HB 2313 authorizes Tennessee's Department of Health to establish a voluntary, home-based mental health program for children from birth to age five and their families. It directly affects families facing stressors like poverty, trauma, or parental mental health challenges by providing evidence-based home visits from licensed clinicians. Key provisions include home-based therapy, care coordination to connect families with services, developmental assessments, and strict quality standards to ensure program effectiveness. The program must prioritize at-risk families, coordinate with existing services, and report annually on outcomes and funding to the legislature.
SB 2337, the "Healthy Tennessee Grocery Tax Reform of 2026," removes sales tax from specific healthy food items while maintaining tax on highly processed foods. It amends Tennessee law to exempt fresh/frozen produce, raw meats, eggs, dairy, unsweetened cereal, 100% juice, and staples like beans, flour, and bread from sales tax. This directly affects grocery shoppers purchasing these items and retailers selling them, by reducing costs for healthy foods. The policy change takes effect July 1, 2026, shifting tax treatment to favor nutrient-dense foods over processed alternatives.
HB 2243, the "SHIELD Act," prohibits health insurance companies from including patients with legally recognized vaccine exemptions (based on religion or medical reasons) in vaccination-related quality metrics used to determine provider reimbursement rates. It directly affects healthcare providers who treat such patients and health insurance entities that set payment structures. The bill requires insurers to exclude exempt patients from calculations of vaccination rates and bans them from penalizing providers - through reduced payments, network removal, or withheld bonuses - for having these patients in their practice. This ensures providers aren’t financially penalized for following state law on vaccine exemptions. The law takes effect July 1, 2026, for new or renewed insurance contracts.
HB 2097 extends the deadline for ground ambulance providers to pay their annual assessment under TennCare from June 30, 2026, to June 30, 2027. It also changes the penalty for unpaid assessments from $50 per day to 5% of the unpaid amount per month. This bill directly affects ambulance providers in Tennessee who pay the annual assessment to TennCare. The key change simplifies penalty calculations by replacing daily fines with a monthly percentage charge, making the enforcement mechanism clearer.
HB 2562 requires medical and osteopathic license holders in Tennessee to complete at least one hour of annual continuing education on nutrition topics. This applies to all physicians licensed under the Board of Medical Examiners (Title 63, Chapter 6) and osteopathic physicians licensed under the Board of Osteopathic Examination (Title 63, Chapter 9). The bill amends existing education requirements to mandate this specific nutrition focus, replacing previous general education rules. The change would take effect on January 1, 2028, pending legislative approval.
SB 2499 requires TennCare-managed care organizations (MCOs) and pharmacy benefits managers (PBMs) to reimburse claims for long-acting injectable HIV treatment and prevention drugs administered in pharmacies, clinics, or medical facilities. This directly affects TennCare enrollees needing these drugs, MCOs/PBMs contracted with TennCare, and healthcare providers administering the treatments. The bill mandates single reimbursement for each treatment - either as a pharmacy benefit or medical service, but not both - to prevent duplicate payments. It applies specifically to covered HIV drugs administered in approved settings, ensuring consistent coverage under TennCare.
SB 2548 allows physician assistants (PAs) to delegate medication administration to certified medical assistants (CMAs) under specific conditions. It expands the list of medications CMAs can administer - including vaccines, topical treatments, oral medications, and certain injectables like transdermal anesthetics - while requiring clinics to verify CMA competency for these tasks. The bill mandates that PAs must collaborate with a physician, follow approved protocols, and cannot delegate tasks requiring clinical judgment (e.g., adjusting patient care plans). This directly affects PAs, CMAs, and ambulatory clinics in Tennessee, updating their scope of practice under state law.
HB 2332 requires pharmacy benefits managers (PBMs) to reimburse contracted pharmacies for prescription drugs or services at no less than the highest of four specified amounts: the pharmacy’s actual cost, 105% of the national average drug cost (NADAC), the wholesale acquisition cost (WAC), or the amount the PBM pays itself for the same item. This directly affects independent pharmacies that contract with PBMs, ensuring they receive fairer compensation for dispensing medications. The bill establishes an appeal process for pharmacies disputing low reimbursements and mandates that PBMs pay double the owed amount if they fail to meet the required rate, with adjustments required within 14 days of a successful appeal. It also prohibits PBMs from deducting dispensing fees from reimbursement calculations.
HB 2201 creates Tennessee's participation in the "Interstate Massage Compact," allowing licensed massage therapists to practice across participating states without obtaining separate licenses. It directly affects licensed massage therapists in Tennessee and future member states by establishing a multistate licensing pathway. Key mechanisms include forming an Interstate Massage Compact Commission to manage licensing, requiring background checks, enabling states to share disciplinary information, and prioritizing safety through standardized regulations. The compact aims to improve public access to massage therapy, enhance safety protections, prevent fraud, and support military members relocating with their families. This bill does not change Tennessee's existing massage therapy laws but adds a new cross-state licensing option.
SB 2008 establishes the "Climate Resiliency Fund" to finance climate adaptation projects across Tennessee. It requires fossil fuel businesses (like coal and oil operations) that existed between 1995 and 2026 to pay cost recovery charges into the fund. The fund will support concrete projects such as flood protections, infrastructure upgrades, nature-based solutions, and healthcare programs addressing climate impacts like extreme weather and heat waves. Priority funding is directed to environmental justice communities facing higher climate burdens due to income, race, or language barriers.