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TennesseeHB 0169114th General Assembly (2025-2026)HouseWALLET

AN ACT to amend Tennessee Code Annotated, Title 56 and Title 71, relative to contraception.

Sponsored By: Esther Helton-Haynes (Republican)

Became Law

Insurance, Health, Accident

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

12-month birth control refills on request

Starting July 1, 2027, your health plan must let you get a 12-month supply of prescription birth control at one time. This applies only if the plan is renewed, amended, or delivered on or after that date and it covers prescription contraceptives. You must ask for the 12-month fill. Your prescriber can instruct the pharmacy to give a smaller amount.

More products count as contraceptives

State law now defines what counts as a contraceptive. It includes any device, medicine, biological product, or procedure that prevents pregnancy and is legally marketed under federal law. This guides what health plans and providers treat as contraception. The change takes effect July 1, 2027.

TennCare and CoverKids count as health plans

Starting July 1, 2027, TennCare and CoverKids policies count as health benefit plans for contraception rules. Their managed care plans count as health insurance entities and must follow the same rules. Limited-benefit products like dental, vision, Medicare supplement, workers’ comp, and auto medical pay are not included. The law also clarifies who is a healthcare provider under these rules and requires state licensure or certification.

Sponsors & Cosponsors

Sponsor

  • Esther Helton-Haynes

    Republican • House

Cosponsors

  • Rebecca K Alexander

    Republican • House

  • Karen D. Camper

    Democrat • House

  • Scott Cepicky

    Republican • House

  • John Ray Clemmons

    Democrat • House

  • Elaine Davis

    Republican • House

  • Rick Eldridge

    Republican • House

  • Bob Freeman

    Democrat • House

  • Justin Jones

    Democrat • House

  • Sabi 'Doc' Kumar

    Republican • House

  • Tom Leatherwood

    Republican • House

  • Mary Littleton

    Republican • House

  • Jr. Love, Jr.

    Democrat • House

  • Jerome Moon

    Republican • House

  • Iris Rudder

    Republican • House

  • Gabby Salinas

    Democrat • House

  • Kevin Vaughan

    Republican • House

  • Dave Wright

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 317 • No: 13

House vote • 2/26/2026

Haynes - FLOOR VOTE: MESSAGE CALENDAR CONCUR IN SENATE AMENDMENT # 1 2/26/2026

Yes: 82 • No: 7

Senate vote • 2/19/2026

Haynes - FLOOR VOTE: as Amended Third Consideration 2/19/2026

Yes: 30 • No: 2

House vote • 2/9/2026

Haynes - HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 2/9/2026

Haynes - FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 2 BY HELTON-HAYNES PASSAGE ON THIRD CONSIDERATION 2/9/2026

Yes: 92 • No: 2

House vote • 2/9/2026

Haynes - FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 2/9/2026

Yes: 92 • No: 2

House vote • 3/12/2025

Haynes - HOUSE INSURANCE COMMITTEE

Yes: 16 • No: 0

House vote • 3/5/2025

Haynes - INSURANCE SUBCOMMITTEE

Yes: 5 • No: 0

Actions Timeline

  1. Pub. Ch. 595

    3/23/2026

  2. Effective date(s) 07/01/2027

    3/23/2026

  3. Signed by Governor.

    3/18/2026

  4. Transmitted to Governor for his action.

    3/11/2026House

  5. Signed by H. Speaker

    3/9/2026House

  6. Signed by Senate Speaker

    3/9/2026Senate

  7. H. concurred in S. am. no. 1 Ayes 82, Nays 7 PNV 0 HB0169

    2/26/2026House

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

    2/26/2026House

  9. H. Placed on Message Calendar for 2/26/2026

    2/23/2026House

  10. Senate substituted House Bill for companion Senate Bill.

    2/19/2026Senate

  11. Senate adopted Amendment (Amendment 1 - SA0471)

    2/19/2026Senate

  12. Passed Senate as amended, Ayes 30, Nays 2

    2/19/2026Senate

  13. Received from House, Passed on First Consideration

    2/12/2026Senate

  14. Engrossed; ready for transmission to Sen.

    2/10/2026House

  15. Am. withdrawn. (Amendment 1 - HA0081)

    2/9/2026House

  16. H. adopted am. (Amendment 2 - HA0548)

    2/9/2026House

  17. Passed H., as am., Ayes 92, Nays 2, PNV 3

    2/9/2026House

  18. Sponsor(s) Added.

    2/9/2026House

  19. H. Placed on Regular Calendar for 2/9/2026

    2/5/2026House

  20. Sponsor(s) Added.

    2/5/2026House

  21. Placed on cal. Calendar & Rules Committee for 2/5/2026

    2/4/2026House

  22. Sponsor(s) Added.

    2/4/2026House

  23. Taken off notice for cal. in Calendar & Rules Committee

    4/15/2025House

  24. Placed on cal. Calendar & Rules Committee for 4/15/2025

    4/14/2025House

  25. Action def. in Calendar & Rules Committee to 3/27/2025

    3/20/2025House

Bill Text

  • HA0548 (Substitute)

    2/9/2026

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • HA0081

    PDF

  • Introduced

    PDF

  • SA0471

    PDF

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