a product by 3G Healthcare Real EstateExclusively SNF sell-side advisors
‹ All legislation
3G Healthcare Real Estate

TennesseeHB1864Signed into lawas of May 26, 2026

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

What this means for a building owner

This touches nursing homes in the state that take part in the state's Medicaid program payment and fee setup. The only change is to dates, so the program keeps running one more year, through June 30, 2027. The text does not say how much money, what rate, or what fee amount is involved. The date change starts July 1, 2026.

What the bill does

This law moves the dates in Tennessee's nursing home Medicaid payment and fee program ahead by one year. Dates that said the 2025-2026 budget year now say 2026-2027, and the end date of June 30, 2026, now says June 30, 2027. It takes effect July 1, 2026.

Written by AI from the bill's own Chaptered text of May 20, 2026, on September 23, 2026. Not legal advice. Read the official text ›

Signed into law · in force since May 26, 2026

Tennessee has 303 certified nursing homes; 262 of the 288 that file a cost report show Medicaid residents, and a Medicaid payment change reaches each of them.

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.

Or ask us about this bill ›
The record, line by line

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
This applies to Medicaid-participating nursing facilities in Tennessee subject to the annual bed assessment fee. The law shifts the assessment period and payment dates in the existing statute forward by one year, from FY 2025-2026 to FY 2026-2027, and extends the fee's sunset date from June 30, 2026 to June 30, 2027…
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.

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

The full record, free

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.

A mobile number once, to confirm you are a real person in this industry.

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.

Christian Patrick
President
317.493.7767
[email protected]
Stan Klos III
Founder
813.562.7780 (c) · 317.982.5106 (o)
[email protected]
3G Healthcare Real Estate · 3ghcre.com
Exclusively SNF Sell-Side Advisors