SB 1790 Tennessee Senate · 114th Regular Session (2025-2026)

Correction, Dept. of - As enacted, authorizes the department to adopt or amend a formulary for use in the correctional facilities operated by or on behalf of the department. - Amends TCA Title 8; Title 41; Title 53; Title 56; Title 63; Title 68 and Title 71.

SB 1790 requires insurers covering inmates in Tennessee to treat FDA-approved non-opioid pain medications equally with opioids in their preferred drug lists (PDLs), meaning non-opioid options cannot be disadvantaged in coverage or cost-sharing. It directly affects insurers offering policies that cover incarcerated individuals, including TennCare and private health plans. The law mandates that non-opioid medications (approved by the FDA for pain management) must have equal coverage treatment relative to opioids on the PDL, without prohibiting insurers from favoring one opioid over another. The bill applies to all such medications approved by the FDA for nine months or longer and takes effect January 1, 2027.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 21, 2026 Last action Apr 23, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
12
Key actions
4
Committee
5
Mar 9, 2026
Lower · Passed
Recommended for passage, refer to Senate Calendar Committee
lower
Mar 4, 2026
Lower · Passed
Placed on Senate Judiciary Committee calendar for 3/9/2026
lower
Feb 24, 2026
Upper · Passed
Recommended for passage with amendment/s, refer to Senate Judiciary Committee Ayes 9, Nays 0 PNV 0
upper
Feb 17, 2026
Lower · Passed
Placed on Senate Commerce and Labor Committee calendar for 2/24/2026
lower
Jan 22, 2026
Committee
Passed on Second Consideration, refer to Senate Commerce and Labor Committee
upper
Jan 21, 2026
Introduced
Introduced, Passed on First Consideration
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Shane Reeves
Shane Reeves
RRepublican
TN
14