Healthcare (Mental Health)

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 1241 defines two medical scenarios where a physician performing an abortion is not considered to commit criminal abortion: (1) when preventing maternal death or a "serious risk of substantial and irreversible impairment of a major bodily function" (e.g., preeclampsia, but excluding mental health conditions), and (2) when addressing a "lethal fetal anomaly" (a condition diagnosed before 24 weeks that is incompatible with life outside the womb). For lethal fetal anomalies, the bill requires two physician concurrences in writing, documentation of perinatal care options offered to the patient, and specifies that abortions or premature deliveries must be performed to avoid fetal demise or maternal health risks. The law applies to licensed physicians in licensed facilities and amends multiple Tennessee Code sections related to women’s health.