The Tennessee Joint Committee on Government Operations convened on May 19, 2025, to discuss significant updates to healthcare regulations, particularly concerning remote fetal monitoring procedures. The committee announced the inclusion of remote fetal ultrasound procedures and remote fetal nonstress tests in the covered benefits list under rule 0.04 of chapters 13 and 14. This decision follows a rulemaking hearing held on January 7, 2025, during which no public comments were received.

During the meeting, committee members sought clarification on the differences between nonstress tests and stress tests. John Abanabadai, Deputy Chief Medical Officer of TennCare, explained that a nonstress test measures uterine contractions and fetal heart rate without inducing stress on the fetus, while a stress test involves inducing contractions to assess the baby's response under stress.

The discussion also addressed the necessity of having a healthcare specialist present during these remote tests. Abanabadai noted that the remote nonstress test is designed for patients with concerns about their pregnancy, allowing them to conduct the test independently at home. However, he emphasized that if the results are concerning, immediate medical attention would be required.

The committee's decision to expand remote monitoring options reflects a growing trend in telehealth, aiming to enhance accessibility and convenience for expectant mothers while ensuring that necessary medical oversight is maintained. The implications of these changes could significantly impact prenatal care in Tennessee, making it easier for women to receive essential monitoring without the need for frequent in-person visits.