Healthcare

HB 1220, the "Tennessee Contraceptive Freedom Act," establishes a fundamental right for all individuals to make decisions about their reproductive health, including access to contraceptives and related information. It requires healthcare providers to either provide contraceptive services or refer patients to someone who can, and prohibits restrictions that single out contraceptive care or impede access. The bill defines "contraception" broadly (including emergency contraception and sterilization) and clarifies it is distinct from abortion. It applies directly to patients, healthcare providers, health insurance carriers, and public health agencies across Tennessee. The bill is currently pending, having failed in the Health Committee's Population Health Subcommittee on March 18, 2025.

HB 27, titled the "Reproductive Freedom Act," establishes a new legal framework protecting reproductive healthcare access in Tennessee. It defines "reproductive health care" to include abortion, contraception, prenatal care, and related services, and affirms individuals' fundamental rights to make decisions about their reproductive health without state interference. The bill requires health insurance plans to cover reproductive health care (Section 15) and repeals multiple existing state laws that restricted abortion access or imposed criminal penalties for reproductive care (Sections 2-22). This legislation directly affects all Tennesseans seeking reproductive healthcare by removing legal barriers and mandating coverage under state-regulated insurance plans.

HB 598 would establish a legal process for capable adults in Tennessee with a terminal illness to request medication to end their life under strict conditions. To qualify, an adult must be a resident of Tennessee, diagnosed with an incurable disease expected to cause death within six months, and confirmed capable by both an attending physician and a consulting physician. The process requires a written request witnessed by two non-relatives (not beneficiaries or healthcare staff), counseling to ensure the decision is voluntary and informed, and full disclosure of the patient's diagnosis, prognosis, risks, and alternatives like hospice care. The bill amends Tennessee laws across multiple titles to create these requirements and procedures for end-of-life medication requests.

HB 1156 would remove a Tennessee law requiring parents or legal guardians to ensure their children receive vaccines recommended by the CDC or AAP. This change directly affects parents and guardians in Tennessee who currently have this legal obligation under TCA Title 37. The bill specifically deletes Section 37-10-401(a) of the Tennessee Code but clarifies it won't impact existing school, daycare, or childcare immunization requirements. The legislation is currently pending in the Health Committee for further review.