SB 1426, known as "Lucca's Law," requires TennCare managed care plans to cover medically necessary treatments for children diagnosed with PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections) and PANS (pediatric acute-onset neuropsychiatric syndrome). It mandates coverage for antibiotics, behavioral therapies, immune-modulating drugs, plasma exchange, and IV immunoglobulin therapy, with no higher copays or deductibles than other similar treatments. The law also prohibits denying or delaying coverage based on prior treatment history or different diagnostic labels, and requires coverage to be provided without lifetime limits. This applies to all TennCare managed care organizations starting January 1, 2026, and specifies that PANDAS/PANS must be coded as autoimmune encephalitis until new medical codes are established.
This bill creates the "Tennessee National Guard Servicemember's Medical Readiness Act," establishing a state program to reimburse Tennessee National Guard members for certain health insurance premiums. It specifically covers premiums paid for TRICARE Reserve Select or TRICARE Dental coverage by eligible members who are Tennessee National Guard members and qualify for those programs. The military department will administer the program, with the adjutant general setting application rules, and it will not reimburse premiums already covered by federal government payments. The program requires separate annual appropriations by the legislature and takes effect on July 1, 2025.
SB 1382 requires Tennessee's Commerce and Insurance Commissioner to study whether insurers' online processes for step therapy exceptions (where patients must try cheaper treatments first) are easy for patients and doctors to use. The study specifically examines if insurers comply with state law without creating unnecessary barriers for requesting exceptions, particularly for conditions like advanced cancer. The commissioner must report findings and recommendations to lawmakers by December 15, 2025. This bill affects patients and healthcare providers seeking coverage for treatments that require step therapy exceptions, but it does not change coverage rules - only studies current processes.
HB 783 authorizes Tennessee local governments (counties, cities, or metropolitan areas) to regulate sober living homes - residences for adults recovering from substance abuse without formal treatment - to ensure they comply with federal fair housing and disability laws. Key provisions include requiring these homes to be at least 1,000 feet from schools/daycares, allowing local zoning rules, and mandating clinical referrals from licensed healthcare providers before residency. The law directly affects sober living home operators, residents, and local governments implementing these rules. It becomes effective immediately upon the governor’s signature (May 21, 2025), updating Tennessee housing codes to balance local oversight with federal civil rights protections.
SB 450, the "Savannah Grace Copeland Act," increases funding for Tennessee's child advocacy centers, which serve abused and neglected children across all judicial districts. It requires that any future funding increase for the Department of Children's Services' child protective services must include a 75% corresponding increase for child advocacy center contracts. The bill sets new base contract amounts: $127,855.98 for full centers and $85,000 per forensic child interviewer. These changes take effect July 1, 2025, but require separate legislative appropriations to be implemented. The bill addresses decades of stagnant funding, aiming to support centers that served over 32,000 children in 2024 with forensic interviews, medical exams, and mental health services.
SB 654 creates Tennessee's "Caring for Caregivers Act," establishing a pilot program to provide financial grants to family caregivers of individuals with Alzheimer's or dementia. The program offers up to $6,000 annually per caregiver to offset eligible expenses like home modifications, medical equipment, and respite care for family members needing help with two or more daily activities (e.g., bathing, dressing, or mobility). Caregivers must have household income below $37,000 (adjusted annually for inflation) and provide care for a relative living in a private home, not a facility. The bill extends the program's termination date from December 2025 to December 2026, with funding starting at $600,000 for fiscal year 2025-2026.
HB 641, the "Savannah Grace Copeland Act," requires Tennessee to increase funding for child advocacy centers whenever state funding for child protective services grows. Specifically, it mandates that 75% of any increase in child protective services funding must be allocated to child advocacy center contracts starting July 2026. The bill sets specific base funding amounts: $127,855.98 for full centers and $85,000 per forensic interviewer. These centers, which serve over 32,000 children annually with services like forensic interviews and mental health support, directly benefit from this policy change. The law takes effect July 1, 2025, but requires separate annual appropriations to implement the funding adjustments.
HB 1089 requires courts to order mental health evaluations for defendants convicted of specific abuse-related crimes - including domestic assault, child abuse, aggravated child abuse, or cruelty to animals - before sentencing. The law directs Tennessee's Department of Mental Health to create a process where community mental health centers or qualified professionals conduct these evaluations. It directly affects defendants in these cases and the state's mental health evaluation system, adding a pre-sentencing step to assess potential mental health factors. The bill amends Tennessee Code Sections 39-14-202 and related titles to implement this requirement, effective May 21, 2025.
HB 411, known as "Lucca's Law," requires Tennessee's TennCare program to cover medically necessary treatments for children with PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections) and PANS (pediatric acute-onset neuropsychiatric syndrome). It mandates that all TennCare-managed care organizations (MCOs) provide coverage for specific treatments - including antibiotics, behavioral therapy, immunomodulating medicines, plasma exchange, and IVIG therapy - without higher co-pays or delays, and prohibits denial based on prior treatment or diagnosis changes. The law also requires MCOs to use "autoimmune encephalitis" coding for billing until specific PANDAS/PANS codes are established. This directly affects pediatric patients with these conditions and their families, ensuring consistent access to covered care under TennCare.
HB 858 requires Tennessee's insurance commissioner to study how easily patients and doctors can request exceptions to step therapy rules online. The study will assess whether insurers' processes are accessible without unnecessary barriers for those seeking coverage for cancer treatments. The commissioner must submit findings and recommendations by December 2025. This bill affects insurers and healthcare providers who handle step therapy requests but does not change current coverage requirements. It becomes effective January 1, 2026.
