recommendations to the governor regarding cost-containment strategies and cost-effective program improvements;
    (2) Review of the TennCare program must also include the holding of public hearings on any proposed amendment to any federal waiver governing the provision of medical assistance under this title, and attention to behavioral health services and the Long Term Care Community Choices Act of 2008;
    (3) Recommendations by the commission must include an assessment of the effectiveness of the existing TennCare program, specific steps that could be taken to reduce program costs, and an evaluation of whether the program is optimizing its use of resources to best meet the needs of TennCare enrollees;
    (4) Proposed modifications submitted by the commission that may result in increased program expenditures should be accompanied by recommendations to achieve commensurate savings in other program areas in order to achieve overall management of program costs;
    (5) The commission must present its recommendations in writing to the governor and the general assembly no later than November 10 of each year;
    (6) The commission may subcommittees to study specific topics;
    (7) The bureau of TennCare must provide to the commission copies of any reports made by a consultant to the bureau on any aspect of the TennCare program, including quality issues; and
    (8) No amendment to any federal waiver governing the provision of medical assistance may be submitted to any agency of the federal government unless the commission has been afforded at least 30 days in which to hold a public hearing on the proposed waiver before submission of the waiver. Any waiver failing to receive the opportunity to hold such public hearing before submission to an agency of the federal government will be void and of no effect.

  • FiscalNote for HB0290/SB1155 filed under HB0290
  • House Floor and Committee Votes

              HB0290 by Kumar - HOUSE GOVERNMENT OPERATIONS COMMITTEE:
    Rec. for pass; ref to Finance, Ways & Means Committee 4/26/2017
              Voice Vote - Ayes Prevail

              HB0290 by Kumar - HOUSE HEALTH COMMITTEE:
    Rec. for pass. if am., ref. to Government Operations Committee 4/18/2017
              Voice Vote - Ayes Prevail

              HB0290 by Kumar - HOUSE HEATH SUBCOMMITTEE:
    Rec for pass if am by s/c ref. to Health Committee 4/12/2017
              Voice Vote - Ayes Prevail

    Senate Floor and Committee Votes

    SB1155 by Hensley - SENATE HEALTH AND WELFARE COMMITTEE:
    Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 1 PNV 0 4/10/2017
    Passed
              Ayes................................................8
              Noes................................................1

              Senators voting aye were: Briggs, Crowe, Haile, Hensley, Jackson, Kyle, Massey, Overbey -- 8.
              Senators voting no were: Watson -- 1.

    SB1155 by Hensley - SENATE GOVERNMENT OPERATIONS COMMITTEE:
    Recommended for passage with amendment/s, refer to Senate Health and Welfare Committee Ayes 8, Nays 0 PNV 0 3/22/2017
    Passed
              Ayes................................................8
              Noes................................................0

              Senators voting aye were: Bell, Bowling, Crowe, Harper, Jackson, Lundberg, Roberts, Southerland -- 8.