Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
House panel advances bill to let TennCare consider patients’ overall condition in medical-necessity reviews
Summary
The Tennessee House Insurance Committee on Feb. 25 voted 18-0 to advance House Bill 0364, which would direct TennCare’s medical-review process to consider a patient’s overall condition when determining medical necessity and funding for services.
The Tennessee House Insurance Committee on Feb. 25 voted 18-0 to advance House Bill 0364, which would direct TennCare’s medical-review process to consider a patient’s overall condition when determining medical necessity and funding for services.
Representative Alexandra presented the bill and members heard emotional testimony from Mark and Jody Herod about their daughter, Emma, who suffered severe brain injury in 2016 and now requires 24-hour care, a tracheostomy, a feeding tube and nighttime ventilator support. Mark Herod said TennCare helped the family but that a later funding reduction removed nursing hours when Emma no longer met a single-hour threshold used in prior eligibility…
Already have an account? Log in
Subscribe to keep reading
Unlock the rest of this article — and every article on Citizen Portal.
- Unlimited articles
- AI-powered breakdowns of topics, speakers, decisions, and budgets
- Instant alerts when your location has a new meeting
- Follow topics and more locations
- 1,000 AI Insights / month, plus AI Chat
