Pharmacy, Pharmacists - As enacted, enacts the "Freedom, Access, and Integrity in Registered Pharmacy (FAIR Rx) Act." - Amends TCA Title 63.
SB 2040, the "FAIR Rx Act," prohibits pharmacy benefits managers (PBMs) from owning, controlling, or having any financial interest in pharmacies in Tennessee after January 1, 2027. It requires pharmacies to disclose all owners with 5% or more stake and prevents PBMs from using contracts (like management or revenue-sharing agreements) to exert operational control over pharmacies. The bill directly affects PBMs, pharmacies (especially rural and community ones), and aims to prevent conflicts of interest that could restrict patient choice, increase costs, or undermine pharmacist independence. By separating financial control from patient care decisions, it seeks to improve transparency and affordability in prescription drug access.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
Senate Passage
Apr 2026
House Passage
May 2026
Signed into Law
May 2026
Introduced Feb 2, 2026
Signed May 22, 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
34
Key actions
14
Committee
7
Amendments
3
May 22, 2026
Signed into law
Signed by Governor.
lower
May 7, 2026
Lower · Passed
Signed by H. Speaker
lower
Apr 30, 2026
Upper · Passed
Signed by Senate Speaker
upper
Apr 21, 2026
Amended
Am. withdrawn. (Amendment 1 - HA0648)
lower
Apr 21, 2026
Amended
Am. withdrawn. (Amendment 2 - HA0649)
lower
Apr 21, 2026
Amended
Am. withdrawn. (Amendment 3 - HA1228)
lower
Apr 21, 2026
Lower · Passed
Passed H., Ayes 86, Nays 7, PNV 0
lower
Apr 20, 2026
Lower · Passed
Senate adopted Amendment (Amendment 2 - SA0841)
lower
Apr 20, 2026
Lower · Passed
Senate adopted Amendment (Amendment 3 - SA0842)
lower
Apr 20, 2026
Lower · Passed
Senate adopted Amendment (Amendment 4 - SA1052)
lower
Apr 20, 2026
Upper · Passed
Passed Senate as amended, Ayes 24, Nays 9
upper
Mar 24, 2026
Upper · Passed
Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 2 PNV 0
upper
Mar 17, 2026
Lower · Passed
Action deferred in Senate Finance, Ways, and Means Committee to 3/24/2026
lower
Mar 17, 2026
Lower · Passed
Placed on Senate Finance, Ways, and Means Committee calendar for 3/24/2026
lower
Mar 10, 2026
Lower · Passed
Placed on Senate Finance, Ways, and Means Committee calendar for 3/17/2026
lower
Feb 25, 2026
Upper · Passed
Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 1 PNV 0
upper
Feb 18, 2026
Lower · Passed
Placed on Senate Health and Welfare Committee calendar for 2/25/2026
lower
Feb 5, 2026
Committee
Passed on Second Consideration, refer to Senate Health and Welfare Committee
upper
Feb 2, 2026
Introduced
Introduced, Passed on First Consideration
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Bobby Harshbarger
RRepublican
Ask Maddy
·
AI policy assistant
Ask Maddy about SB 2040
Scope: TN
Hi! I can help you understand SB 2040. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline