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.
HB 979 establishes a new licensure process for anesthesiologist assistants in Tennessee, directly affecting these healthcare professionals and hospitals that employ them. The bill amends Tennessee Code Sections 63-1-160(g) and related provisions in Titles 47, 63, and 68, removing restrictions that previously limited hospitals from employing certain licensed physicians for specific medical services. This change updates hospital staffing rules to align with current healthcare practices. The law became effective on July 1, 2025, following the Governor's signature on May 21, 2025.
SB 231 requires Tennessee health insurance plans to cover speech therapy specifically for stuttering, including both habilitative (helping learn or improve communication skills) and rehabilitative (helping restore lost skills) services. The law prohibits annual visit limits, prior authorization, restrictions based on the cause of stuttering, and excludes utilization review for these services, while mandating coverage for both in-person and telehealth options. This requirement applies to health benefit plans renewing or issuing policies on or after July 1, 2025. The bill directly affects insured individuals seeking speech therapy for stuttering and insurers offering health coverage in Tennessee.
SB 322 amends Tennessee state law to grant eligible full-time state employees up to six workweeks of paid leave annually to care for a family member with a serious health condition. It directly affects Tennessee state employees who have worked full-time for at least 12 consecutive months, expanding existing leave options beyond childbirth or adoption. The bill requires 30 days' notice (or as soon as possible if less notice is available) and limits total paid leave to six workweeks within any 12-month period, which can be taken intermittently. The law takes effect January 1, 2026, and aligns with federal Family and Medical Leave Act provisions for eligibility and coverage.
SB 881 removes limits on penalties for pharmacy benefits managers (PBMs) that fail to pay pharmacies promptly under Tennessee law. It requires PBMs to pay "clean claims" (complete, error-free claims) within 30 days for paper submissions and 14 days for electronic submissions, with interest accruing for late payments. The bill establishes tiered penalties: failing to pay 95% of clean claims triggers up to $10,000 in fines, 85% triggers $10,000-$100,000, and 60% triggers $100,000-$200,000. This directly affects PBMs (like those managing prescription drug benefits) and pharmacies that rely on timely payments from them.
