House Bill 711, also known as the "TennCare Network Reporting Reform Act," amends Tennessee Code Annotated, Title 71, to enhance transparency and accountability within TennCare's waiver programs. The bill introduces a new section that defines key terms related to the administration of 1115(c) and 1915(c) waiver programs, including "appointment wait time," "data," "service utilization percentage," and "time between approval and receipt of service." These definitions aim to clarify the metrics that will be reported to the public.
Starting January 15, 2026, and annually thereafter, the director of TennCare is mandated to collect and publish data on network adequacy for the specified waiver programs. This data will include federally required metrics, service utilization percentages, appointment wait times, and the time taken from service approval to delivery. The information must be detailed by service type, waiver group, county, and demographics, and made available on a publicly accessible page of the TennCare website in a downloadable format. This initiative seeks to improve the oversight of TennCare services and ensure that individuals with disabilities receive timely and adequate care.