# Tennessee HB 0411: AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to pediatric medical disorders. Tennessee HB 0411, AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to pediatric medical disorders., is a 114th General Assembly (2025-2026) House bill sponsored by no sponsor on record; status signed, last action 2025-05-27 (Effective date(s) 05/21/2025); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-HB0411-2025-2026 - 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 0411 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to pediatric medical disorders. - Status: signed - Chamber: House - Introduced: 2025-01-28 - Last action: 2025-05-27, Effective date(s) 05/21/2025 - Sponsors: no sponsor on record - Cosponsors: 9 - Subjects: TennCare - Touches household money: yes - Roll calls: 6 (244 yes, 0 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - Treatment coverage protections for children: benefit, medium. Since May 21, 2025, health insurance policies and managed care plans cannot deny or delay medically necessary PANDAS or PANS treatment solely because a patient had the same or similar treatment before. They also cannot do so solely because the condition had another diagnostic name, such as autoimmu… - New treatment coverage authority for children: benefit, low. Beginning January 1, 2026, TennCare can require TennCare-participating managed care organizations to cover medically necessary, doctor-prescribed PANDAS and PANS treatment. This authority covers group health contracts and group hospital or medical expense policies delivered, issued for delivery, am… ## Sponsors and cosponsors - Cosponsor: Michele Carringer (Republican), House - Cosponsor: Scott Cepicky (Republican), House - Cosponsor: Elaine Davis (Republican), House - Cosponsor: Jeremy Faison (Republican), House - Cosponsor: Kirk Haston (Republican), House - Cosponsor: Esther Helton-Haynes (Republican), House - Cosponsor: Justin Lafferty (Republican), House - Cosponsor: Mary Littleton (Republican), House - Cosponsor: Bryan Terry (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-22 | House | FLOOR VOTE: MESSAGE CALENDAR 2 CONCUR IN SENATE AMENDMENT # 2 4/22/2025 | pass | 97 | 0 | | | 2025-04-21 | Senate | FLOOR VOTE: as Amended Third Consideration 4/21/2025 | pass | 33 | 0 | | | 2025-04-14 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/14/2025 | pass | 95 | 0 | | | 2025-04-14 | House | HOUSE CALENDAR & RULES COMMITTEE | fail | 0 | 0 | | | 2025-04-02 | House | HOUSE INSURANCE COMMITTEE | pass | 12 | 0 | | | 2025-03-18 | House | HOUSE TENNCARE SUBCOMMITTEE | pass | 7 | 0 | | ## Actions (32) - 2025-05-27: Effective date(s) 05/21/2025 - 2025-05-27: Pub. Ch. 482 - 2025-05-21: Signed by Governor. - 2025-05-09: Transmitted to Governor for his action. (House) - 2025-05-08: Signed by Senate Speaker (Senate) - 2025-04-30: Signed by H. Speaker (House) - 2025-04-25: Enrolled; ready for sig. of H. Speaker. (House) - 2025-04-22: H. concurred in S. am. no. 2 Ayes 97, Nays 0 PNV 0 HB0411 (House) - 2025-04-22: H. Placed on Message Calendar 2 for 4/22/2025 (House) - 2025-04-21: Passed Senate as amended, Ayes 33, Nays 0 (Senate) - 2025-04-21: Senate adopted Amendment (Amendment 2 - SA0415) (Senate) - 2025-04-21: Amendment withdrawn. (Amendment 1 - SA0234) (Senate) - 2025-04-21: Senate substituted House Bill for companion Senate Bill. (Senate) - 2025-04-15: Received from House, Passed on First Consideration (Senate) - 2025-04-14: Engrossed; ready for transmission to Sen. (House) - 2025-04-14: Passed H., as am., Ayes 95, Nays 0, PNV 0 (House) - 2025-04-14: Sponsor(s) Added. (House) - 2025-04-14: H. adopted am. (Amendment 1 - HA0284) (House) - 2025-04-10: H. Placed on Regular Calendar for 4/14/2025 (House) - 2025-04-09: Placed on cal. Calendar & Rules Committee for 4/10/2025 (House) - 2025-04-03: Action def. in Calendar & Rules Committee to 4/10/2025 (House) - 2025-04-02: Placed on cal. Calendar & Rules Committee for 4/3/2025 (House) - 2025-04-02: Rec. for pass. if am., ref. to Calendar & Rules Committee (House) - 2025-03-26: Placed on cal. Insurance Committee for 4/1/2025 (House) - 2025-03-25: Action def. in Insurance Committee to 4/1/2025 (House) - 2025-03-19: Placed on cal. Insurance Committee for 3/25/2025 (House) - 2025-03-18: Rec for pass if am by s/c ref. to Insurance Committee (House) - 2025-03-12: Placed on s/c cal Tenncare Subcommittee for 3/18/2025 (House) - 2025-02-05: Assigned to s/c Tenncare Subcommittee (House) - 2025-02-05: P2C, ref. to Insurance Committee (House) - 2025-02-03: Intro., P1C. (House) - 2025-01-28: Filed for introduction (House) ## Bill text - HA0284 (Substitute), 2025-04-14: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0284.pdf) - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0482.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/HB0411.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/HB0411.pdf) - SA0234: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0234.pdf) - SA0415: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0415.pdf) ## Related bills - HB 0162: AN ACT to amend Tennessee Code Annotated, Title 67, relative to taxes. (failed) - 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 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 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) ## Sources - [HA0284 (Substitute) (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0284.pdf) - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0482.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/HB0411.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/HB0411.pdf) - [SA0234 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0234.pdf) - [SA0415 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0415.pdf) ## Related - [HB 0162: AN ACT to amend Tennessee Code Annotated, Title 67, relative to taxes.](https://policyrisk.com/state-bill/TN-HB0162-2025-2026) - [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 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 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) - [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-HB0411-2025-2026 (as of 2026-11-01).