Drugs, Prescription - As introduced, requires the department of finance and administration, in collaboration with the department of health and the bureau of TennCare, to apply for federal approval to import prescription drugs from Canada. - Amends TCA Title 8; Title 33; Title 53; Title 56; Title 63; Title 68 and Title 71.

SB 1256 requires Tennessee's Department of Finance and Administration, working with the Department of Health and TennCare, to apply for federal approval by January 1, 2026, to import prescription drugs from Canada. The bill mandates that the application must prove imported drugs meet federal/state safety standards, comply with supply chain laws, list cost-saving drugs, and estimate annual savings versus importation costs. If approved, the state would implement a program focused on the most cost-effective drugs for TennCare (state Medicaid) and residents. This bill does not directly change drug prices or guarantee savings but sets a process for potential future cost reductions through federal approval. It affects state Medicaid programs and residents relying on prescription medications.