SB 2155 Tennessee Senate · 114th Regular Session (2025-2026)

Insurance Companies, Agents, Brokers, Policies - As introduced, establishes the Tennessee commission of insurance review; prohibits a health insurance entity from offering or maintaining a health benefit plan that uses downcoding in a manner that prevents the provider from collecting the fee for actual services performed either from the health benefit plan or the patient; makes other changes related to health insurance and health insurers. - Amends TCA Title 4; Title 8; Title 56 and Title 71.

This bill prohibits Tennessee health insurers from downcoding claims - adjusting them to lower-cost procedure codes that prevent healthcare providers from receiving payment for actual services rendered. It creates the Tennessee Commission of Insurance Review to handle complaints and enforce these rules, with seven members including health professionals and insurance industry experts. The law applies to all health benefit plans (excluding accident, disability, or limited coverage), requiring insurers to pay providers based on the actual services performed. These changes aim to ensure fair reimbursement for medical services while establishing oversight for insurance practices.
Bill status failed 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 2, 2026 Last action Apr 7, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
19
Key actions
7
Committee
8
Apr 1, 2026
Lower · Passed
Placed on Senate Commerce and Labor Committee calendar for 4/7/2026
lower
Mar 10, 2026
Lower · Passed
Action deferred in Senate Commerce and Labor Committee to 3/17/2026
lower
Mar 4, 2026
Lower · Passed
Placed on Senate Commerce and Labor Committee calendar for 3/10/2026
lower
Mar 3, 2026
Lower · Passed
Action deferred in Senate Commerce and Labor Committee to 3/10/2026
lower
Feb 24, 2026
Lower · Passed
Placed on Senate Commerce and Labor Committee calendar for 3/3/2026
lower
Feb 18, 2026
Lower · Passed
Recommended for passage, refer to Senate Commerce and Labor Committee
lower
Feb 11, 2026
Lower · Passed
Placed on Senate Government Operations Committee calendar for 2/18/2026
lower
Feb 5, 2026
Committee
Passed on Second Consideration, refer to Senate Government Operations Committee
upper
Feb 2, 2026
Introduced
Introduced, Passed on First Consideration
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Bo Watson
Bo Watson
RRepublican
TN
11