Tennessee 114th General Assembly Status: Enacted 4 R cosponsors

HB 1864 — AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities.

Last action — Effective date(s) 07/01/2026

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 21, 2026. Enacted.

Signed by Governor Bill Lee (Republican) on April 30, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 80% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 5 sponsors

    1 primary, 4 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (4 R).

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

This bill extends a nursing home assessment fee until June 2027.

The bill amends Tennessee's laws to continue the annual assessment fee for nursing homes through June 30, 2027. It also includes related revisions.

Summary

TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2027; makes other related revisions. - Amends TCA Title 71, Chapter 5, Part 10.

Bill Text

Action History

  1. Filed for introduction

  2. Introduced, Passed on First Consideration

  3. Passed on Second Consideration, refer to Senate Health and Welfare Committee

  4. Placed on Senate Health and Welfare Committee calendar for 3/17/2026

  5. Action deferred in Senate Health and Welfare Committee to 3/18/2026

  6. Placed on Senate Health and Welfare Committee calendar for 3/18/2026

  7. Reset on Final calendar of Senate Health and Welfare Committee

  8. Placed on Senate Health and Welfare Committee calendar for 4/1/2026

  9. Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0

  10. Placed on Senate Finance, Ways, and Means Committee calendar for 4/8/2026

  11. Recommended for passage, refer to Senate Calendar Committee

  12. Placed on Senate Regular Calendar for 4/20/2026

  13. Placed on Senate Regular Calendar for 4/20/2026

  14. Sponsor(s) Added.

  15. Companion House Bill substituted

  16. Sponsor(s) Added.

  17. Comp. became Pub. Ch. 990

  18. Filed for introduction

  19. Intro., P1C.

  20. P2C, ref. to Insurance Committee - Government Operations for Review

  21. Assigned to s/c Tenncare Subcommittee

  22. Placed on s/c cal Tenncare Subcommittee for 3/3/2026

  23. Rec. for pass by s/c ref. to Insurance Committee

  24. Placed on cal. Insurance Committee for 3/10/2026

  25. Action def. in Insurance Committee to 3/17/2026

  26. Placed on cal. Insurance Committee for 3/17/2026

  27. Rec. for pass. if am., ref. to Government Operations Committee

  28. Placed on cal. Government Operations Committee for 3/23/2026

  29. Rec. for pass; ref to Finance, Ways, and Means Committee

  30. Assigned to s/c Finance, Ways, and Means Subcommittee

  31. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/1/2026

  32. Rec. for pass by s/c ref. to Finance, Ways, and Means Committee

  33. Placed on cal. Finance, Ways, and Means Committee for 4/7/2026

  34. Rec. for pass; ref to Calendar & Rules Committee

  35. Sponsor(s) Added.

  36. Placed on cal. Calendar & Rules Committee for 4/9/2026

  37. H. Placed on Regular Calendar for 4/13/2026

  38. H. adopted am. (Amendment 1 - HA0697)

  39. Passed H., as am., Ayes 93, Nays 0, PNV 0

  40. Sponsor(s) Added.

  41. Engrossed; ready for transmission to Sen.

  42. Received from House, Passed on First Consideration

  43. Senate substituted House Bill for companion Senate Bill.

  44. Amendment withdrawn. (Amendment 1 - SA0976)

  45. Passed Senate, Ayes 29, Nays 1

  46. Enrolled; ready for sig. of H. Speaker.

  47. Signed by H. Speaker

  48. Signed by Senate Speaker

  49. Transmitted to Governor for his action.

  50. Signed by Governor.

  51. Pub. Ch. 990

  52. Effective date(s) 07/01/2026

Sponsors

Sponsorship breakdown

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1 sponsors · 4 co-sponsors · 128 not signed on

Sponsors (1)

  • Hicks G

Co-sponsors (4)

Not signed on (128)

128 members have not signed on to this bill.

Show all 128 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 1864 do?
TennCare - As enacted, extends the nursing home annual assessment fee to June 30, 2027; makes other related revisions. - Amends TCA Title 71, Chapter 5, Part 10.
Who sponsors HB 1864?
HB 1864 is sponsored by Hicks G, Lamberth, William (Republican), Hawk, David B. (Republican), Doggett, Clay (Republican), and Moody, Debra (Republican).
What is the current status of HB 1864?
This bill has been enacted into law. Introduced January 21, 2026. Enacted.
Where can I track HB 1864?
Track HB 1864 free on One Click Politics — get push/email alerts when it moves.

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