# Tennessee HB 0029: AN ACT to amend Tennessee Code Annotated, Title 56, Chapter 7 and Title 63, relative to payment for services rendered by chiropractors.

Tennessee HB 0029, AN ACT to amend Tennessee Code Annotated, Title 56, Chapter 7 and Title 63, relative to payment for services rendered by chiropractors., is a 114th General Assembly (2025-2026) House bill sponsored by no sponsor on record; status signed, last action 2026-05-14 (Effective date(s) 01/01/2027) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/TN-HB0029-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Tennessee HB 0029
- State: Tennessee
- Session: 114th General Assembly (2025-2026)
- Title: AN ACT to amend Tennessee Code Annotated, Title 56, Chapter 7 and Title 63, relative to payment for services rendered by chiropractors.
- Status: signed
- Chamber: House
- Introduced: 2024-12-11
- Last action: 2026-05-14, Effective date(s) 01/01/2027
- Sponsors: no sponsor on record
- Cosponsors: 8
- Subjects: Chiropractors
- Touches household money: no
- Roll calls: 15 (437 yes, 14 no in all)
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Parity rule excludes TennCare and CoverKids: cost, low. Starting January 1, 2027, the equal-payment rule does not apply to TennCare or CoverKids. These public plans can keep their own coding and payment rules for chiropractic services. If you are on TennCare or CoverKids, this law does not change how those plans pay chiropractors.
- Equal pay rules for chiropractic doctors: mixed, low. Starting January 1, 2027, private health plans must pay chiropractic physicians the same way as other physicians for listed services. The service must be in a nationally recognized code book the plan uses. Plans cannot make chiropractic-only billing codes or payment methods outside that book. Plans…
- All changes start January 1, 2027: mixed, low. This law takes effect January 1, 2027. All parts start then unless a part names a different date.

## Sponsors and cosponsors

- Cosponsor: Fred Atchley (Republican), House
- Cosponsor: Michael Hale (Republican), House
- Cosponsor: David B. Hawk (Republican), House
- Cosponsor: Justin Lafferty (Republican), House
- Cosponsor: Jake McCalmon (Republican), House
- Cosponsor: Paul Sherrell (Republican), House
- Cosponsor: William Slater (Republican), House
- Cosponsor: Mike Sparks (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-23 | House | FLOOR VOTE: CONCUR IN SENATE AMENDMENT # 3 4/23/2026 | pass | 87 | 0 |   |
| 2026-04-23 | Senate | FLOOR VOTE: as Amended Third Consideration 4/23/2026 | pass | 32 | 0 |   |
| 2026-04-22 | Senate | FLOOR VOTE: Third Consideration 4/22/2026 | pass | 29 |   |   |
| 2026-04-22 | Senate | FLOOR VOTE: Third Consideration 4/22/2026 | pass | 29 | 0 |   |
| 2026-04-21 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/21/2026 | pass | 82 | 7 |   |
| 2026-04-21 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/21/2026 | pass | 82 | 7 |   |
| 2026-04-20 | House | HOUSE CALENDAR &amp; RULES COMMITTEE | fail | 0 | 0 |   |
| 2026-04-20 | House | HOUSE CALENDAR &amp; RULES COMMITTEE | fail |   |   |   |
| 2026-04-17 | House | HOUSE FINANCE, WAYS, AND MEANS COMMITTEE | pass | 26 | 0 |   |
| 2026-04-17 | House | HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE | pass | 13 |   |   |
| 2026-04-17 | House | HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE | pass | 13 | 0 |   |
| 2025-03-12 | House | HOUSE INSURANCE COMMITTEE | pass | 16 |   |   |
| 2025-03-12 | House | HOUSE INSURANCE COMMITTEE | pass | 16 | 0 |   |
| 2025-02-26 | House | INSURANCE SUBCOMMITTEE | pass | 6 | 0 |   |
| 2025-02-26 | House | INSURANCE SUBCOMMITTEE | pass | 6 |   |   |

## Actions (50)

- 2026-05-14: Effective date(s) 01/01/2027
- 2026-05-14: Pub. Ch. 923
- 2026-05-07: Signed by Governor.
- 2026-05-06: Transmitted to Governor for his action. (House)
- 2026-05-05: Signed by Senate Speaker (Senate)
- 2026-04-30: Signed by H. Speaker (House)
- 2026-04-30: Enrolled; ready for sig. of H. Speaker. (House)
- 2026-04-23: H. concurred in S. am. no. 3 Ayes 87, Nays 0 PNV 6 (House)
- 2026-04-23: Passed Senate as amended, Ayes 32, Nays 0, PNV 1 (Senate)
- 2026-04-23: Senate adopted Amendment (Amendment 3 - SA1112) (Senate)
- 2026-04-23: Motion to reconsider adopted. (Senate)
- 2026-04-23: Lift tableing motion (Senate)
- 2026-04-22: Passed Senate, Ayes 29, Nays 0 (Senate)
- 2026-04-22: Amendment withdrawn. (Amendment 2 - SA1030) (Senate)
- 2026-04-22: Amendment withdrawn. (Amendment 1 - SA0086) (Senate)
- 2026-04-22: Senate substituted House Bill for companion Senate Bill. (Senate)
- 2026-04-22: Received from House, Passed on First Consideration (Senate)
- 2026-04-21: Engrossed; ready for transmission to Sen. (House)
- 2026-04-21: Passed H., as am., Ayes 82, Nays 7, PNV 1 (House)
- 2026-04-21: H. adopted am. (Amendment 2 - HA1202) (House)
- 2026-04-21: H. adopted am. (Amendment 1 - HA0083) (House)
- 2026-04-21: Sponsor(s) Added. (House)
- 2026-04-16: H. Placed on Regular Calendar for 4/20/2026 (House)
- 2026-04-15: Placed on cal. Calendar & Rules Committee for 4/16/2026 (House)
- 2026-04-15: Rec. for pass. if am., ref. to Calendar & Rules Committee (House)
- 2026-04-15: Placed on cal. Finance, Ways, and Means Committee for 4/15/2026 (House)
- 2026-04-15: Rec for adopt by s/c ref. to Finance, Ways, and Means Committee (House)
- 2026-04-15: Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/15/2026 (House)
- 2026-04-08: Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026 (House)
- 2026-03-25: Placed behind the budget (House)
- 2026-03-18: Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/25/2026 (House)
- 2025-03-31: Sponsor(s) Added. (House)
- 2025-03-26: Taken off notice for cal in s/c Finance, Ways, and Means Subcommittee of Finance, Ways, and Means Committee (House)
- 2025-03-19: Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/26/2025 (House)
- 2025-03-19: Assigned to s/c Finance, Ways, and Means Subcommittee (House)
- 2025-03-12: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee (House)
- 2025-03-06: Sponsor(s) Added. (House)
- 2025-03-05: Placed on cal. Insurance Committee for 3/12/2025 (House)
- 2025-03-05: Action def. in Insurance Committee to 3/12/2025 (House)
- 2025-03-04: Sponsor(s) Added. (House)
- 2025-02-26: Placed on cal. Insurance Committee for 3/5/2025 (House)
- 2025-02-26: Rec for pass if am by s/c ref. to Insurance Committee (House)
- 2025-02-25: Sponsor(s) Added. (House)
- 2025-02-19: Placed on s/c cal Insurance Subcommittee for 2/26/2025 (House)
- 2025-01-28: Assigned to s/c Insurance Subcommittee (House)
- 2025-01-16: Ref. to Insurance Committee (House)
- 2025-01-15: P2C held on desk, pending appointment of Standing Committees (House)
- 2025-01-14: Sponsor(s) Added. (House)
- 2025-01-14: Intro., P1C. (House)
- 2024-12-11: Filed for introduction (House)

## Bill text

- HA0083 (Substitute), 2026-04-21: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0083.pdf)
- HA1202, 2026-04-21: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA1202.pdf)
- Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0923.pdf)
- Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/HB0029.pdf)
- Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/HB0029.pdf)
- SA0086: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0086.pdf)
- SA1030: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA1030.pdf)
- SA1112: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA1112.pdf)

## Related bills

- SB 2733: AN ACT to amend Chapter 33 of the Private Acts of 1985; as amended by Chapter 85 of the Private Acts of 2004; and any other acts amendatory thereto, relative t… (failed)
- SB 2690: AN ACT to make appropriations for the purpose of defraying the expenses of the state government for the fiscal years beginning July 1, 2025, and July 1, 2026,… (signed)
- SB 2725: AN ACT to amend Chapter 48 of the Private Acts of 1919; as amended and rewritten by Chapter 15 of the Private Acts of 2013; Chapter 25 of the Private Acts of 2… (failed)
- SB 2716: AN ACT to amend Chapter 325 of the Private Acts of 1945; as amended by Chapter 335 of the Private Acts of 1968; Chapter 282 of the Private Acts of 1972; Chapte… (failed)
- SB 2702: AN ACT to amend Chapter 154 of the Private Acts of 1955; as amended by Chapter 158 of the Private Acts of 1988; Chapter 204 of the Private Acts of 1990; and an… (failed)
- SB 2557: AN ACT to amend Tennessee Code Annotated, Title 3; Title 4; Title 5; Title 6; Title 7; Title 8; Title 10; Title 12; Title 29; Title 35; Title 36; Title 37; Tit… (failed)

## Sources
- [HA0083 (Substitute) (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0083.pdf)
- [HA1202 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA1202.pdf)
- [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0923.pdf)
- [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/HB0029.pdf)
- [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/HB0029.pdf)
- [SA0086 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0086.pdf)
- [SA1030 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA1030.pdf)
- [SA1112 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA1112.pdf)

## Related
- [SB 2733: AN ACT to amend Chapter 33 of the Private Acts of 1985; as amended by Chapter 8…](https://policyrisk.com/state-bill/TN-SB2733-2025-2026)
- [SB 2690: AN ACT to make appropriations for the purpose of defraying the expenses of the…](https://policyrisk.com/state-bill/TN-SB2690-2025-2026)
- [SB 2725: AN ACT to amend Chapter 48 of the Private Acts of 1919; as amended and rewritte…](https://policyrisk.com/state-bill/TN-SB2725-2025-2026)
- [SB 2716: AN ACT to amend Chapter 325 of the Private Acts of 1945; as amended by Chapter…](https://policyrisk.com/state-bill/TN-SB2716-2025-2026)
- [SB 2702: AN ACT to amend Chapter 154 of the Private Acts of 1955; as amended by Chapter…](https://policyrisk.com/state-bill/TN-SB2702-2025-2026)
- [SB 2557: AN ACT to amend Tennessee Code Annotated, Title 3; Title 4; Title 5; Title 6; T…](https://policyrisk.com/state-bill/TN-SB2557-2025-2026)
- [Tennessee bills](https://policyrisk.com/states/tennessee/bills)
- [Tennessee state hub](https://policyrisk.com/states/tennessee)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/TN-HB0029-2025-2026 (as of 2026-11-01).
