SB 282, the "Individualized Investigational Treatment Act," creates a legal framework for patients with life-threatening or severely debilitating illnesses to access personalized medical treatments (like gene therapies or vaccines tailored to their genetic profile) when standard FDA-approved options have been exhausted. It directly affects eligible patients (who must meet specific criteria including physician attestation and written informed consent) and eligible facilities (those complying with federal human subjects protections). Key provisions require detailed written consent covering all treatment options, risks, and financial liability, while clarifying that insurers, health plans, and providers are **not obligated** to cover these treatments or related costs (TCA §§ 63-6-1304(a)-(d)). The law takes effect July 1, 2025, and explicitly states that heirs cannot be held liable for unpaid treatment debts if a patient dies during treatment (TCA § 63-6-1305).
This bill adds hepatitis C antibody (anti-HCV) testing to the standard blood screening required for all pregnant women in Tennessee during initial prenatal visits and between weeks 28-32 of pregnancy. If the anti-HCV test is reactive, labs must automatically conduct a follow-up HCV RNA test without requiring additional orders. It directly affects all pregnant women receiving routine prenatal care in Tennessee, expanding the required screening panel to include hepatitis C alongside existing tests for syphilis, rubella, and hepatitis B. The changes take effect July 1, 2025, and align hepatitis C testing protocols with existing disease reporting requirements for maternal health.
HB 404 extends the professional music therapy advisory committee under Tennessee's psychology board until June 30, 2027. This bill updates Tennessee Code Sections 4-29-246 and 4-29-248 to formally maintain the committee's existence, preventing its automatic termination. The committee, which advises the Board of Examiners in Psychology on music therapy licensure, is directly affected by this extension. The change ensures continuity for this advisory body without altering any substantive licensing rules.
HB 14 clarifies that Tennessee's definition of "abortion" does not include contraceptive use (such as birth control devices, medications, or procedures intended to prevent pregnancy) or the disposal of unimplanted embryos from fertility treatments (including related healthcare services and medications). The bill directly affects healthcare providers, patients, and fertility clinics by explicitly excluding these common medical practices from criminal abortion statutes. It amends Tennessee Code Sections 39-15-213 and related provisions to define these exclusions. The bill failed in the Health Committee's Population Health Subcommittee on March 18, 2025, and did not advance to the full legislature.
HB 1217 would repeal Tennessee's criminal abortion laws and establish a fundamental right to abortion before fetal viability (when a fetus can survive outside the womb) or when necessary to protect the pregnant person's life or health. The bill directly affects pregnant individuals in Tennessee by removing criminal penalties for abortions meeting these criteria and defining "reproductive health care" to include abortion services. Key provisions include banning state interference with these rights, defining "viability" based on a physician's medical judgment, and clarifying that a fetus has no legal rights under Tennessee law. The bill amends Tennessee Code Annotated Titles 39, 63, and 68 to implement these changes.
HB 1220, the "Tennessee Contraceptive Freedom Act," establishes a fundamental right for all individuals to make decisions about their reproductive health, including access to contraceptives and related information. It requires healthcare providers to either provide contraceptive services or refer patients to someone who can, and prohibits restrictions that single out contraceptive care or impede access. The bill defines "contraception" broadly (including emergency contraception and sterilization) and clarifies it is distinct from abortion. It applies directly to patients, healthcare providers, health insurance carriers, and public health agencies across Tennessee. The bill is currently pending, having failed in the Health Committee's Population Health Subcommittee on March 18, 2025.
HB 1212 establishes a temporary program to improve access to mental health and substance use disorder services for Tennessee youth under 18. The program creates a web-based portal for age-appropriate mental health screenings, connects youth with providers for in-person or telehealth sessions, and reimburses providers for up to three initial sessions per youth using existing K-12 mental health funds. Providers must offer at least three sessions per youth to qualify for reimbursement, and the Department of Mental Health must run a public awareness campaign involving schools and community groups. The program expires on July 1, 2026, requiring a final report to health committees on service usage and outcomes.
HB 1236, the "Tennessee Health SNAP Act," would require Tennessee's Department of Human Resources to seek a federal waiver from the USDA to prohibit SNAP (food stamp) benefits from being used to purchase candy and soft drinks. If approved, this restriction would directly affect SNAP recipients in Tennessee who currently use benefits for these items. The bill mandates that the waiver request include public health justification, a plan for retailer system updates, recipient education on healthy alternatives, and a tracking system for spending and health data. It also requires annual reports to state leaders on the waiver status and impact. The bill is pending Senate action and would take effect July 1, 2025, if enacted.
HB 27, titled the "Reproductive Freedom Act," establishes a new legal framework protecting reproductive healthcare access in Tennessee. It defines "reproductive health care" to include abortion, contraception, prenatal care, and related services, and affirms individuals' fundamental rights to make decisions about their reproductive health without state interference. The bill requires health insurance plans to cover reproductive health care (Section 15) and repeals multiple existing state laws that restricted abortion access or imposed criminal penalties for reproductive care (Sections 2-22). This legislation directly affects all Tennesseans seeking reproductive healthcare by removing legal barriers and mandating coverage under state-regulated insurance plans.
HB 18 proposes a temporary health coverage program for Tennesseans who don't qualify for existing TennCare or CoverKids. It would provide up to 60 months of medical assistance (resetting at age 21) to individuals under 21 with income ≤138% of the federal poverty level, or adults ≥21 with similar income, subject to strict 12-month/24-month usage limits. The program requires a federal waiver by December 2025, uses 90% federal/10% state funding, and explicitly states it does not replace eligibility for regular programs (benefits pause if enrollment becomes possible). The bill failed in the Insurance Committee on March 5, 2025, and remains inactive.
