SB 437 Tennessee Senate · 114th Regular Session (2025-2026)

Insurance, Health, Accident - As enacted, revises certain protocols for mental health and substance abuse services. - Amends TCA Title 56 and Title 71.

SB 437 requires most health insurance plans in Tennessee to cover mental health and substance abuse services through a specific integrated care model called the Psychiatric Collaborative Care Model (PCCM), effective July 1, 2025. This model involves primary care providers, care managers, and psychiatric consultants working together to coordinate patient treatment using validated tools and regular assessments. Insurance plans may deny coverage only if they comply with existing state and federal mental health parity laws (including the MHPAEA) and medical necessity standards. The requirement applies to TennCare and CoverKids programs when services are deemed medically necessary by program guidelines.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
Apr 2025
Introduced Feb 10, 2025 Signed Apr 11, 2025
Floor votes · Senate Mar 20, 2025 · House Mar 27, 2025

How they voted

332
Passed
Total votes 35
Mar 20, 2025
D Democratic5
5 Yea
100% Yea
R Republican30
28 Yea 2 Nay
93% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
24
Key actions
10
Committee
5
Amendments
1
Apr 11, 2025
Signed into law
Signed by Governor.
lower
Apr 2, 2025
Lower · Passed
Signed by H. Speaker
lower
Apr 1, 2025
Upper · Passed
Signed by Senate Speaker
upper
Mar 27, 2025
Amended
Am. withdrawn. (Amendment 1 - HA0080)
lower
Mar 27, 2025
Lower · Passed
Passed H., Ayes 96, Nays 0, PNV 0
lower
Mar 20, 2025
Lower · Passed
Senate adopted Amendment (Amendment 1 - SA0088)
lower
Mar 20, 2025
Upper · Passed
Passed Senate as amended, Ayes 29, Nays 1
upper
Mar 11, 2025
Upper · Passed
Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 5, Nays 2 PNV 1
upper
Mar 5, 2025
Lower · Passed
Placed on Senate Commerce and Labor Committee calendar for 3/11/2025
lower
Mar 4, 2025
Lower · Passed
Action deferred in Senate Commerce and Labor Committee to 3/11/2025
lower
Feb 25, 2025
Lower · Passed
Placed on Senate Commerce and Labor Committee calendar for 3/4/2025
lower
Feb 12, 2025
Committee
Passed on Second Consideration, refer to Senate Commerce and Labor Committee
upper
Feb 10, 2025
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