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: Sponsor information unavailable

Signed by Governor

Opioids

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Bill Overview

Analyzed Economic Effects

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

Non-opioid coverage protections for Tennessee state employees

Beginning January 1, 2026, Tennessee state employee plans cannot give qualifying non-opioid pain drugs worse coverage than opioid or narcotic drugs on their preferred drug lists. Non-opioid drugs qualify after FDA approval for pain treatment or management has lasted at least nine months. The rule applies even without insurer review, including drugs provided through pharmacy benefits manager contracts. Plans can still prefer one opioid over another, or one non-opioid over another. The law does not set changes to premiums or out-of-pocket costs.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

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

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 3/24/2025

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

Yes: 75 • No: 19

House vote • 3/12/2025

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. Effective date(s) 01/01/2026

    4/28/2025
  2. Pub. Ch. 278

    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. Passed Senate, Ayes 30, Nays 1

    4/7/2025Senate
  9. Amendment withdrawn. (Amendment 1 - SA0297)

    4/7/2025Senate
  10. Senate substituted House Bill for companion Senate Bill.

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

    3/24/2025House
  14. H. adopted am. (Amendment 1 - HA0087)

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

    3/5/2025House
  19. Rec for pass if am by s/c ref. to State & Local Government Committee

    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

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0297

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