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 229 extends the Board of Alcohol and Drug Abuse Counselors' authority until June 30, 2029, by amending Tennessee Code Sections 4-29-246 and 4-29-250. This change removes the board's previous expiration date, allowing it to continue overseeing licensing standards for alcohol and drug counselors. The board, established under Title 68, Chapter 24, will now operate without sunset provisions until the new date.
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.
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.
