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TennCare mandates biomarker testing coverage for preeclampsia beginning July 2025

January 15, 2025 | House, Introduced, 2025 Bills, Tennessee Legislation Bills, Tennessee


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TennCare mandates biomarker testing coverage for preeclampsia beginning July 2025
Tennessee House Bill 70 is making waves in the state legislature as it aims to enhance maternal health care by mandating coverage for biomarker testing for preeclampsia. Introduced on January 15, 2025, the bill seeks to ensure that all TennCare health benefit plans provide this crucial testing for pregnant women, a move that advocates argue could significantly improve early detection and management of this potentially life-threatening condition.

The bill stipulates that any TennCare health benefit plan renewed or issued after July 1, 2025, must cover biomarker testing for preeclampsia when ordered by a woman's attending physician. This testing is to be conducted in accordance with established clinical guidelines, ensuring that care providers adhere to best practices. The legislation also empowers the division of TennCare to develop necessary rules and submit waiver applications to federal authorities to facilitate the implementation of this coverage.

Supporters of the bill highlight the importance of early detection of preeclampsia, which affects approximately 5-8% of pregnancies and can lead to severe complications for both mother and child if left unchecked. By mandating insurance coverage for biomarker testing, the bill aims to reduce health risks and improve outcomes for pregnant women across Tennessee.

However, the bill has not been without its critics. Some lawmakers express concerns about the potential financial implications for health insurance carriers and the state’s budget. They argue that while the intent is noble, the long-term costs associated with expanded coverage could strain resources.

As the bill moves through the legislative process, its proponents are optimistic about its potential impact on maternal health in Tennessee. If passed, it could set a precedent for similar health care initiatives aimed at improving pregnancy outcomes, making it a significant point of discussion in the ongoing debate over health care reform in the state. The next steps will involve further discussions and potential amendments as the bill gains traction in the legislature.

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Scribe from Workplace AI
Scribe from Workplace AI