Tennessee 114th General Assembly Status: Enacted 3 R cosponsors

SB 2023 — AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 10, relative to medicaid reimbursement for medicaid nursing facilities.

Last action — Comp. became Pub. Ch. 990

  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 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 76% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 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

The bill extends the nursing home annual assessment fee for Medicaid until 2027.

This legislation extends the annual assessment fee for nursing facilities that serve Medicaid patients until June 30, 2027. It also includes related revisions to the existing law.

What this means for you
  • Healthcare: This means healthcare providers in nursing facilities will continue to receive necessary funding through Medicaid assessments.

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. Intro., P1C.

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

  4. Assigned to s/c Tenncare Subcommittee

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

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

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

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

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

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

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

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

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

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

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

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

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

  18. Sponsor(s) Added.

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

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

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

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

  23. Sponsor(s) Added.

  24. Engrossed; ready for transmission to Sen.

  25. Received from House, Passed on First Consideration

  26. Senate substituted House Bill for companion Senate Bill.

  27. Amendment withdrawn. (Amendment 1 - SA0976)

  28. Passed Senate, Ayes 29, Nays 1

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

  30. Signed by H. Speaker

  31. Signed by Senate Speaker

  32. Transmitted to Governor for his action.

  33. Signed by Governor.

  34. Pub. Ch. 990

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

  36. Filed for introduction

  37. Introduced, Passed on First Consideration

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

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

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

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

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

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

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

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

  46. Recommended for passage, refer to Senate Calendar Committee

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

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

  49. Sponsor(s) Added.

  50. Companion House Bill substituted

  51. Sponsor(s) Added.

  52. Comp. became Pub. Ch. 990

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 130 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (130)

130 members have not signed on to this bill.

Show all 130 →

"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 2023 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 SB 2023?
SB 2023 is sponsored by Reeves, Shane (Republican), Gardenhire, Todd (Republican), and Crowe, Rusty (Republican).
What is the current status of SB 2023?
This bill has been enacted into law. Introduced January 21, 2026. Enacted.
Where can I track SB 2023?
Track SB 2023 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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