HB 1956 Tennessee House · 114th Regular Session (2025-2026)

Insurance Companies, Agents, Brokers, Policies - As enacted, expands the prohibition, from stage 4 advanced metastatic cancer or metastatic blood cancer to any cancer, against a health benefit plan that provides coverage for cancer requiring the use of a step therapy protocol before the health benefit plan provides coverage for an approved prescription drug to an enrollee who has received a diagnosis of cancer. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71.

HB 1956 expands protections for cancer patients by removing restrictions on when health insurance plans must cover approved cancer treatments without requiring "step therapy." The bill changes Tennessee law to prohibit health benefit plans from forcing patients to try less expensive treatments first for *any* cancer diagnosis (previously limited to stage 4 advanced metastatic or blood cancers). This directly affects all health insurance plans covering cancer treatment and enrollees diagnosed with cancer, ensuring coverage for approved drugs without prior step therapy requirements. The law takes effect January 1, 2027, for new or renewed policies.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
May 2026
Signed into Law
May 2026
Introduced Feb 2, 2026 Signed May 19, 2026
Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
32
Key actions
16
Committee
13
May 19, 2026
Signed into law
Signed by Governor.
lower
May 5, 2026
Upper · Passed
Signed by Senate Speaker
upper
Apr 30, 2026
Lower · Passed
Signed by H. Speaker
lower
Apr 20, 2026
Upper · Passed
Passed Senate, Ayes 30, Nays 3
upper
Apr 9, 2026
Introduced
Received from House, Passed on First Consideration
lower
Apr 6, 2026
Lower · Passed
Passed H., Ayes 90, Nays 1, PNV 4
lower
Apr 1, 2026
Lower · Passed
Placed on cal. Calendar & Rules Committee for 4/2/2026
lower
Mar 30, 2026
Lower · Passed
Rec. for pass; ref to Calendar & Rules Committee
lower
Mar 25, 2026
Lower · Passed
Placed on cal. Government Operations Committee for 3/30/2026
lower
Mar 24, 2026
Lower · Passed
Rec. for pass; ref to Government Operations Committee
lower
Mar 18, 2026
Lower · Passed
Placed on cal. Insurance Committee for 3/24/2026
lower
Mar 17, 2026
Lower · Passed
Action def. in Insurance Committee to 3/24/2026
lower
Mar 11, 2026
Lower · Passed
Rec. for pass by s/c ref. to Insurance Committee
lower
Mar 11, 2026
Lower · Passed
Placed on cal. Insurance Committee for 3/17/2026
lower
Mar 4, 2026
Lower · Passed
Action Def. in s/c Insurance Subcommittee to 3/11/2026
lower
Mar 4, 2026
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 3/11/2026
lower
Feb 25, 2026
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 3/4/2026
lower
Feb 4, 2026
Committee
P2C, ref. to Insurance Committee - Government Operations for Review
lower
Feb 4, 2026
Committee
Assigned to s/c Insurance Subcommittee
lower
Feb 2, 2026
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Becky Jo Alexander
Becky Jo Alexander
RRepublican
TN
7