Key legislators
Who's moving healthcare in Tennessee
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HB 1236, the "Tennessee Health SNAP Act," would require Tennessee's Department of Human Resources to seek a federal waiver from the USDA to prohibit SNAP (food stamp) benefits from being used to purchase candy and soft drinks. If approved, this restriction would directly affect SNAP recipients in Tennessee who currently use benefits for these items. The bill mandates that the waiver request include public health justification, a plan for retailer system updates, recipient education on healthy alternatives, and a tracking system for spending and health data. It also requires annual reports to state leaders on the waiver status and impact. The bill is pending Senate action and would take effect July 1, 2025, if enacted.
HB 18 proposes a temporary health coverage program for Tennesseans who don't qualify for existing TennCare or CoverKids. It would provide up to 60 months of medical assistance (resetting at age 21) to individuals under 21 with income ≤138% of the federal poverty level, or adults ≥21 with similar income, subject to strict 12-month/24-month usage limits. The program requires a federal waiver by December 2025, uses 90% federal/10% state funding, and explicitly states it does not replace eligibility for regular programs (benefits pause if enrollment becomes possible). The bill failed in the Insurance Committee on March 5, 2025, and remains inactive.
HB 301 would allow Tennessee local governments (counties, cities, and towns) to regulate sober living homes - residences for adults recovering from substance abuse without formal treatment services. The bill requires these homes to be located at least 1,000 feet from schools, preschools, or daycares and mandates that prospective residents receive a clinical referral from a licensed healthcare provider confirming their need for such housing. Local governments must ensure all regulations comply with federal fair housing and disability laws. This bill would directly affect how sober living homes operate, where they can be located, and who can reside there.