The Record
Every Tennessee record from every file, newest first; federal records that apply in every state are in the full archive.
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Tracked issues with at least one Tennessee record since Apr 27, 2026.
Davidson County Chancery Court
A Nashville court order barred the Tennessee Department of Health from requiring citizenship or immigration checks in the Ryan White HIV/AIDS and HOPWA programs. The hearing on a longer injunction is November 4, 2026.
TennCare
Starting October 1, 2026, TennCare says only citizens and nationals, Cuban and Haitian entrants, COFA migrants and certain green-card holders qualify for its programs.
WKRN News 2
The Tennessee Department of Health announced its first Rural Health Transformation Program recipients on September 3: 53 projects across 44 rural counties under the Healthy Active Rural Tennessee priority…
Centers for Medicare & Medicaid Services
CMS's August 17 letter to the TennCare director says that beginning October 1, 2026, federal financial participation for Medicaid and CHIP is generally limited, with statutory exceptions, to services for U.S. Citizens and nationals, lawful permanent residents…
Christ Community Health Services Inc.
Christ Community Health Services Inc.'s live notice says Sheffield School-Based Health Center is now permanently closed effective July 21, 2026, and says East High School-Based Health Center will permanently close effective July 24.
United Neighborhood Health Services
Neighborhood Health's current locations page, observed July 16, lists its Madison clinic at 601 West Due West Avenue with hours of 8 a.m.–8 p.m. Monday through Friday and 8 a.m.–4 p.m. Saturday.
Perry County Medical Center
Three Rivers Community Health Group's live operating page, reviewed July 16, identifies Perry County Dental Clinic at 153 West Main Street in Linden as a new office that is now open.
Rural Medical Services
Rural Medical Services' current Chestnut Hill Center page, observed July 16, lists the Dandridge clinic at 3222 Chestnut Hill School Road with general hours of 8 a.m.–4 p.m. Monday through Friday and separate dental hours of 8 a.m.–6 p.m. Monday through…
Hamilton County, Tennessee
Hamilton County's FY2027 adopted budget shows no adopted appropriation for Sequoyah Clinic after $954,004 in FY2025 actual spending and no FY2026 adopted amount.
Tennessee Justice Center
The Tennessee Justice Center, counsel for the plaintiffs in Snader v. Tennessee Department of Health, says it sued on June 24, 2026 for three Nashville physicians whose patients are among roughly 400 immigrant children receiving care through Children's…
Tennessee Department of Health
The Tennessee Department of Health procurement page, updated August 11, says the FY2027 budget dedicates about $125 million in TennCare Shared Savings to rural-health transformation.
Office of Tennessee Governor Bill Lee
The governor's April 23 session-close release identifies $18 million for the Pathway to Independence Program in the enacted FY2026-27 budget.
Tennessee Department of Commerce and Insurance
Tennessee's Department of Commerce and Insurance says the state uses the federally facilitated Marketplace and does not operate an Effective Rate Review Program.
TennCare
TennCare Policy PRO 13-002, Revision 4, dated July 14, 2025, lists federally qualified health centers among eligible covered entities. Every participating entity must decide whether to carve Medicaid patients in or out.
Centers for Medicare & Medicaid Services
CMS's January 28, 2026 Open Enrollment snapshot reports 569,310 cumulative Tennessee plan selections through January 15 on HealthCare.gov.
Health Resources and Services Administration
HRSA released the 2025 Uniform Data System reporting period on July 30, 2026, superseding the 2024 baseline this entry previously carried.
Health Resources and Services Administration
HRSA's 2025 Tennessee UDS profile, released July 30, 2026, reports 129,917 uninsured health-center patients, or 30.38 percent of 427,688 total patients — down from 141,502 and 32.66 percent in 2024.
The Sycamore Institute
The Sycamore Institute's October 22, 2025 brief reported nearly 643,000 Tennessee Marketplace enrollees for 2025 and modeled that average premium payments could more than double after enhanced tax credits expired on December 31, 2025.
Centers for Medicare & Medicaid Services
CMS says Section 71119 of Public Law 119-21 requires states, beginning January 1, 2027 unless implemented earlier, to condition Medicaid eligibility for federally defined 'applicable individuals' on community engagement, subject to statutory exclusions.
Centers for Medicare & Medicaid Services
CMS's official TennCare III demonstration record lists approval from January 8, 2021 through December 31, 2030.
TennCare
TennCare's February budget presentation includes a $30 million Shared Savings–Community Engagement cost increase: $27 million federal and $3 million in 'other' funds, with no state general-fund amount shown.
Tennessee Department of Health
The Tennessee Department of Health's December 16, 2025 report says the state had more than 21,000 licensed APRNs with certificates of fitness; 14,979 had opted into Board email, 5,108 started the survey, and 4,730 completed it.
Chartis
Chartis's February 10, 2026 analysis uses a multilevel logistic-regression vulnerability index with more than a dozen indicators.
Office of Tennessee Governor Bill Lee
At the April 23 close of the 2026 session, the governor's office reported an enacted $58.3 billion budget with $125 million for targeted capital projects and expansion of effective models emerging from RHTP…
TennCare
TennCare's February 10 budget presentation defines Pathway to Independence as a four-year pilot.
Tennessee Department of Health
TDH's May 15 release says the inaugural RHTP opportunity supported technology to expand behavioral-health education and consultation for women, infants, and children in rural communities; the application period ran May 15-June 15, 2026.
Tennessee Department of Health
The Department of Health opened Tennessee's first Rural Health Transformation Program opportunity on May 15, 2026.
Tennessee Department of Health
Tennessee's August 11 procurement page expressly names FQHCs among potential RHTP sub-award recipients and among applicants eligible for the Rural Healthcare Access Modernization Program across all 95 counties.
Tennessee General Assembly
Gov. Bill Lee signed SB 1369 on May 5, 2026; it became Public Chapter 887. The legislature's official record gives effective dates of May 5, 2026, July 1, 2028, and July 1, 2030.
Tennessee Department of Health
TDH's procurement page, updated August 11, lists five Rural Health Transformation Program RFP tracks: healthcare-management consulting, marketing and advertising, the Community Health Access & Navigation call center…
Tennessee Department of Health
TDH's August 11 procurement page displays three competitive Rural Health Transformation Program grant opportunities: Make Rural Tennessee Healthy Again and Health Technology and Innovation, each closing August 3…
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