HB 29 Tennessee House · 114th Regular Session (2025-2026)

Chiropractors - As enacted, requires certain insurers to reimburse chiropractic physicians at the same rate as physicians for the same services. - Amends TCA Title 56, Chapter 7 and Title 63.

HB 29 requires health insurance companies to reimburse chiropractic physicians at the same rate as medical doctors for identical services, using the same payment methodology. It prohibits insurers from creating separate chiropractic codes or rates to avoid this requirement, applying to standard medical coding systems like CPT. The law directly affects chiropractors and insurers, but excludes state Medicaid (TennCare), CoverKids, and government-provided insurance. Key provisions mandate equal reimbursement calculations based on nationally recognized codes, with no impact on existing payment structures for exempt programs. The bill takes effect July 1, 2025.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
May 2026
Signed into Law
May 2026
Introduced Jan 14, 2025 Signed May 7, 2026
Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
50
Key actions
25
Committee
19
Amendments
2
May 7, 2026
Signed into law
Signed by Governor.
lower
May 5, 2026
Upper · Passed
Signed by Senate Speaker
upper
Apr 30, 2026
Lower · Passed
Signed by H. Speaker
lower
Apr 23, 2026
Lower · Passed
Motion to reconsider adopted.
lower
Apr 23, 2026
Lower · Passed
Senate adopted Amendment (Amendment 3 - SA1112)
lower
Apr 23, 2026
Upper · Passed
Passed Senate as amended, Ayes 32, Nays 0, PNV 1
upper
Apr 23, 2026
Lower · Passed
H. concurred in S. am. no. 3 Ayes 87, Nays 0 PNV 6
lower
Apr 22, 2026
Introduced
Received from House, Passed on First Consideration
lower
Apr 22, 2026
Upper · Passed
Passed Senate, Ayes 29, Nays 0
upper
Apr 21, 2026
Lower · Passed
H. adopted am. (Amendment 1 - HA0083)
lower
Apr 21, 2026
Lower · Passed
H. adopted am. (Amendment 2 - HA1202)
lower
Apr 21, 2026
Lower · Passed
Passed H., as am., Ayes 82, Nays 7, PNV 1
lower
Apr 15, 2026
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/15/2026
lower
Apr 15, 2026
Committee
Rec for adopt by s/c ref. to Finance, Ways, and Means Committee
lower
Apr 15, 2026
Lower · Passed
Placed on cal. Finance, Ways, and Means Committee for 4/15/2026
lower
Apr 15, 2026
Lower · Passed
Rec. for pass. if am., ref. to Calendar & Rules Committee
lower
Apr 15, 2026
Lower · Passed
Placed on cal. Calendar & Rules Committee for 4/16/2026
lower
Apr 8, 2026
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026
lower
Mar 18, 2026
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/25/2026
lower
Mar 26, 2025
Lower · Passed
Taken off notice for cal in s/c Finance, Ways, and Means Subcommittee of Finance, Ways, and Means Committee
lower
Mar 19, 2025
Committee
Assigned to s/c Finance, Ways, and Means Subcommittee
lower
Mar 19, 2025
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/26/2025
lower
Mar 12, 2025
Lower · Passed
Rec. for pass. if am., ref. to Finance, Ways, and Means Committee
lower
Mar 5, 2025
Lower · Passed
Action def. in Insurance Committee to 3/12/2025
lower
Mar 5, 2025
Lower · Passed
Placed on cal. Insurance Committee for 3/12/2025
lower
Feb 26, 2025
Committee
Rec for pass if am by s/c ref. to Insurance Committee
lower
Feb 26, 2025
Lower · Passed
Placed on cal. Insurance Committee for 3/5/2025
lower
Feb 19, 2025
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 2/26/2025
lower
Jan 28, 2025
Committee
Assigned to s/c Insurance Subcommittee
lower
Jan 16, 2025
Committee
Ref. to Insurance Committee
lower
Jan 15, 2025
Lower · Passed
P2C held on desk, pending appointment of Standing Committees
lower
Jan 14, 2025
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Scott Cepicky
Scott Cepicky
RRepublican
TN
64