HB 1198 Tennessee House · 114th Regular Session (2025-2026)

Drugs, Prescription - As enacted, adds mandating the use of biosimilar drugs as a cost-saving measure the bureau of TennCare may implement; adds that a health carrier, health benefit plan, or utilization review organization may require a patient to try a biosimilar product prior to providing coverage for the equivalent branded prescription drug; requires the TennCare pharmacy advisory committee to consider as a factor the use of biosimilar drugs in the committee's recommendation to the bureau of TennCare on any drugs to be added to the state preferred drug list. - Amends TCA Title 4; Title 53; Title 56; Title 68 and Title 71.

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.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2025
House Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
Apr 2025
Introduced Feb 10, 2025 Signed Apr 11, 2025
Floor votes · Senate Mar 31, 2025 · House Mar 31, 2025

How they voted

350
Passed
Total votes 35
Mar 31, 2025
D Democratic7
7 Yea
100% Yea
R Republican28
28 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
25
Key actions
10
Committee
7
Amendments
1
Apr 11, 2025
Signed into law
Signed by Governor.
lower
Apr 3, 2025
Upper · Passed
Signed by Senate Speaker
upper
Apr 2, 2025
Lower · Passed
Signed by H. Speaker
lower
Mar 31, 2025
Lower · Passed
H. adopted am. (Amendment 1 - HA0140)
lower
Mar 31, 2025
Lower · Passed
Passed H., as am., Ayes 92, Nays 1, PNV 0
lower
Mar 31, 2025
Introduced
Received from House, Passed on First Consideration
lower
Mar 31, 2025
Upper · Passed
Passed Senate, Ayes 30, Nays 0
upper
Mar 26, 2025
Lower · Passed
Placed on cal. Calendar & Rules Committee for 3/27/2025
lower
Mar 19, 2025
Lower · Passed
Rec. for pass. if am., ref. to Calendar & Rules Committee
lower
Mar 12, 2025
Committee
Rec for pass if am by s/c ref. to Insurance Committee
lower
Mar 12, 2025
Lower · Passed
Placed on cal. Insurance Committee for 3/19/2025
lower
Mar 5, 2025
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 3/12/2025
lower
Feb 12, 2025
Committee
P2C, ref. to Insurance Committee
lower
Feb 12, 2025
Committee
Assigned to s/c Insurance Subcommittee
lower
Feb 10, 2025
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Doc Kumar
Doc Kumar
RRepublican
TN
66