This bill restricts buprenorphine prescriptions for opioid addiction treatment to Tennessee-licensed physicians only. It creates a limited exception allowing out-of-state healthcare providers working in state or county jails to prescribe under strict conditions: requiring DEA registration, employment at correctional facilities, and adherence to approved treatment protocols. The law takes effect July 1, 2025. It directly affects prescribing practices in correctional facilities and general medical settings by clarifying who may legally prescribe these medications.
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.
SB 1063 removes two notification requirements related to prior authorization for healthcare services in Tennessee. It eliminates the requirement for healthcare providers to notify patients when communicating with insurance companies about missing information for prior authorization, and it removes the requirement for insurance companies to notify patients when additional information is needed from the patient or provider. The bill directly affects healthcare providers, insurance companies, and patients by reducing administrative steps in the prior authorization process. These changes amend Tennessee Code sections 63-1-171 and 56-6-705, effective April 3, 2025.
SB 577 amends Tennessee's TennCare program by shortening the time frame for implementing the annual coverage assessment from seven days to five days. It also establishes limits on hospital payments under specific circumstances, directly affecting TennCare administrators and participating hospitals. The bill changes the timing requirement in Tennessee Code Annotated Section 71-5-2005(d)(2)(D) and became effective April 3, 2025, after being signed by the Governor.
SB 522 requires Tennessee's TennCare program to cover diagnosis (including genetic testing) and treatment for Kleefstra syndrome - a rare genetic disorder causing developmental delays, intellectual disability, and physical symptoms - on the same terms as coverage for autism spectrum disorder, Down syndrome, and similar genetic conditions. This mandate applies directly to TennCare enrollees diagnosed with Kleefstra syndrome, ensuring access to therapies, medications, and interventions aimed at improving quality of life. The bill updates TennCare coverage rules to include this condition under existing standards for comparable genetic disorders. It takes effect July 1, 2025.
SB 318, the "Tennessee Genomic Security and End Organ Harvesting Act," prohibits Tennessee health insurers from covering organ transplants sourced from the People's Republic of China or performed there, effective January 1, 2026. It also bans medical and research facilities from using genetic sequencing equipment or software produced by or linked to "foreign adversaries" (defined as nations on U.S. sanctions lists), requiring replacement within 180 days. The bill restricts storage of genetic sequencing data to U.S. geographic locations and prohibits remote access from outside the U.S. without state health commissioner approval. These provisions directly affect health insurers, hospitals, and research facilities operating in Tennessee.
HB 395, the "Tennessee Genomic Security and End Organ Harvesting Act," prohibits Tennessee health insurers from covering organ transplants or post-transplant care if the organ was sourced from China or procured through sale/donation originating in China. It also bans medical and research facilities from using genetic sequencing equipment or software produced by entities linked to "foreign adversaries" (specifically targeting China per the bill's context), requiring replacement within 180 days. Additionally, the bill mandates that all genetic sequencing data must be stored within the United States, with remote access from outside the country prohibited without approval from the state health commissioner. The law takes effect on January 1, 2026, directly affecting health insurers, hospitals, and research facilities operating in Tennessee.
HB 502 expands TennCare coverage to include diagnosis (including genetic testing) and treatment for Kleefstra syndrome, a rare genetic disorder affecting development and multiple body systems. It requires TennCare to provide this coverage in the same manner and extent as for autism spectrum disorder, Down syndrome (Trisomy 21), and other similar genetic disorders, when medically necessary. This applies to all enrolled individuals with Kleefstra syndrome and covers therapies, medications, assistive devices, and interventions aimed at improving quality of life. The law takes effect July 1, 2025, after being signed by the Governor in April 2025.
SB 44 adds doula services to TennCare, Tennessee's Medicaid program, making coverage available for certified doulas who provide continuous emotional and physical support during labor, birth, and postpartum care. It directly affects low-income pregnant people in Tennessee who may now access doula support through TennCare. The bill requires the Department of Health to establish a certification verification process for doulas who complete approved training programs meeting specific standards, including knowledge of anatomy, support strategies, and community resources. This process will verify doulas' qualifications before they can provide services covered under TennCare.
SB 403 requires Tennessee healthcare facilities receiving public funds (like Medicaid reimbursements) to cover uncompensated care costs to cancel debt equal to that funding for eligible patients. Facilities must notify patients whose debt is canceled and cannot pursue legal action for the canceled amount. The bill also mandates annual reports from the Department of Health and TennCare on uncompensated care payments to the legislature. It directly affects hospitals receiving public funds for charity care and patients with outstanding medical debt.
