Tennessee 114th General Assembly Status: Enacted 9 R cosponsors

SB 1797 — AN ACT to amend Tennessee Code Annotated, Title 56; Title 68, Chapter 11 and Title 71, Chapter 5, relative to managed care organizations.

Last action — Comp. became Pub. Ch. 1004

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

This bill has been enacted into law. Introduced January 20, 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.

Upgrade to see the exact probability and what's driving it.

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

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 9 sponsors

    1 primary, 8 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (9 R).

  • Cleared a recorded vote

    Passed 2 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

The bill modifies contracts between managed care organizations and nursing facilities regarding termination terms.

This legislation prevents managed care organizations from terminating contracts with nursing facilities without cause. It also requires state review of contract templates used by these organizations.

What this means for you
  • Families: Families may experience improved continuity of care for loved ones in nursing facilities due to more secure contracts.
  • Healthcare: This means healthcare facilities have clearer contracts and stability in their agreements with managed care organizations.

Summary

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.

Bill Text

Action History

  1. Filed for introduction

  2. Intro., P1C.

  3. P2C, ref. to Health Committee - Government Operations for Review

  4. Assigned to s/c Health Subcommittee

  5. Placed on s/c cal Health Subcommittee for 3/11/2026

  6. Action Def. in s/c Health Subcommittee to 3/18/2026

  7. Placed on s/c cal Health Subcommittee for 3/18/2026

  8. Action Def. in s/c Health Subcommittee to 3/25/2026

  9. Placed on s/c cal Health Subcommittee for 3/25/2026

  10. Rec for pass if am by s/c ref. to Health Committee

  11. Placed on cal. Health Committee for 3/31/2026

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

  13. Placed on cal. Government Operations Committee for 4/6/2026

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

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

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

  17. H. adopted am. (Amendment 1 - HA0948)

  18. Passed H., as am., Ayes 92, Nays 0, PNV 4

  19. Engrossed; ready for transmission to Sen.

  20. Received from House, Passed on First Consideration

  21. Senate substituted House Bill for companion Senate Bill.

  22. Amendment withdrawn. (Amendment 1 - SA1003)

  23. Passed Senate, Ayes 29, Nays 0

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

  25. Signed by H. Speaker

  26. Signed by Senate Speaker

  27. Transmitted to Governor for his action.

  28. Signed by Governor.

  29. Pub. Ch. 1004

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

  31. Filed for introduction

  32. Introduced, Passed on First Consideration

  33. Passed on Second Consideration, refer to Senate Commerce and Labor Committee

  34. Sponsor(s) Added.

  35. Placed on Senate Commerce and Labor Committee calendar for 3/3/2026

  36. Action deferred in Senate Commerce and Labor Committee to 3/10/2026

  37. Placed on Senate Commerce and Labor Committee calendar for 3/10/2026

  38. Action deferred in Senate Commerce & Labor Committee to 3/17/2026

  39. Placed on Senate Commerce and Labor Committee calendar for 4/7/2026

  40. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0

  41. Placed on Senate Regular Calendar for 4/16/2026

  42. Placed on Senate Regular Calendar for 4/16/2026

  43. Companion House Bill substituted

  44. Sponsor(s) Added.

  45. Comp. became Pub. Ch. 1004

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 8 co-sponsors · 124 not signed on

Sponsors (1)

Co-sponsors (8)

Not signed on (124)

124 members have not signed on to this bill.

Show all 124 →

"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 SB 1797 do?
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.
Who sponsors SB 1797?
SB 1797 is sponsored by Reeves, Shane (Republican), McNally, Randy (Republican), Bailey, Paul (Republican), Bowling, Janice (Republican), Massey, Becky D. (Republican), Rose, Paul (Republican), Stevens, John (Republican), Walley, Page (Republican), and Yager, Ken (Republican).
What is the current status of SB 1797?
This bill has been enacted into law. Introduced January 20, 2026. Enacted.
Where can I track SB 1797?
Track SB 1797 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 1797

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 1797

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →