TBA Law Blog


Posted by: Stacey Shrader Joslin on Jun 14, 2023

Following the Tennessee Supreme Court’s decision striking down a $50 cap on TennCare reimbursements for emergency room non-emergency health conditions, the state agency says it is “considering next steps.” The cap, which has been in place for more than a decade, was originally set to help cut costs as the agency was facing a $100 million shortfall. At the time, the agency promised to go through a standard rule-making process to put the cap in place, but that never occurred, Tennessee Lookout reports. The court ruling now potentially opens up taxpayers to years of back claims from hospitals and doctors in the state.