HB 754 Tennessee House · 114th Regular Session (2025-2026)

Health Care - As enacted, revises law relative to gender clinics and related services. - Amends TCA Title 1; Title 4; Title 33; Title 56; Title 63; Title 68 and Title 71.

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.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2026
House Passage
Apr 2026
Senate Passage
May 2026
Signed into Law
May 2026
Introduced Feb 5, 2025 Signed May 7, 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
42
Key actions
21
Committee
16
Amendments
2
May 7, 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 15, 2026
Lower · Passed
H. concurred in S. am. no. 2 and no. 4 Ayes 73, Nays 23 PNV 1
lower
Apr 13, 2026
Lower · Passed
Senate adopted Amendment (Amendment 2 - SA0834)
lower
Apr 13, 2026
Lower · Passed
Senate adopted Amendment (Amendment 4 - SA0993)
lower
Apr 13, 2026
Upper · Passed
Passed Senate as amended, Ayes 24, Nays 7
upper
Mar 30, 2026
Introduced
Received from House, Passed on First Consideration
lower
Mar 26, 2026
Lower · Passed
H. adopted am. (Amendment 1 - HA0111)
lower
Mar 26, 2026
Lower · Passed
H. adopted am. (Amendment 2 - HA0695)
lower
Mar 26, 2026
Lower · Passed
Passed H., as am., Ayes 70, Nays 21, PNV 2
lower
Mar 18, 2026
Lower · Passed
Placed on cal. Calendar & Rules Committee for 3/19/2026
lower
Mar 17, 2026
Lower · Passed
Rec. for pass. if am., ref. to Calendar & Rules Committee
lower
Mar 11, 2026
Committee
Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee
lower
Mar 11, 2026
Lower · Passed
Placed on cal. Finance, Ways, and Means Committee for 3/17/2026
lower
Mar 4, 2026
Lower · Passed
Action Def. in s/c Finance, Ways, and Means Subcommittee to 3/11/2026
lower
Mar 4, 2026
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/11/2026
lower
Feb 25, 2026
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/4/2026
lower
Apr 9, 2025
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2025
lower
Mar 19, 2025
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/26/2025
lower
Mar 18, 2025
Lower · Passed
Rec. for pass. if am., ref. to Finance, Ways, and Means Committee
lower
Mar 18, 2025
Committee
Assigned to s/c Finance, Ways, and Means Subcommittee
lower
Mar 12, 2025
Lower · Passed
Placed on cal. Health Committee for 3/18/2025
lower
Mar 11, 2025
Committee
Rec for pass if am by s/c ref. to Health Committee
lower
Mar 5, 2025
Lower · Passed
Placed on s/c cal Population Health Subcommittee for 3/11/2025
lower
Feb 10, 2025
Committee
Assigned to s/c Population Health Subcommittee
lower
Feb 6, 2025
Committee
P2C, ref. to Health Committee
lower
Feb 5, 2025
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jeremy Faison
Jeremy Faison
RRepublican
TN
11