Senate Bill 1936, also known as House Bill 1887, amends the Tennessee Code Annotated to establish regulations for prescribed pediatric extended care centers. The bill introduces a new part under Title 52, Chapter 2, defining key terms such as "basic services," "medically dependent or technologically dependent minor," and "prescribed pediatric extended care center." It mandates that these centers provide nonresidential basic services to at least four medically dependent minors and outlines licensing requirements, including the necessity for a separate license for each center, background checks for employees, and the maintenance of medical records. The application process for obtaining an initial or renewal license is detailed, requiring a sworn application, financial viability documentation, and compliance with local zoning requirements.
The bill emphasizes parental involvement in the care of minors and sets limits on the services provided, ensuring care is tailored to the specific needs of medically dependent children. It establishes a three-year license term, stipulates fees, and outlines grounds for denial, suspension, or revocation of licenses. Additionally, it includes provisions for inspections, corrective action plans, and administrative fines for non-compliance. The bill also introduces provisions for TennCare coverage for enrollees receiving services at these centers, contingent upon federal approval, and requires the director to seek necessary federal waivers by December 31, 2026. The act will take effect upon becoming law for rule promulgation, with full implementation starting January 1, 2027.