HB 502 Tennessee House · 114th Regular Session (2025-2026)

TennCare - As enacted, authorizes the bureau to provide coverage and treatment on behalf of an enrollee for the diagnosis, including genetic testing, and treatment of Kleefstra syndrome in the same manner and to the same extent that the bureau provides coverage for autism spectrum disorder, Trisomy 21 or Down syndrome, and other similar or related genetic disorders, when determined to be medically necessary. - Amends TCA Title 56 and Title 71.

HB 502 expands TennCare coverage to include diagnosis (including genetic testing) and treatment for Kleefstra syndrome, a rare genetic disorder affecting development and multiple body systems. It requires TennCare to provide this coverage in the same manner and extent as for autism spectrum disorder, Down syndrome (Trisomy 21), and other similar genetic disorders, when medically necessary. This applies to all enrolled individuals with Kleefstra syndrome and covers therapies, medications, assistive devices, and interventions aimed at improving quality of life. The law takes effect July 1, 2025, after being signed by the Governor in April 2025.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Apr 2025
Introduced Feb 3, 2025 Signed Apr 3, 2025
Floor votes · Senate Mar 20, 2025 · House Mar 10, 2025

How they voted

313
Passed
Total votes 34
Mar 20, 2025
D Democratic6
6 Yea
100% Yea
R Republican28
25 Yea 3 Nay
89% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
27
Key actions
10
Committee
7
Amendments
1
Apr 3, 2025
Signed into law
Signed by Governor.
lower
Mar 26, 2025
Lower · Passed
Signed by H. Speaker
lower
Mar 26, 2025
Upper · Passed
Signed by Senate Speaker
upper
Mar 20, 2025
Upper · Passed
Passed Senate, Ayes 27, Nays 2
upper
Mar 13, 2025
Introduced
Received from House, Passed on First Consideration
lower
Mar 10, 2025
Lower · Passed
H. adopted am. (Amendment 1 - HA0026)
lower
Mar 10, 2025
Lower · Passed
Passed H., as am., Ayes 94, Nays 0, PNV 0
lower
Mar 5, 2025
Lower · Passed
Placed on cal. Calendar & Rules Committee for 3/6/2025
lower
Feb 26, 2025
Lower · Passed
Rec. for pass. if am., ref. to Calendar & Rules Committee
lower
Feb 19, 2025
Lower · Passed
Placed on cal. Insurance Committee for 2/26/2025
lower
Feb 18, 2025
Committee
Rec for pass if am by s/c ref. to Insurance Committee
lower
Feb 12, 2025
Lower · Passed
Placed on s/c cal Tenncare Subcommittee for 2/18/2025
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 Mary Littleton
Mary Littleton
RRepublican
TN
78