HB 1198 requires Tennessee health insurers and TennCare to allow patients to try biosimilar drugs (cost-effective copies of brand-name medications) before covering the original branded drug. It amends state law to permit health carriers to mandate a biosimilar trial for equivalent branded prescriptions, removing prior requirements for generic drug trials. The bill also directs TennCare’s pharmacy committee to consider biosimilar drugs when recommending medications for the state’s preferred drug list. These changes aim to reduce prescription drug costs by increasing biosimilar adoption, as stated in the bill’s legislative findings.
SB 428 requires insurers offering health insurance plans to Tennessee state employees to treat non-opioid pain medications (FDA-approved for pain treatment) equally with opioids on their preferred drug list, ensuring they are not disadvantaged in coverage or discouraged. It also mandates separate reimbursement for healthcare providers and hospitals when non-opioid pain treatments are provided to covered employees. The law applies immediately upon FDA approval of a non-opioid drug and takes effect July 1, 2025. This directly affects insurers and state employee health plans under Tennessee Code.
HB 959 updates Tennessee's licensure rules for marriage and family therapists. It allows students in accredited programs to use titles like "marital therapy intern" while supervised, and clarifies that associate license holders must use "associate licensed marriage and family therapist" or "AMFT" (not implying full licensure). The bill creates specific pathways for associate licensure, requiring a 9-month exam deadline and supervised practice under approved supervisors, while defining "approved supervisor" to include AAMFT-approved professionals. These changes directly affect therapy students, trainees, and practitioners seeking licensure in Tennessee.
HB 843 declares Perry County Community Hospital in Linden and Decatur County General Hospital in Parsons as "necessary providers" of healthcare services for federal critical access hospital (CAH) designation eligibility under Section 1820 of the Social Security Act. This enables both hospitals to qualify for federal CAH status, which provides crucial financial support and resources to sustain operations in rural areas. The bill directly affects these two specific hospitals, ensuring they can access federal benefits to continue serving vulnerable rural communities in Perry and Decatur counties. It requires the Tennessee Department of Health and Health Facilities Commission to facilitate the federal designation process.
SB 1377, the Voluntary Portable Benefit Plan Act, allows businesses to voluntarily contribute to portable benefit plans for independent contractors. These plans, administered by third-party providers chosen by the contractor, cover health, disability, unemployment, life insurance, and retirement benefits. Contributions can be made directly by the business or by withholding a portion of the contractor’s pay, but only with a clear written opt-in agreement and the ability to opt out at any time. The bill amends Tennessee law to ensure these contributions cannot be used to determine a worker’s employment classification as an employee or independent contractor.
SB 1290 permanently removes a temporary expiration date for a law that excludes certain testing equipment from being classified as drug paraphernalia. Specifically, it makes permanent the exclusion of equipment used to test for synthetic opioids (like fentanyl) unless the equipment is used to commit a drug crime. This change directly affects harm reduction organizations, public health workers, and law enforcement using such tools for legitimate testing purposes. The bill amends Tennessee Code Annotated Section 39-17-402 by deleting the prior repeal date of July 1, 2025. The law is now permanent and took effect April 3, 2025.
SB 1305 extends Tennessee's CoverKids health insurance program for children by changing its expiration date from June 30, 2025, to June 30, 2030. This bill directly affects low-income children in Tennessee who qualify for the CoverKids program, ensuring continued access to health coverage. The key mechanism is amending Tennessee Code Annotated Section 71-3-1113 to update the program's termination date. The bill was signed into law on April 3, 2025, and became effective April 8, 2025.
HB 62 authorizes Tennessee athletic trainers to use dry needling for preventing, treating, and rehabilitating athletic injuries, directly affecting licensed athletic trainers in the state. The bill requires the Board of Athletic Trainers to establish minimum competency standards that practitioners must demonstrate to safely perform dry needling. It clarifies that this practice does not constitute acupuncture under existing law. The policy change expands athletic trainers' scope of practice with specific safety safeguards, effective March 28, 2025.
SB 569 prevents pharmacies from charging administrative fees for hormonal contraceptives when a patient's insurance covers the cost and includes pharmacy benefits. It directly affects insured patients seeking hormonal contraceptives and pharmacists who previously might have charged such fees. The bill amends Tennessee law to remove language allowing pharmacies to require these fees, ensuring patients covered by insurance do not face additional costs. The law takes effect July 1, 2025, and applies to all pharmacies in Tennessee.
SB 515 extends Tennessee's current limit of 125 new nursing home beds per fiscal year for which the health facilities commission may approve (via certificate of need) until June 30, 2029, instead of expiring in 2025. This directly affects nursing home facilities seeking to expand and the health facilities commission, which reviews and approves new bed applications. The key provision is a simple extension of the existing cap, not a change to the 125-bed limit. The bill became effective March 25, 2025, after being signed by the Governor.
