HB 329 allows certain bank-run health insurance arrangements (called "multiple employer welfare arrangements" or MEWAs) operating across state lines to be treated as domestic Tennessee arrangements if they meet specific conditions. It affects bank-based MEWAs that are licensed in a neighboring state, serve no more than 2,500 Tennessee employees, and comply with regulatory oversight similar to Tennessee standards. Key provisions require these arrangements to be exclusively for banks, avoid health-based enrollment restrictions, and obtain approval from Tennessee's insurance commissioner. The bill aims to simplify regulatory compliance for these arrangements while ensuring they meet solvency and oversight standards. This change took effect after becoming law in May 2025 (Public Chapter 161).
HB 310 creates a legal presumption that post-traumatic stress disorder (PTSD) diagnosed in law enforcement officers or emergency medical responders (like EMTs and paramedics) was incurred while performing job duties, making it automatically eligible for workers' compensation coverage. This applies to those diagnosed after responding to specific incidents, shifting the burden to employers to prove otherwise. The bill amends Tennessee workers' compensation laws (TCA Title 7, Chapter 51 and Title 50, Chapter 6) to explicitly include these professions under the presumption, removing prior exclusions of "firefighter" language. It directly affects first responders who develop PTSD in the line of duty, streamlining their access to benefits starting July 1, 2025.
This bill would allow certain licensed psychologists in Tennessee to independently prescribe medications for mental health conditions after meeting specific training and certification requirements. It directly affects doctoral-level psychologists who complete a post-doctoral master's program in clinical psychopharmacology, pass a national prescribing exam, and complete a one-year fellowship with 100 patient evaluations under supervision. Key provisions require 450 patient contact hours in training, a master's degree covering neurosciences and pharmacology, and verification by the Tennessee Board of Examiners in Psychology. The board would issue an "advanced certificate to prescribe" for independent authority, expanding psychologists' scope to include prescribing psychotropic medications without physician oversight.
SB 920 increases compensation for healthcare providers who perform forensic medical exams on sexual assault victims from $1,000 to $2,500 per exam, effective July 1, 2025. It also requires the Tennessee Bureau of Investigation to complete DNA testing on sexual assault evidence kits within 120 days of receiving them from law enforcement, with written explanations for delays beyond that timeframe. The bill affects healthcare providers, law enforcement agencies, and the Bureau of Investigation by changing payment standards and establishing new timelines for evidence processing. Kits flagged for delay must be analyzed "within a reasonable time thereafter," and the bill clarifies that delays don't affect evidence admissibility. These changes apply to exams performed and kits received on or after July 1, 2025.
HB 427 provides 12 weeks of job-protected leave for eligible employees recovering from living organ donation surgery, including state workers with 12+ months of service and private-sector employees covered under federal FMLA rules. It prohibits insurers from denying or altering life, disability, or long-term care insurance coverage based solely on someone being a living organ donor. The bill also requires Tennessee's Department of Health to create and post public educational materials about living donation benefits, risks, and insurance impacts by July 2025. These provisions directly affect living organ donors, their employers, and insurance providers across Tennessee.
HB 867 creates a pilot program for pregnant TennCare recipients with hypertension or diabetes, using remote patient monitoring to improve maternal health outcomes. The program requires technology vendors to provide devices that track blood pressure, glucose, and other health data, deliver devices directly to participants, and train them on use - ensuring functionality without broadband access. A nursing team and healthcare provider must monitor data, provide health coaching, and establish emergency protocols. The pilot aims to serve at least 300 participants across selected counties and must launch within 180 days of vendor contracts. The bill is currently pending review by the Finance, Ways, and Means Committee.
SB 165 updates Tennessee's funding formula for human resource agencies by increasing the state's maximum annual contribution to match local government funding. It sets new thresholds: for local assessments of 1-20 cents per capita, the state will match up to $295,000; for 21-30 cents, up to $340,000; and for 31+ cents, up to $370,000 annually. This directly affects local governments that fund human services through per capita assessments, allowing them to secure higher state funding based on their contribution levels. The bill modifies Tennessee Code Annotated, Title 13, Chapter 26, without changing eligibility requirements. The change aims to strengthen state-local partnerships in delivering human services to residents.
HB 301 would allow Tennessee local governments (counties, cities, and towns) to regulate sober living homes - residences for adults recovering from substance abuse without formal treatment services. The bill requires these homes to be located at least 1,000 feet from schools, preschools, or daycares and mandates that prospective residents receive a clinical referral from a licensed healthcare provider confirming their need for such housing. Local governments must ensure all regulations comply with federal fair housing and disability laws. This bill would directly affect how sober living homes operate, where they can be located, and who can reside there.
SB 58 extends the existence of the Bureau of TennCare within Tennessee's Department of Finance and Administration until June 30, 2029, preventing its automatic termination. The bill amends Tennessee Code Annotated sections 4-29-246 and 4-29-250 to formally establish the Bureau's continued operation under the Department of Finance and Administration. This change directly affects the administrative structure managing TennCare (the state's Medicaid program) by ensuring its ongoing oversight without requiring new legislation each year. The extension applies to the Bureau itself, not the TennCare program's eligibility or benefits for residents.
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.