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TennesseeHB 0037114th General Assembly (2025-2026)HouseWALLET

AN ACT to amend Tennessee Code Annotated, Title 8; Title 53; Title 56; Title 63; Title 68 and Title 71, relative to the use of drugs for the treatment of pain.

Sponsored By: Elaine Davis (Republican)

Became Law

Opioids

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

State employee plans must cover non-opioids fairly

Beginning January 1, 2026, Tennessee state employee group health plans cannot treat FDA-approved non-opioid pain drugs worse than opioids on the plan's preferred drug list. The drug must be FDA-approved for pain for at least nine months. This rule applies even if the plan has not yet reviewed the drug for the list. It also applies when the plan uses a pharmacy benefits manager. Plans may still prefer one non-opioid over another, and one opioid over another.

Sponsors & Cosponsors

Sponsor

  • Elaine Davis

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 133 • No: 20

Senate vote • 4/7/2025

FLOOR VOTE: Third Consideration 4/7/2025

Yes: 30 • No: 1

House vote • 3/24/2025

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/24/2025

Yes: 75 • No: 19

House vote • 3/24/2025

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 3/12/2025

HOUSE STATE & LOCAL GOVERNMENT COMMITTEE

Yes: 23 • No: 0

House vote • 3/5/2025

HOUSE PUBLIC SERVICE SUBCOMMITTEE

Yes: 5 • No: 0

Actions Timeline

  1. Pub. Ch. 278

    4/28/2025

  2. Effective date(s) 01/01/2026

    4/28/2025

  3. Signed by Governor.

    4/24/2025

  4. Transmitted to Governor for his action.

    4/16/2025House

  5. Signed by Senate Speaker

    4/14/2025Senate

  6. Signed by H. Speaker

    4/10/2025House

  7. Enrolled; ready for sig. of H. Speaker.

    4/8/2025House

  8. Senate substituted House Bill for companion Senate Bill.

    4/7/2025Senate

  9. Amendment withdrawn. (Amendment 1 - SA0297)

    4/7/2025Senate

  10. Passed Senate, Ayes 30, Nays 1

    4/7/2025Senate

  11. Received from House, Passed on First Consideration

    3/26/2025Senate

  12. Engrossed; ready for transmission to Sen.

    3/25/2025House

  13. H. adopted am. (Amendment 1 - HA0087)

    3/24/2025House

  14. Passed H., as am., Ayes 75, Nays 19, PNV 0

    3/24/2025House

  15. H. Placed on Regular Calendar for 3/24/2025

    3/20/2025House

  16. Placed on cal. Calendar & Rules Committee for 3/20/2025

    3/19/2025House

  17. Rec. for pass. if am., ref. to Calendar & Rules Committee

    3/12/2025House

  18. Rec for pass if am by s/c ref. to State & Local Government Committee

    3/5/2025House

  19. Placed on cal. State & Local Government Committee for 3/12/2025

    3/5/2025House

  20. Placed on s/c cal Public Service Subcommittee for 3/5/2025

    2/26/2025House

  21. Assigned to s/c Public Service Subcommittee

    1/28/2025House

  22. Ref. to State & Local Government Committee

    1/16/2025House

  23. P2C held on desk, pending appointment of Standing Committees

    1/15/2025House

  24. Intro., P1C.

    1/14/2025House

  25. Filed for introduction

    12/16/2024House

Bill Text

  • HA0087 (Substitute)

    3/24/2025

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

  • SA0297

    PDF

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