HB 869 Tennessee House · 114th Regular Session (2025-2026)

Health Care - As enacted, revises present law relative to a patient's electronic health record and requires a health insurance entity to establish and maintain a provider access API and a prior authorization API; makes related changes. - Amends TCA Title 8; Title 47; Title 56; Title 63 and Title 68.

HB 869 requires Tennessee health insurance companies to create two new digital systems: a "provider access API" to let doctors quickly retrieve patient records electronically, and a "prior authorization API" to speed up insurance approvals for treatments. It directly affects health insurance entities by mandating these technical standards under revised state laws in Titles 8, 47, 56, 63, and 68. The bill also shortens a deadline for insurers from 10 working days to 10 calendar days for certain patient record requests. This law aims to improve efficiency in healthcare coordination by standardizing electronic access to records and prior authorization processes.
Bill status in committee 3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House Passage
Apr 2025
Senate Passage
Governor
Introduced Feb 5, 2025 Last action May 15, 2025
Floor votes · House Apr 1, 2025

How they voted

230
Passed
Total votes 23
Apr 1, 2025
D Democratic5
5 Yea
100% Yea
R Republican18
18 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
9
Committee
11
Apr 16, 2025
Lower · Passed
Placed on cal. Calendar & Rules Committee for 4/17/2025
lower
Apr 8, 2025
Lower · Passed
Rec. for pass; ref to Calendar & Rules Committee
lower
Apr 3, 2025
Lower · Passed
Placed on cal. Insurance Committee for 4/8/2025
lower
Apr 1, 2025
Lower · Passed
Rec. for pass. if am., ref. to Insurance Committee
lower
Apr 1, 2025
House · Passed
House Vote: pass (23-0)
house
Mar 26, 2025
Lower · Passed
Placed on cal. Health Committee for 4/1/2025
lower
Mar 25, 2025
Lower · Passed
Action def. in Health Committee to 4/1/2025
lower
Mar 19, 2025
Committee
Rec for pass if am by s/c ref. to Health Committee
lower
Mar 19, 2025
Lower · Passed
Placed on cal. Health Committee for 3/25/2025
lower
Mar 12, 2025
Lower · Passed
Placed on s/c cal Health Subcommittee for 3/19/2025
lower
Mar 5, 2025
Committee
Ref. to Health Committee - Insurance Committee
lower
Mar 5, 2025
Committee
Assigned to s/c Health Subcommittee
lower
Feb 5, 2025
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Iris Rudder
Iris Rudder
RRepublican
TN
39