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TennesseeHB 0411114th General Assembly (2025-2026)HouseWALLET

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to pediatric medical disorders.

Sponsored By: Susan M. Lynn (Republican)

Became Law

TennCare

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

More TennCare coverage for PANDAS/PANS

Beginning January 1, 2026, TennCare can require each managed care plan to cover doctor‑prescribed, medically necessary care for PANDAS and PANS. This applies to group plans delivered, issued, amended, or renewed in Tennessee on or after that date. Covered care can include antibiotics, medicines, behavior therapy, immune‑modulating drugs, plasma exchange, and IVIG. Plans cannot charge higher copays, deductibles, or coinsurance than for similar services. Urgent prior authorizations must be handled on time under state insurance rules.

Stronger protections for PANDAS/PANS care

Tennessee health plans may not deny or delay medically necessary PANDAS or PANS care just because you had past treatment or a different diagnosis name, like autoimmune encephalopathy. Insurers can ask for treatment notes and the expected length and outcomes, and may consider expert treatment guidelines. Until national codes exist, doctors must bill these conditions as “autoimmune encephalitis.” When new codes are created, those codes can be used and the law’s protections still apply.

Sponsors & Cosponsors

Sponsor

  • Susan M. Lynn

    Republican • House

Cosponsors

  • Michele Carringer

    Republican • House

  • Scott Cepicky

    Republican • House

  • Elaine Davis

    Republican • House

  • Jeremy Faison

    Republican • House

  • Kirk Haston

    Republican • House

  • Esther Helton-Haynes

    Republican • House

  • Justin Lafferty

    Republican • House

  • Mary Littleton

    Republican • House

  • Bryan Terry

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 244 • No: 0

House vote • 4/22/2025

FLOOR VOTE: MESSAGE CALENDAR 2 CONCUR IN SENATE AMENDMENT # 2 4/22/2025

Yes: 97 • No: 0

Senate vote • 4/21/2025

FLOOR VOTE: as Amended Third Consideration 4/21/2025

Yes: 33 • No: 0

House vote • 4/14/2025

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/14/2025

Yes: 95 • No: 0

House vote • 4/14/2025

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 4/2/2025

HOUSE INSURANCE COMMITTEE

Yes: 12 • No: 0

House vote • 3/18/2025

HOUSE TENNCARE SUBCOMMITTEE

Yes: 7 • No: 0

Actions Timeline

  1. Pub. Ch. 482

    5/27/2025

  2. Effective date(s) 05/21/2025

    5/27/2025

  3. Signed by Governor.

    5/21/2025

  4. Transmitted to Governor for his action.

    5/9/2025House

  5. Signed by Senate Speaker

    5/8/2025Senate

  6. Signed by H. Speaker

    4/30/2025House

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

    4/25/2025House

  8. H. Placed on Message Calendar 2 for 4/22/2025

    4/22/2025House

  9. H. concurred in S. am. no. 2 Ayes 97, Nays 0 PNV 0 HB0411

    4/22/2025House

  10. Senate substituted House Bill for companion Senate Bill.

    4/21/2025Senate

  11. Amendment withdrawn. (Amendment 1 - SA0234)

    4/21/2025Senate

  12. Senate adopted Amendment (Amendment 2 - SA0415)

    4/21/2025Senate

  13. Passed Senate as amended, Ayes 33, Nays 0

    4/21/2025Senate

  14. Received from House, Passed on First Consideration

    4/15/2025Senate

  15. H. adopted am. (Amendment 1 - HA0284)

    4/14/2025House

  16. Sponsor(s) Added.

    4/14/2025House

  17. Passed H., as am., Ayes 95, Nays 0, PNV 0

    4/14/2025House

  18. Engrossed; ready for transmission to Sen.

    4/14/2025House

  19. H. Placed on Regular Calendar for 4/14/2025

    4/10/2025House

  20. Placed on cal. Calendar & Rules Committee for 4/10/2025

    4/9/2025House

  21. Action def. in Calendar & Rules Committee to 4/10/2025

    4/3/2025House

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

    4/2/2025House

  23. Placed on cal. Calendar & Rules Committee for 4/3/2025

    4/2/2025House

  24. Placed on cal. Insurance Committee for 4/1/2025

    3/26/2025House

  25. Action def. in Insurance Committee to 4/1/2025

    3/25/2025House

Bill Text

  • HA0284 (Substitute)

    4/14/2025

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

  • SA0234

    PDF

  • SA0415

    PDF

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