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TennesseeHB1864Signed into lawas of May 26, 2026

A Tennessee bill on Medicaid payment, signed into law. Takes effect May 26, 2026.

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

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.

What this affects

Who pays, or is paid
The state's Medicaid program pays. Every Medicaid-certified nursing facility in Tennessee is paid off this schedule.
Which buildings
303 facilities holding 34,613 licensed beds in Tennessee.
The dollars, or the rule
Applies to Medicaid-participating nursing facilities in Tennessee subject to the annual assessment fee under Title 71, Chapter 5, Part 10. The bill rolls forward the assessment period, payment dates, and fiscal-year references by one year, extending the fee through June 30, 2027, with related payment deadlines moved…
Effective
May 26, 2026 (already in force).
Status
Signed into law, as of May 26, 2026.

Rate changes reach every Medicaid bed in the state, and a thin-margin operator feels them within a quarter.

Ask us about this bill

Latest action, May 26, 2026: Effective date(s) 07/01/2026

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Every action this bill has taken, who is carrying it, committee and vote detail, and what it moves for the 303 facilities it reaches. Free to owners and operators, gone in one sign-in.

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Legislative data: LegiScan LLC (legiscan.com) · CC BY 4.0

Bill text and status: wapp.capitol.tn.gov · retrieved August 3, 2026

Bill status, history and votes are drawn from the state legislature's own records, as of the date shown. It is market information, not legal advice. A bill can move the day after we checked; confirm anything you intend to act on.

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