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Legislative Update – April 10, 2026

Tennessee Ambulance Service: Legislative Update

April 10, 2026


📊 Bill Status Dashboard

Bill Number Description Current Status
SB1805 / HB1836

TennCare Increase (Emergency & Non-emergency) to 100% Medicare 

Placed Behind the Budget 

SB1376 / HB1061

Balanced Billing 

Failed in Senate Commerce & Labor Committee on 4/8.

SB0748 / HB0201

TennCare Increase (Non-emergency) to 100% Medicare 

Placed Behind the Budget 

SB2221 / HB2097

Extend Ground Assessment Program 

Passed Senate and was received on House Desk 4/8- just needs House vote. 

SB2536 / HB2200

Retirement Legislation 

Referred / No Action 


🔍 Key Highlights

Funding & Reimbursement

  • TennCare Medicare Parity (Full): SB1805/HB1836 aims to increase TennCare to 100% of Medicare for both emergency and non-emergency services but is currently placed behind the budget.

  • TennCare Medicare Parity (Non-Emergency): Similarly, SB0748/HB0201 has been placed behind the budget.

  • Ground Assessment Program: SB2221/HB2097 Passed Senate and was received on House desk 4/8- just needs House Floor Vote.  HB2097 cleared Finance W&M Subcommittee 11-0 on 4/1.  

    Regulatory & Personnel
  • Balanced Billing: SB1376/HB1061 Passed House 94-0 on 4/2. FAILED Senate Commerce & Labor Committee on 4/7. Sponsor vowed to reintroduce in 2027. 

  • Retirement: SB2536/HB2200 was referred to the Local Government Committee in the Senate, but there has been no action in the House.


Legislative Terminology: “Behind the Budget”

This procedural move, often used by Finance committees, acts as a “waiting room” for legislation with a “fiscal note” (cost). It delays consideration of the bill until the final state budget is passed to ensure funds are available before taking action.