All Roll Calls
Yes: 182 • No: 0
TennesseeHB 1816114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 33; Title 38 and Title 41, relative to mental health.
Sponsored By: Ryan Williams (Republican)
Signed by Governor
Mental Illness
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
More mental health and addiction care for uninsured
In FY 2026–2027, the state provides $25 million from the opioid abatement fund for crisis, residential, and inpatient care for uninsured people with both mental health and substance use disorders. Starting July 1, 2026, ten percent of future opioid abatement funds available after county payments goes into a Department of Mental Health account for the same services. This account is paid when counties get their shares. Funds must expand access, capacity, and stabilization services. The FY 2026–2027 dollars come from money not required to be disbursed to counties.
Protects state spending and local opioid shares
Starting July 1, 2026, new opioid abatement allocations must add to, not replace, current state behavioral health and addiction funding. These allocations also cannot reduce or offset opioid settlement money due to counties or cities. This protects existing state programs and local shares.
Higher support for TennCare mobile crisis teams
Beginning July 1, 2026, the state sets aside $12.3 million for TennCare adult mobile crisis services. It pays $4.1 million each year in FY 2026–2027, 2027–2028, and 2028–2029. The money supplements per member per month payments to nonprofit providers that run adult mobile crisis teams for TennCare enrollees. Funds come from opioid abatement amounts not required to be disbursed to counties.
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Sponsors & Cosponsors
Sponsor
Ryan Williams
Republican • House
Cosponsors
David B. Hawk
Republican • House
William Lamberth
Republican • House
Bill Powers
Republican • Senate
Roll Call Votes
Senate vote • 4/23/2026
FLOOR VOTE: Third Consideration 4/23/2026
Yes: 28 • No: 0
House vote • 4/21/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/21/2026
Yes: 88 • No: 0
House vote • 4/16/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 4/14/2026
HOUSE FINANCE, WAYS, AND MEANS COMMITTEE
Yes: 28 • No: 0
House vote • 4/8/2026
HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE
Yes: 13 • No: 0
House vote • 4/1/2026
HOUSE JUDICIARY COMMITTEE
Yes: 19 • No: 0
House vote • 3/23/2026
HOUSE CIVIL JUSTICE SUBCOMMITTEE
Yes: 6 • No: 0
Actions Timeline
Signed by Governor.
5/7/2026Transmitted to Governor for his action.
5/6/2026HouseSigned by Senate Speaker
5/5/2026SenateSigned by H. Speaker
4/30/2026HouseEnrolled; ready for sig. of H. Speaker.
4/29/2026HouseSenate substituted House Bill for companion Senate Bill.
4/23/2026SenateAmendment withdrawn. (Amendment 2 - SA1078)
4/23/2026SenateAmendment withdrawn. (Amendment 3 - SA1079)
4/23/2026SenateAmendment withdrawn. (Amendment 1 - SA0830)
4/23/2026SenatePassed Senate, Ayes 28, Nays 0
4/23/2026SenateReceived from House, Passed on First Consideration
4/22/2026SenateH. adopted am. (Amendment 1 - HA0996)
4/21/2026HouseH. adopted am. (Amendment 2 - HA1150)
4/21/2026HousePassed H., as am., Ayes 88, Nays 0, PNV 0
4/21/2026HouseSponsor(s) Added.
4/21/2026HouseEngrossed; ready for transmission to Sen.
4/21/2026HouseRec. for pass. if am., ref. to Calendar & Rules Committee
4/14/2026HousePlaced on cal. Calendar & Rules Committee for 4/14/2026
4/14/2026HouseH. Placed on Regular Calendar for 4/16/2026
4/14/2026HouseRec. for pass by s/c ref. to Finance, Ways, and Means Committee
4/8/2026HousePlaced on cal. Finance, Ways, and Means Committee for 4/14/2026
4/8/2026HouseSponsor(s) Added.
4/6/2026HouseRec. for pass. if am., ref. to Finance, Ways, and Means Committee
4/1/2026HouseAssigned to s/c Finance, Ways, and Means Subcommittee
4/1/2026HousePlaced on s/c cal Finance, Ways, and Means Subcommittee for 4/8/2026
4/1/2026House
Bill Text
HA0996 (Substitute)
4/21/2026
Fiscal Note
HA1150
Introduced
SA0830
SA1078
SA1079
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