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.
HB 495 sets maximum fees healthcare providers and third-party record release companies can charge when providing medical records to patients or other requesters. For paper copies, fees are capped at $25 for the first five pages, then 50 cents per page after that. For electronic copies, fees are limited to $5 for up to ten pages (25 cents per page after), with specific caps for radiology images and mailing costs. The bill requires providers to offer records electronically when available and prohibits third parties from exceeding these fee limits.
HB 760 authorizes healthcare providers to prescribe bronchodilator rescue inhalers to specific "authorized entities" (like schools, childcare centers, restaurants, and sports venues) for emergency use during asthma or respiratory distress episodes. It requires these entities to store inhalers in accessible, unlocked locations and train designated staff to administer them under pre-approved protocols. The bill also encourages all public schools and charter schools to maintain at least two inhalers in secure, accessible locations (e.g., offices or nurse’s stations) for student emergencies. Crucially, it provides legal protection for staff and entities who follow the protocols, shielding them from liability unless there was intentional disregard for safety. The law became effective May 2, 2025, after Governor’s signature.
HJR 100 is a resolution urging Tennessee’s opioid abatement council and participating counties to allocate at least 25% of opioid settlement fund expenditures toward distributing and promoting overdose reversal medications like Narcan. It directly affects the state’s opioid abatement council and counties that joined the opioid settlement agreement. The resolution requires these entities to prioritize funding for initiatives that save lives through medication access, rather than other uses of the fund. This is a non-binding recommendation, not a new law, aimed at accelerating reductions in overdose deaths.
This resolution urges the U.S. Congress to require the Department of Veterans Affairs (VA) to include veterans who received certain COVID-19 treatments (administered under Emergency Use Authorization before full FDA approval) and anthrax vaccinations as qualifying exposures under the PACT Act. It directly affects veterans exposed to these treatments during service, potentially expanding their access to VA healthcare and benefits previously reserved for those with toxic exposures like burn pits. The resolution also calls for Congress to investigate the military's administration of these substances, including whether they were given without proper consent or approval. As a non-binding resolution, it does not change VA policy but advocates for legislative action to address veterans' health concerns.
This is a resolution (not a binding bill), formally urging the U.S. Congress to enact legislation that would expand veterans' access to treatments for traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). It specifically references the Veterans' National Traumatic Injury Treatment Act (H.R. 3649), which would fund pilot programs for therapies like hyperbaric oxygen therapy alongside counseling. The resolution does not create new policy but requests Congress adopt such legislation to improve veteran care. It directly affects veterans with TBI or PTSD by advocating for broader treatment options.
SB 1304 extends Tennessee's Access Tennessee health insurance program, which provides coverage for low-income residents, from ending on June 30, 2025, to June 30, 2030. The bill amends Tennessee Code Annotated Section 56-7-2916 to update the program's expiration date. This change ensures continued eligibility for current participants and future enrollees who qualify under the program's existing income and coverage criteria. The extension applies to all individuals currently enrolled or who meet the program's requirements before 2030.
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.
SB 1178 requires Tennessee's Department of Disability and Aging and TennCare to create guidelines enabling family members to work as caregivers for people with disabilities. It prohibits Medicaid service providers from denying employment to qualified family caregivers based on factors like family relationship, residence, age, or guardianship status. The bill also prevents providers from reducing benefits for individuals with disabilities solely because their caregiver is a family member. These changes ensure family caregivers can work without discrimination under Tennessee's Medicaid programs.
