HB 754 requires gender clinics receiving state funding and insurance providers covering gender transition procedures to also offer and cover detransition services (medical or mental health care to reverse or manage effects of transition). It applies specifically to state-funded clinics and insurers, mandating they report detailed statistics on gender transition procedures to the Tennessee Department of Health. The reporting includes patient demographics, procedure types, medications, and diagnoses - while excluding personally identifiable health information. Data must be submitted monthly and compiled into an annual public report starting in 2025. The bill does not restrict access to gender transition care but adds transparency and service parity requirements.
HB 179 modifies Tennessee's criminal abortion law by adding exceptions that exempt certain abortions from criminal prosecution. It specifies that performing an abortion is not a crime if it is necessary to protect the pregnant person's physical or mental health, or if the pregnancy resulted from rape or incest (as defined in Tennessee law). The bill amends Title 39, Chapter 15 of Tennessee Code, reclassifying such abortions as non-criminal under these specific circumstances. This change takes effect July 1, 2025, directly affecting licensed physicians performing abortions and pregnant individuals in these defined situations.
SB 440 clarifies that standalone dental and vision insurance plans (known as "excepted benefits") are not required to cover specific medical treatments, services, or conditions unless state law explicitly mandates it. This change directly affects health insurance plans offering these stand-alone benefits, removing an implied obligation to cover certain medical needs under those plans. The law applies to all new or renewed insurance policies issued on or after July 1, 2025, ensuring clarity for insurers and policyholders. It does not alter existing coverage requirements for standard health insurance plans.
SB 449, the "Fertility Treatment and Contraceptive Protection Act," establishes legal rights for individuals in Tennessee to access fertility treatments and contraception without state prohibition. It defines "fertility treatment" broadly to include procedures like in vitro fertilization, genetic testing of embryos, and medication for fertility, while defining "contraception" to cover methods such as birth control pills, emergency contraceptives, and sterilization. The law explicitly states that Tennessee law does not prohibit these activities, overriding conflicting state laws. This act takes effect on July 1, 2025, directly affecting all residents seeking these health services within the state.
HB 1044, now Public Chapter 266, enacts Tennessee's "Medical Ethics Defense Act" to protect healthcare providers' rights to refuse care based on conscience. It prohibits discrimination against providers who decline to participate in specific procedures (like certain reproductive or end-of-life care) that conflict with their ethical, moral, or religious beliefs, as defined in the law. The bill also shields providers from retaliation for reporting violations of these protections or disclosing concerns about patient safety. It explicitly excludes federal laws like EMTALA and religious institutions' employment decisions from its scope.
HB 1198 requires Tennessee health insurers and TennCare to allow patients to try biosimilar drugs (cost-effective copies of brand-name medications) before covering the original branded drug. It amends state law to permit health carriers to mandate a biosimilar trial for equivalent branded prescriptions, removing prior requirements for generic drug trials. The bill also directs TennCare’s pharmacy committee to consider biosimilar drugs when recommending medications for the state’s preferred drug list. These changes aim to reduce prescription drug costs by increasing biosimilar adoption, as stated in the bill’s legislative findings.
HB 638 prohibits healthcare providers participating in Tennessee's TennCare or CoverKids programs from denying services to enrollees solely because they refuse vaccines or immunizations. The bill requires the TennCare bureau to withhold reimbursement from providers who violate this rule and mandates the director to create implementing rules, including administrative review processes. Exceptions apply to oncology and organ transplant specialists. This law directly affects providers serving TennCare/CoverKids members and takes effect July 1, 2025.
HB 1074 removes two notification requirements related to prior authorization for healthcare services in Tennessee. It eliminates the obligation for healthcare providers to inform patients when communicating with insurers about missing information for prior authorization requests, and it removes the requirement for utilization review organizations to notify patients when providers fail to submit needed information within seven days. The bill directly affects patients, healthcare providers, and insurance entities by changing communication protocols during the prior authorization process. These changes amend Tennessee Code Sections 63-1-171(b) and 56-6-705(a), effective upon becoming law (Public Chapter 125, enacted April 8, 2025).
SB 1063 removes two notification requirements related to prior authorization for healthcare services in Tennessee. It eliminates the requirement for healthcare providers to notify patients when communicating with insurance companies about missing information for prior authorization, and it removes the requirement for insurance companies to notify patients when additional information is needed from the patient or provider. The bill directly affects healthcare providers, insurance companies, and patients by reducing administrative steps in the prior authorization process. These changes amend Tennessee Code sections 63-1-171 and 56-6-705, effective April 3, 2025.
SB 577 amends Tennessee's TennCare program by shortening the time frame for implementing the annual coverage assessment from seven days to five days. It also establishes limits on hospital payments under specific circumstances, directly affecting TennCare administrators and participating hospitals. The bill changes the timing requirement in Tennessee Code Annotated Section 71-5-2005(d)(2)(D) and became effective April 3, 2025, after being signed by the Governor.
