Tennessee 2025-2026 Regular Session

Tennessee House Bill HB0651

Introduced
2/3/25  

Caption

AN ACT to amend Tennessee Code Annotated, Title 56 and Title 71, relative to health care.

Summary

HB0651 would prohibit health insurance entities and TennCare managed care organizations from using “all-products clauses” in provider network agreements. In practical terms, an insurer or MCO could not require a physician, advanced practice nurse, or physician assistant to join other affiliated networks or provide services under other products as a condition of participating in a network. Any such clause would be void, and the relevant commissioner would be authorized to assess a $10,000 civil penalty for each violation. The bill also requires rulemaking by July 1, 2026, to implement these prohibitions. The bill further creates the “TennCare Provider Remedy Plan,” directing TennCare to establish and enforce appointment wait-time standards, conduct regular secret shopper surveys, and verify the accuracy of provider directory information. It sets baseline wait-time targets for mental health and substance use disorder care, primary care, and OB/GYN services, and requires annual directory checks for network status, address, phone number, and whether providers are accepting new patients. If TennCare finds network adequacy deficiencies, it must develop a remediation plan, include specific timelines and approaches such as higher provider payment rates, and submit the plan to the General Assembly for approval within 180 days. The bill’s impact on state law is to add new restrictions and enforcement mechanisms to Tennessee’s insurance and TennCare statutes, especially in Titles 56 and 71. It expands state oversight of provider contracting practices, network adequacy, appointment access, and directory accuracy, while also requiring public posting of standards and future administrative rules. It would affect health insurance entities, TennCare MCOs, and the physicians, nurses, and physician assistants who contract with them. Because no committee transcripts or votes were provided, there is no recorded legislative debate or voting history to gauge sentiment directly. Based on the bill text, the overall policy direction appears pro-provider and pro-access, with an emphasis on improving rural and underserved access, reducing administrative barriers, and increasing transparency. The bill also signals concern about low TennCare reimbursement and network access problems, suggesting support for stronger state intervention in managed care operations. The main points of contention likely center on the bill’s regulatory burden and enforcement structure. Health insurers and MCOs may object to the ban on all-products clauses, the mandated wait-time and directory standards, the required remediation plans, and the potential for civil penalties. Providers and patient advocates would likely support these provisions as tools to improve access, accuracy, and network adequacy, especially for behavioral health and primary care.

Impact

HB0651 would amend Tennessee insurance and TennCare law to prohibit all-products clauses in provider network contracts, void conflicting contract terms, and authorize $10,000 civil penalties for each violation. It would also require TennCare to establish network adequacy, appointment wait-time, and provider-directory accuracy standards, conduct secret shopper surveys, publish standards publicly, and develop remediation plans for deficient MCO networks, with rules and enforcement details to be adopted by July 1, 2026.

Sentiment

No committee discussion or vote record was provided, so there is no direct evidence of legislative sentiment from the available materials. The bill’s findings and structure indicate a generally favorable posture toward provider access, network transparency, and stronger TennCare oversight, with the apparent goal of improving care availability in rural and underserved areas. The absence of recorded opposition or amendments leaves the level of support or controversy in committee unknown.

Contention

The likely areas of contention are the bill’s restrictions on insurer contracting practices and the new compliance obligations imposed on TennCare MCOs. Insurers and managed care organizations may resist the ban on all-products clauses, the mandated wait-time and directory standards, and the requirement to create remediation plans that may include higher provider payment rates. Providers, patients, and access advocates would likely favor these changes as a response to network adequacy problems, inaccurate directories, and delays in obtaining care.

Companion Bills

TN SB1372

Crossfiled AN ACT to amend Tennessee Code Annotated, Title 56 and Title 71, relative to health care.

Previously Filed As

TN SB1372

AN ACT to amend Tennessee Code Annotated, Title 56 and Title 71, relative to health care.

TN HB0638

AN ACT to amend Tennessee Code Annotated, Title 33; Title 56; Title 63; Title 68 and Title 71, relative to healthcare providers.

TN SB1389

AN ACT to amend Tennessee Code Annotated, Title 33; Title 56; Title 63; Title 68 and Title 71, relative to healthcare providers.

TN HB0867

AN ACT to amend Tennessee Code Annotated, Title 56; Title 63; Title 68 and Title 71, relative to maternal health.

TN SB0898

AN ACT to amend Tennessee Code Annotated, Title 56; Title 63; Title 68 and Title 71, relative to maternal health.

TN SB2070

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to healthcare provider reimbursement.

TN HB2243

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to healthcare provider reimbursement.

TN HB1930

AN ACT to amend Tennessee Code Annotated, Title 56, relative to health care.

TN SB2067

AN ACT to amend Tennessee Code Annotated, Title 56, relative to health care.

TN SB0422

AN ACT to amend Tennessee Code Annotated, Title 8; Title 47; Title 56; Title 63 and Title 71, relative to medical devices.

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