HB 385

This bill requires TennCare, upon payment of the fee described below, to certify an eligible healthcare provider's unreimbursed costs , which is an amount equal to the difference between 125% of the average federal medicaid reimbursement rate and the TennCare reimbursement rate paid to the provider by the division of TennCare or a managed care organization for healthcare services provided by the provider to a TennCa re recipient , in a calendar year as charitable contributions made exclusively for public purposes to TennCare pursuant to federal law relative to charitable contributions and gifts . TennCare must provide the provider with a statement of the total amount o f such charitable contributions provided by the provider in a calendar year by January 31 of the following year. This bill applies to contributions made on or after July 1, 2025. ELIGIBLE HEALTHCARE PROVIDERS As used in this bill, an " e ligible healthca re provider"" means (i) a healthcare provider who participates as a provider in the TennCare program or (ii) a group practice that holds a contract with the division of TennCare or a managed care organization participating in the TennCare program . However, a ""group practice"" d oes not include a hospital, ambulatory surgical treatment center, assisted-care living facility, nursing home, outpatient diagnostic center, or home care organization, or other healthcare institution s or facilit ies. CERTIFICATION FEE This bill requires an eligible healthcare provider to pay TennCare $25 each year by January 15 to receive the certification produced under this bill . If an eligible healthcare provider is a group practice, then the eligible healthcare provider must pay TennCare $25 for each healthcare provider in the group practice by January 15 to receive the certification produced under this bill . RULEMAKING This bill authorizes the division of TennCare to promulgate rules to implement this bill ."