HB1887 • 2026

Disability and Aging, Dept. Of

AN ACT to amend Tennessee Code Annotated, Title 52; Title 56 and Title 71, relative to prescribed pediatric extended care centers.

Children Healthcare Labor Land Parental Rights Technology

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor: Stevens, Reeves
Last action: 2026-04-08
Official status: Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026
Effective date: Not listed

Plain English Breakdown

The official source material does not provide specific penalties for non-compliance beyond mentioning it is a Class B misdemeanor to knowingly operate without a license.

Licensing for Prescribed Pediatric Extended Care Centers

This bill requires centers providing care to medically dependent children under age 20 to get licenses from the state and sets rules about how these centers can operate.

What This Bill Does

Requires anyone who wants to run a prescribed pediatric extended care center in Tennessee to have a license.
Outlines what information must be included when applying for a license, such as location details, financial viability proof, and background checks on key staff members.
Establishes that licenses are valid for three years and sets rules for renewing them.
Requires centers to display their licenses in an obvious place where visitors can see it easily.
Gives the Department of Disability and Aging authority to inspect these centers and take action if they violate licensing requirements.

Who It Names or Affects

People who run prescribed pediatric extended care centers for children under age 20 with medical needs.
The state's Department of Disability and Aging, which will oversee the licensing process.

Terms To Know

Medically dependent or technologically dependent minor: A child who needs ongoing care due to a serious health condition that requires special medical equipment or technology.
Controlling person: Someone with significant control over the operations of a center, like an owner or manager.

Limits and Unknowns

The bill does not specify what happens if a center fails to comply with licensing requirements.
It is unclear how many centers will be affected by this new requirement.
There are no details on the financial impact of enforcing these regulations.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

HA0806

Amendment 1-0 to HB1887

Plain English: The amendment adds new definitions and regulations for a pilot program of prescribed pediatric extended care centers in Tennessee.

Adds definitions for terms such as 'basic services', 'center', 'controlling person', 'medically dependent or technologically dependent minor', 'minor', and 'prescribed pediatric extended care center'.
Establishes a three-year pilot program to create one prescribed pediatric extended care center in a specific county.
Sets requirements for applications to establish the center, including financial viability, location compliance with zoning laws, background checks on key personnel, and submission of necessary documentation.

The amendment text is truncated at the end, so some details about inspections and corrective actions are not provided.
Specific operational requirements for the centers beyond basic definitions and application processes are not fully detailed in this excerpt.

Bill History

2026-04-08 Tennessee General Assembly
Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026
2026-04-08 Tennessee General Assembly
Action Def. in s/c Finance, Ways, and Means Subcommittee to the Final Calendar No. 2
2026-04-07 Tennessee General Assembly
Assigned to General Subcommittee of Senate Commerce and Labor Committee
2026-04-06 Tennessee General Assembly
Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/8/2026
2026-04-06 Tennessee General Assembly
Assigned to s/c Finance, Ways, and Means Subcommittee
2026-04-06 Tennessee General Assembly
Rec. for pass; ref to Finance, Ways, and Means Committee
2026-04-01 Tennessee General Assembly
Placed on cal. Government Operations Committee for 4/6/2026
2026-04-01 Tennessee General Assembly
Placed on Senate Commerce and Labor Committee calendar for 4/7/2026
2026-03-31 Tennessee General Assembly
Rec. for pass; ref to Government Operations Committee
2026-03-26 Tennessee General Assembly
Placed on cal. Insurance Committee for 3/31/2026
2026-03-24 Tennessee General Assembly
Rec. for pass. if am., ref. to Government Operations Committee
2026-03-18 Tennessee General Assembly
Placed on cal. Health Committee for 3/24/2026
2026-03-18 Tennessee General Assembly
Rec for pass if am by s/c ref. to Health Committee
2026-03-11 Tennessee General Assembly
Placed on s/c cal Health Subcommittee for 3/18/2026
2026-03-11 Tennessee General Assembly
Action Def. in s/c Health Subcommittee to 3/18/2026
2026-03-10 Tennessee General Assembly
Action deferred in Senate Commerce & Labor Committee to 3/17/2026
2026-03-04 Tennessee General Assembly
Placed on s/c cal Health Subcommittee for 3/11/2026
2026-03-04 Tennessee General Assembly
Placed on Senate Commerce and Labor Committee calendar for 3/10/2026
2026-03-03 Tennessee General Assembly
Action deferred in Senate Commerce and Labor Committee to 3/10/2026
2026-02-24 Tennessee General Assembly
Placed on Senate Commerce and Labor Committee calendar for 3/3/2026
2026-02-04 Tennessee General Assembly
Assigned to s/c Health Subcommittee
2026-02-04 Tennessee General Assembly
P2C, ref. to Health Committee - Insurance Committee - Government Operations for Review
2026-02-02 Tennessee General Assembly
Intro., P1C.
2026-02-02 Tennessee General Assembly
Passed on Second Consideration, refer to Senate Commerce and Labor Committee
2026-01-22 Tennessee General Assembly
Filed for introduction
2026-01-22 Tennessee General Assembly
Introduced, Passed on First Consideration
2026-01-21 Tennessee General Assembly
Filed for introduction

Official Summary Text

This bill generally prohibits a person from operating a prescribed pediatric extended care center ("center") in this state without an initial or renewal license. Facilities operated by the federal government are exempt from licensure requirements. Each
individual center must have its own license. This bill prohibits a person from operating a center in the same location as a child care agency or any other facility licensed by the department of disability and aging or the department of human services.

LICENSURE

This bill requires a person applying for an initial license to operate a center to submit (i) a sworn application and a form provided by the department of disability and aging ("department"), (ii) a letter of credit to demonstrate the applicant's financi
al viability, and (iii) an initial license fee, as established by the department of
disability and aging ("department").
The application form must include all of the following:



The location of the center for which the license is sought.


Documentation, signed by the appropriate local government official, stating the location meets local zoning requirements.


The name, address, and social security number of the applicant, the administrator responsible for the daily operations of the center, the financial officer responsible for the financial operations of the center, and any other controlling person. Background and criminal history check information must also be provided for all such persons.


The name, address, and federal employer identification number or taxpayer identification number of the applicant and of each controlling person, if the applicant or controlling person is not an individual.


The business name of the center.


The maximum patient capacity requested for the center.


A sworn affidavit that the applicant has complied, and will continue to comply, with this bill and any rules adopted pursuant to it.

This bill requires the department to issue an initial license to a center if the department determines that the applicant and center meet all licensing requirements. The license must include the license holder's name, the location of the center, and a s
tatement indicating the center provides services to persons less than 20 ("minors") for a maximum of 12 hours per day and does not provide 24-hour care.

License Renewals

This bill requires that licenses to operate a center expire three years after issuance. In order to renew a center license, the applicant must
submit a renewal application at least 60 days before the expiration of the license and the license renewal fee. The center must comply with any other renewal requirements established by the department. Late renewal applications are subject to a $50 per
day late fee. However, the total late fee must not exceed 50% of the license renewal fee or $500, whichever is less.

Display of License

This bill requires centers to display their licenses in an obvious location readily visible to persons entering the center. It is a Class B misdemeanor for a person to knowingly establish or operate a center without the appropriate license, with each da
y a violation occurs constituting a separate offense. A Class B misdemeanor is punishable by imprisonment of up to six months; a fine of up to $500; or both.

Denial, Suspension, and Revocation of Licensure

This bill authorizes the department to deny, revoke, or suspend the license of a center, and to impose an administrative fine for a violation of this bill or any applicable rules adopted by the department. The department may take such an action if a cen
ter or its employees (i) commit an intentional or negligent act that materially affects the health or safety of a minor in a center, (ii) commit a fraudulent act, or (iii) commit an act that is a violation of this bill or any rules developed by the depart
me
nt. The department may also take action if there is a license revocation, suspension, or other disciplinary action taken against the license holder or any other person listed in the application in another state.

INSPECTIONS

This bill requires the department to inspect a center before issuing or renewing a license and authorizes the department to inspect a center at any reasonable time as necessary to ensure compliance with this bill. After an inspection, the department may
require a center to take appropriate corrective action to comply with this bill and to submit a corrective action plan to the department for approval. Inspection reports must be made available to any person on request. However, this bill requires the c
en
ter to redact any information that is confidential.

VIOLATIONS

If the department determines that a center is not in compliance with this bill or any applicable rules adopted by the department, then this bill authorizes the department to request that the center submit a corrective action plan that demonstrates a good
faith effort to remedy each violation by a specific date.

This bill authorizes the department to fine a violating center or employee up to $500 for each violation.
The failure to correct a violation by the date set by the department, or to comply with a corrective action plan, is
generally
a separate violation for each such day the failure continues.
The department must consider the seriousness of the violation, the threat to health or safety caused by the violation, any previous violations, the amount necessary to deter a future violation, the efforts made to correct the violation, and any other ma
tter as necessary to determine if a fine is to be imposed and the amount of any such fine.

Injunctions

This bill authorizes the department to seek a temporary restraining order from a court in the county in which the center is located seeking immediate closure of a center to prevent further harm or threat of harm to the minors at the center. The departme
nt is also authorized to seek any further injunctive relief as permitted by law to protect the minors from violations or threatened violations of licensing laws or rules.

CENTER OPERATIONS

This bill authorizes a minor to be admitted to the center if such minor meets all of the following criteria:



The minor is a medically dependent or technologically dependent minor.


The minor's prescribing physician issues a prescription ordering care at the center.


The admission is voluntary based on the parent or legal guardian's preferences.


The minor's parent or legal guardian signs a consent document illustrating their involvement in developing and establishing the care and treatment to be provided to the minor in the center.

However, this bill clarifies that a minor's parent or legal guardian is not required to accompany the minor when the minor receives services in the center. Further, a center must not exceed the maximum patient capacity of 60.

This bill prohibits a center from providing services to a minor for more than 12 hours a day and from providing services other than those provided to medically dependent or technologically dependent minors. Further, an admission to a center must not sup
plant the right to a medicaid private duty nursing benefit.

Transportation Services

This bill requires the department to establish minimum standards for transportation services for the minor, including allowing a center to determine the schedule of transportation services and what healthcare provider must be present during transportatio
n. However, the department must allow a minor's parent or legal guardian to decline a center's transportation services.

This bill prohibits the department from requiring a care plan or physician's order to document a minor's need for transportation services to the center. Further, the department is prohibited from considering transportation services as nursing services i
ncluded in the minor's care plan.

Standards for Operating a Center

This bill requires the department to establish minimum standards for operating a center, including all of the following:



Standards relating to the provision of family-centered basic services that include individualized medical, developmental, and family training services. As used in this bill, "
b
asic services" includes the caregiver training needs of a medically dependent or technologically dependent minor's parent or legal guardian and the development, implementation, and monitoring of a comprehensive protocol of care that (i) is provided to a medically dependent or technologically dependent minor; (ii) is developed in conjunction with the minor's parent or legal guardian; and (iii) specifies the medical, nursing, psychosocial, therapeutic, and developmental services required by the minor served.



Minimum building construction, renovation, and maintenance standards based on the size of the building and the number of minors served.



Standards relating to the minimum number of and qualifications required for personnel who provide personal care or basic services to the minors served.



Standards relating to the sanitary conditions within a center and its surroundings, including water supply, sewage disposal, food handling, and general hygiene.



Standards relating to the programs offered by the
center to promote and maintain the health and development of the minors served and to meet the training needs of the minors' parents or legal guardians
.



Standards relating to physician-prescribed supportive services
.



Standards relating to the maintenance of patient medical records and program records in accordance with state and federal law and with accepted professional standards and practices
.



Standards relating to transportation services
.

Closing of a Center

As early as practicable prior to permanent closure, this bill requires a center to provide notice of the permanent closure to each enrolled minor. Such
notice may be provided by a written or electronic communication, by posting the notice at the center, or by a public posting that the center deems an appropriate means for communication. An "enrolled minor" is a minor who is currently enrolled at a cente
r and for whom tuition or attendance fees are being paid; who has attended the center within the last 90 calendar days; or who is currently on a wait list for enrollment at the center.

Miscellaneous Requirements

This bill requires each center to maintain medical and other records at the center. Any employee, subcontractor, or volunteer at a center must undergo a criminal background check.

This bill generally prohibits the department from interfering with the authority of a parent or legal guardian of a minor at a center to make decisions regarding the treatment provided. However, the department may limit the maximum number of authorized
services provided to a minor at the center.

TENNCARE COVERAGE

This bill requires the bureau of TennCare to provide coverage and benefits for an enrollee for services rendered at a center, subject to approval by the federal centers for medicare and medicaid services. No later than December 31, 2026, the director of
TennCare must submit a request for waiver from the federal centers for medicare and medicaid services to effectuate this requirement.

RULEMAKING

This bill authorizes the department
of disability and aging
to promulgate rules to effectuate this bill.

Current Bill Text

Read the full stored bill text

SENATE BILL 1936
By Reeves

HOUSE BILL 1887
By Stevens
HB1887
010313
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 52;
Title 56 and Title 71, relative to prescribed
pediatric extended care centers.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Title 52, Chapter 2, is amended by adding
the following as a new part:
52-2-1201. Part definitions.
As used in this part:
(1) "Basic services" includes:
(A) The development, implementation, and monitoring of a
comprehensive protocol of care that:
(i) Is provided to a medically dependent or technologically
dependent minor;
(ii) Is developed in conjunction with the minor's parent or
legal guardian; and
(iii) Specifies the medical, nursing, psychosocial,
therapeutic, and developmental services required by the minor
served; and
(B) The caregiver training needs of the minor's parent or legal
guardian;
(2) "Center" means a prescribed pediatric extended care center;
(3) "Controlling person":

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(A) Means a person who, by ownership, contract, or otherwise,
has the authority, acting alone or in concert with another, to directly or
indirectly influence, direct, or cause the direction of the management of,
expenditure of money for, or policies of a center or another person; and
(B) Does not include, if a center is a publicly traded corporation, a
shareholder or lender of such publicly traded corporation;
(4) "Medically dependent or technologically dependent minor":
(A) Means a minor who because of an acute, chronic, or
intermittent medically complex or fragile condition or disability requires
ongoing, technology-based skilled nursing care prescribed by the minor's
physician to avert death or further disability or the routine use of a
medical device to compensate for a deficit in a life-sustaining body
function; and
(B) Does not include a nonacute or occasional medical condition
that does not require continuous nursing care, including asthma,
diabetes, or a condition that requires an epinephrine injection;
(5) "Minor" means a person who is twenty (20) years of age or younger;
and
(6) "Prescribed pediatric extended care center" means a facility operated
for-profit or on a not-for-profit basis that provides nonresidential basic services to
four (4) or more medically dependent or technologically dependent minors who
require the services of the facility and who are not related to the owner or
operator by blood, marriage, or adoption.
52-2-1202. Prescribed pediatric extended care centers to be licensed –
Exemptions.

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(a) A person shall not own or operate a center in this state unless the person
holds an initial or renewal license pursuant to this part.
(b) A separate initial or renewal license is required for each individual center,
regardless of whether the centers are under the ownership or operation of the same
person.
(c) A person shall not operate a center in the same location as:
(1) A child care agency, as defined in § 71-3-501; or
(2) Any other facility licensed pursuant to this title or title 71.
(d) A facility operated by the federal government is exempt from the licensure
requirement in subsection (a).
52-2-1203. Fees.
A person applying for an initial or renewal license to operate a prescribed
pediatric extended care center shall pay a fee established by the department.
52-2-1204. Initial application for license.
(a) An applicant for an initial center license shall submit to the department:
(1) A sworn application on a form provided by the department;
(2) A letter of credit to demonstrate the applicant's financial viability; and
(3) The initial license fee.
(b) The application must contain:
(1) The location of the center for which the license is sought;
(2) Documentation, signed by the appropriate local government official,
stating the location and use of such location meets local zoning requirements;
(3) The name, address, and social security number of, and background
and criminal history check information, as described in § 52-2-1208, for:
(A) The applicant;

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(B) The administrator responsible for daily operations of the
center;
(C) The financial officer responsible for financial operations of the
center; and
(D) Each controlling person;
(4) The name, address, and federal employer identification number or
taxpayer identification number of the applicant and of each controlling person, if
the applicant or controlling person is not an individual;
(5) The business name of the center;
(6) The maximum patient capacity requested for the center; and
(7) A sworn affidavit that the applicant has complied, and will continue to
comply, with this part and rules adopted pursuant to this part.
(c)
(1) The department shall issue an initial license to a center if the
department determines that the applicant and the center meet the requirements
of this part and the rules adopted pursuant to this part.
(2) The license must include:
(A) The license holder's name;
(B) The location of the center; and
(C) A statement indicating the center provides services to minors
for a maximum of twelve (12) hours in a twenty-four-hour period and does
not provide twenty-four-hour care.
52-2-1205. Initial or renewal license term – Renewal – Notification.
(a)

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(1) An initial or renewal license expires three (3) years after issuance of
such license.
(2) The department shall establish a system in which licenses expire on
staggered dates during each three-year period.
(3) The department shall prorate the license fee as appropriate if the
expiration date of a license changes as a result of this subsection (a).
(b) A person applying to renew a center license shall:
(1) Submit a renewal application on a form provided by the department at
least sixty (60) days but no more than one hundred twenty (120) days before the
expiration of the license;
(2) Submit a renewal fee; and
(3) Comply with any other requirement as established by the department.
(c) The department shall assess a fifty-dollar-per-day late fee to a license holder
who submits a renewal application after the date described in subsection (b), except that
the total amount of a late fee must not exceed fifty percent (50%) of the license renewal
fee or five hundred dollars ($500), whichever is less.
(d) At least one hundred twenty (120) days before the expiration of a center
license, the department shall notify the owner or operator of the center of the upcoming
license expiration.
52-2-1206. License display.
Each center licensed pursuant to this part shall display the center's license in a
conspicuous location readily visible to a person entering the center.
52-2-1207. Maintenance of records.
Each center shall maintain at the center the medical and other records required
by this part and by rules adopted pursuant to this part.

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52-2-1208. Background checks required.
Any employee, subcontractor, or volunteer at a center shall have a criminal
background check completed, as described in § 52-2-1002.
52-2-1209. Denial, suspension, and revocation of licensure – Administrative fines
– Grounds.
(a) The department may deny, revoke, or suspend a license and impose an
administrative fine for the violation of this part or any applicable rules adopted by the
department.
(b) Any of the following actions by a center or its employees are grounds for
action by the department:
(1) An intentional or negligent act materially affecting the health or safety
of a minor in a center;
(2) Fraudulent acts, including acts relating to medicaid fraud and
obtaining or attempting to obtain a license by fraud or deception;
(3) A violation of this part or any applicable rules adopted by the
department; or
(4) A license revocation, suspension, or other disciplinary action taken
against the license holder or any person listed in the application in another state.
52-2-1210. Inspections – Corrective action plan.
(a) The department may inspect a center, including its records, at any
reasonable time as necessary to ensure compliance with this part. The center shall
provide the department with access to all center records.
(b) The department shall inspect a center before issuing or renewing a license.
(c) The department may require a center that undergoes an inspection to:

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(1) Take appropriate corrective action necessary to comply with the
requirements of this part and any rules adopted pursuant to this part; and
(2) Submit a corrective action plan to the department for approval.
(d) A center shall make available to any person on request a copy of each
inspection report pertaining to the center that has been issued by the department.
Before making an inspection report available pursuant to this subsection (d), the center
shall redact from the report any information that is confidential under state or federal law.
52-2-1211. Administrative fines – Disposition of fines and fees.
(a) If the department determines that a center is not in compliance with this part
or any applicable rules adopted by the department, then the department may request
that the center submit a corrective action plan that demonstrates a good faith effort to
remedy each violation by a specific date, subject to the department's approval.
(b) The department may fine a center or employee found in violation of this part
or any applicable rule adopted by the department in an amount not to exceed five
hundred dollars ($500) for each violation.
(c) The failure to correct a violation by the date set by the department, or the
failure to comply with an approved corrective action plan, as described in subsection (a),
is a separate violation for each day such failure continues, unless the department
approves an extension to a specific date.
(d) When determining if a fine is to be imposed and in fixing the amount of a fine,
the department shall consider the following factors:
(1) The seriousness of the violation, including the nature, circumstances,
extent, and gravity of the violation;
(2) The threat to health or safety caused by the violation;
(3) Any previous violations;

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(4) The amount necessary to deter a future violation;
(5) The efforts made by the violator to correct the violation; and
(6) Any other matter the department deems necessary.
52-2-1212. Injunction.
(a) The department may seek a temporary restraining order from the chancery
or circuit court of the county in which the center is located seeking immediate closure of
a center to prevent further harm or threat of harm to the minors at the center or
immediate restraint against any violations of the licensing laws or rules that are harming
or that threaten harm to the minors at the center.
(b) The department may seek any further injunctive relief as permitted by law in
order to protect the minors from the violations or threatened violations of the licensing
laws or rules. The use of injunctive relief as provided in this section may be used as an
alternative or supplementary measure to the issuance of an order of summary
suspension or any other administrative proceedings.
52-2-1213. Closing of a center.
(a) As used in this section:
(1) "Enrolled minor" means a minor who:
(A) Is currently enrolled at a center and for whom tuition or
attendance fees are being paid;
(B) Has attended the center within the last ninety (90) calendar
days; or
(C) Is currently on a wait list for enrollment at the center; and
(2) "Permanent closure" means the center ceases to do business as a
center and discontinues all care indefinitely.

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(b) As early as practicable prior to permanent closure, a center shall provide
notice of the permanent closure to each parent or legal guardian of each enrolled minor.
(c) Notice required by subsection (b) may be provided by a written or electronic
communication, a posting of such notice at the center, or a public posting of such notice
that the center deems an appropriate means for communication with each parent or
legal guardian.
(d) This section does not prohibit the department from exercising any duty or
power given to the department in this title or by rule regarding the operational status or
licensure of a center.
52-2-1214. Admission to a center – Services provided.
(a) A minor may be admitted to a center if the minor meets the following criteria:
(1) The minor is a medically dependent or technologically dependent
minor;
(2) The minor's prescribing physician issues a prescription ordering care
at the center;
(3) The minor's parent or legal guardian consents to the minor's
admission to the center;
(4) The admission is voluntary based on the parent's or legal guardian's
preferences in both managed care and non-managed care service delivery
systems; and
(5) The minor's parent or legal guardian signs a consent document
illustrating the involvement of the parent or legal guardian in developing and
establishing the care and treatment to be provided to the minor in the center.
(b) An admission authorized under this section is not intended to supplant the
right to a medicaid private duty nursing benefit, when medically necessary.

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(c) A minor's parent or legal guardian is not required to accompany the minor
when the minor receives services in the center, including therapy services delivered in
the center but billed separately.
(d) A center shall not provide:
(1) Services to a minor for more than twelve (12) hours within a twenty-
four-hour period; and
(2) Services other than those provided to medically dependent or
technologically dependent minors.
(e) The maximum patient capacity at a center must not exceed sixty (60).
52-2-1215. Transportation services.
(a) The department shall establish minimum standards for transportation
services for the minor, including:
(1) Permitting a center to determine:
(A) In coordination with a minor's parent or legal guardian, the
schedule of transportation services; and
(B) In coordination with the minor's prescribing physician, the
necessary type of healthcare provider who must be present during
transportation; and
(2) Permitting a minor's parent or legal guardian to decline a center's
transportation services entirely or on a specific date.
(b) The department shall not:
(1) Require a care plan or physician's order to document a minor's need
for transportation services to access a center's services; and
(2) Consider transportation services as nursing services included in the
minor's care plan.

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52-2-1216. Interference with rights to determine treatment.
(a) Except as provided by subsection (b), the department shall not interfere with
the authority of a parent or a legal guardian of a minor at a center to make decisions
regarding the treatment provided to such minor.
(b) The department may limit the maximum amount of authorized services
provided to a minor who receives services at a center.
52-2-1217. Rules establishing standards.
The department shall promulgate rules to establish minimum standards for
operating a center, including:
(1) Standards relating to the issuance, renewal, denial, suspension, and
revocation of a license to operate a center;
(2) Standards relating to the provision of family-centered basic services
that include individualized medical, developmental, and family training services;
(3) Building construction and renovation standards based on the size of
the building and the number of minors served, including standards for plumbing,
electrical, glass, manufactured buildings, accessibility for a person with a
physical disability, and fire protection;
(4) Building maintenance conditions, based on the size of the building
and the number of minors served, relating to plumbing, heating, lighting,
ventilation, adequate space, fire protection, and other conditions;
(5) Standards relating to the minimum number of and qualifications
required for personnel who provide personal care or basic services to the minors
served;

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(6) Standards relating to the sanitary conditions within a center and its
surroundings, including water supply, sewage disposal, food handling, and
general hygiene;
(7) Standards relating to the programs offered by the center to promote
and maintain the health and development of the minors served and to meet the
training needs of the minors' parents or legal guardians;
(8) Standards relating to physician-prescribed supportive services;
(9) Standards relating to the maintenance of patient medical records and
program records in accordance with state and federal law and with accepted
professional standards and practices; and
(10) Standards relating to transportation services, as described in § 52-2-
1215.
52-2-1218. Criminal penalties.
(a) A person commits a Class B misdemeanor if the person knowingly
establishes or operates a center without the appropriate license issued pursuant to this
part.
(b) Each day a violation occurs constitutes a separate offense.
52-2-1219. Rules.
The department is authorized to promulgate rules to effectuate this part. The
rules must be promulgated in accordance with the Uniform Administrative Procedures
Act, compiled in title 4, chapter 5.
SECTION 2. Tennessee Code Annotated, Title 71, Chapter 5, Part 1, is amended by
adding the following as a new section:
(a) As used in this section:
(1) "Bureau" means the bureau of TennCare; and

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(2) "Enrollee" means an individual enrolled in TennCare.
(b) The bureau shall provide coverage and benefits for an enrollee for services
rendered at a prescribed pediatric extended care center, as described in title 52, chapter
2, part 12, subject to approval by the federal centers for medicare and medicaid
services.
(c) The director shall submit to the federal centers for medicare and medicaid
services a request for any federal waiver the director deems necessary to effectuate this
section no later than December 31, 2026.
SECTION 3. The headings in this act are for reference purposes only and do not
constitute a part of the law enacted by this act. However, the Tennessee Code Commission is
requested to include the headings in any compilation or publication containing this act.
SECTION 4. For the purposes of promulgating rules, this act takes effect upon
becoming a law, the public welfare requiring it. For all other purposes, this act takes effect
January 1, 2027, the public welfare requiring it.