HB 411 Tennessee House · 114th Regular Session (2025-2026)

TennCare - As enacted, enacts "Lucca's Law," which addresses TennCare coverage of treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS). - Amends TCA Title 8; Title 56 and Title 71.

HB 411, known as "Lucca's Law," requires Tennessee's TennCare program to cover medically necessary treatments for children with PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections) and PANS (pediatric acute-onset neuropsychiatric syndrome). It mandates that all TennCare-managed care organizations (MCOs) provide coverage for specific treatments - including antibiotics, behavioral therapy, immunomodulating medicines, plasma exchange, and IVIG therapy - without higher co-pays or delays, and prohibits denial based on prior treatment or diagnosis changes. The law also requires MCOs to use "autoimmune encephalitis" coding for billing until specific PANDAS/PANS codes are established. This directly affects pediatric patients with these conditions and their families, ensuring consistent access to covered care under TennCare.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
May 2025
Signed into Law
May 2025
Introduced Feb 3, 2025 Signed May 21, 2025
Floor votes · Senate Apr 21, 2025 · House Apr 14, 2025

How they voted

380
Passed
Total votes 38
Apr 21, 2025
D Democratic7
7 Yea
100% Yea
R Republican31
31 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
32
Key actions
16
Committee
11
Amendments
1
May 21, 2025
Signed into law
Signed by Governor.
lower
May 8, 2025
Upper · Passed
Signed by Senate Speaker
upper
Apr 30, 2025
Lower · Passed
Signed by H. Speaker
lower
Apr 22, 2025
Lower · Passed
H. concurred in S. am. no. 2 Ayes 97, Nays 0 PNV 0 HB0411
lower
Apr 21, 2025
Lower · Passed
Senate adopted Amendment (Amendment 2 - SA0415)
lower
Apr 21, 2025
Upper · Passed
Passed Senate as amended, Ayes 33, Nays 0
upper
Apr 15, 2025
Introduced
Received from House, Passed on First Consideration
lower
Apr 14, 2025
Lower · Passed
H. adopted am. (Amendment 1 - HA0284)
lower
Apr 14, 2025
Lower · Passed
Passed H., as am., Ayes 95, Nays 0, PNV 0
lower
Apr 9, 2025
Lower · Passed
Placed on cal. Calendar & Rules Committee for 4/10/2025
lower
Apr 3, 2025
Lower · Passed
Action def. in Calendar & Rules Committee to 4/10/2025
lower
Apr 2, 2025
Lower · Passed
Rec. for pass. if am., ref. to Calendar & Rules Committee
lower
Apr 2, 2025
Lower · Passed
Placed on cal. Calendar & Rules Committee for 4/3/2025
lower
Mar 26, 2025
Lower · Passed
Placed on cal. Insurance Committee for 4/1/2025
lower
Mar 25, 2025
Lower · Passed
Action def. in Insurance Committee to 4/1/2025
lower
Mar 19, 2025
Lower · Passed
Placed on cal. Insurance Committee for 3/25/2025
lower
Mar 18, 2025
Committee
Rec for pass if am by s/c ref. to Insurance Committee
lower
Mar 12, 2025
Lower · Passed
Placed on s/c cal Tenncare Subcommittee for 3/18/2025
lower
Feb 5, 2025
Committee
P2C, ref. to Insurance Committee
lower
Feb 5, 2025
Committee
Assigned to s/c Tenncare Subcommittee
lower
Feb 3, 2025
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Susan Lynn
Susan Lynn
RRepublican
TN
57