All Roll Calls
Yes: 379 • No: 180
TennesseeHB 0754114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 1; Title 4; Title 33; Title 56; Title 63; Title 68 and Title 71, relative to health care.
Sponsored By: Sponsor information unavailable
Signed by Governor
Health Care
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
Local bans barred on minors' gender therapy
Tennessee cities and counties cannot ban mental health therapy addressing differences between a minor's sex and perceived gender or sex. They also cannot bar parents or legal guardians from consenting to or withholding consent for that therapy. This protection applies to children under 18.
More coverage and access for detransition care
Detransition care includes therapy, medical treatment, and surgery to stop, reverse, or address the effects of earlier transition procedures. Tennessee-regulated plans outside the marketplace that cover transition procedures must also cover detransition care. This applies to policies issued, renewed, or amended on or after the law took effect upon becoming law. Marketplace coverage depends on federal approval and implementation of the state's required-benefits change, along with policy timing and transition coverage. Tennessee's insurance department must seek the federal waiver within 90 days after the law takes effect. Clinics receiving state money directly or indirectly for transition procedures must agree to provide or pay for detransition care.
Clinics and insurers face new reporting rules
Gender clinics must report prescribed transition procedures to Tennessee's health department, using forms signed by the prescribing professional. Reports include prescription dates, age, sex, residence, treatment details, provider identification, and relevant diagnoses. Insurers covering detransition care must report claim counts, age, sex, residence, and the initial transition date when known. Clinic reports are due within 15 days after the prescription month ends; insurer reports follow the same deadline after claim approval. Forms must exclude identifying patient health information and follow federal privacy rules. Annual reports to lawmakers are due December 31, 2026, and every December 31 afterward, without identifying individual clinics. The department must also publish downloadable, de-identified data without identifying individual providers. Violations can bring professional discipline including at least six months' suspension, clinic fines up to $150,000 per violation, and attorney general investigations.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
Michele Carringer
Republican • House
Mark Cochran
Republican • House
Kirk Haston
Republican • House
Dan Howell
Republican • House
Aron Maberry
Republican • House
Jake McCalmon
Republican • House
Debra Moody
Republican • House
Reeves
Affiliation unavailable
Chris Todd
Republican • House
Roll Call Votes
House vote • 4/15/2026
FLOOR VOTE: MESSAGE CALENDAR PREVIOUS QUESTION #2 AND #4 CONCUR IN SENATE AMENDMENTS 4/15/2026
Yes: 70 • No: 21
House vote • 4/15/2026
FLOOR VOTE: MESSAGE CALENDAR #2 AND #4 CONCUR IN SENATE AMENDMENTS 4/15/2026
Yes: 73 • No: 23
Senate vote • 4/13/2026
FLOOR VOTE: as Amended Third Consideration 4/13/2026
Yes: 24 • No: 7
House vote • 3/26/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/26/2026
Yes: 70 • No: 21
House vote • 3/26/2026
FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 3 BY JONES J AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/26/2026
Yes: 21 • No: 69
House vote • 3/26/2026
FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/26/2026
Yes: 70 • No: 21
House vote • 3/26/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 3/17/2026
HOUSE FINANCE, WAYS, AND MEANS COMMITTEE
Yes: 20 • No: 7
House vote • 3/11/2026
HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE
Yes: 7 • No: 3
House vote • 3/18/2025
HOUSE HEALTH COMMITTEE
Yes: 18 • No: 5
House vote • 3/11/2025
POPULATION HEALTH SUBCOMMITTEE
Yes: 6 • No: 3
Actions Timeline
Effective date(s) 05/07/2026
5/15/2026Pub. Ch. 932
5/15/2026Signed by Governor.
5/7/2026Transmitted to Governor for his action.
5/6/2026HouseSigned by Senate Speaker
5/5/2026SenateSigned by H. Speaker
4/30/2026HouseEnrolled; ready for sig. of H. Speaker.
4/15/2026HouseH. concurred in S. am. no. 2 and no. 4 Ayes 73, Nays 23 PNV 1
4/15/2026HouseH. Placed on Message Calendar for 4/15/2026
4/14/2026HousePassed Senate as amended, Ayes 24, Nays 7
4/13/2026SenateSenate adopted Amendment (Amendment 4 - SA0993)
4/13/2026SenateAmendment withdrawn. (Amendment 3 - SA0838)
4/13/2026SenateSenate adopted Amendment (Amendment 2 - SA0834)
4/13/2026SenateAmendment withdrawn. (Amendment 1 - SA0242)
4/13/2026SenateSenate substituted House Bill for companion Senate Bill.
4/13/2026SenateReceived from House, Passed on First Consideration
3/30/2026SenateEngrossed; ready for transmission to Sen.
3/26/2026HousePassed H., as am., Ayes 70, Nays 21, PNV 2
3/26/2026HouseSponsor(s) Added.
3/26/2026HouseFailed to adopt am (Amendment 3 - HA0846), Ayes 21, Nays 69, PNV 0
3/26/2026HouseH. adopted am. (Amendment 2 - HA0695)
3/26/2026HouseH. adopted am. (Amendment 1 - HA0111)
3/26/2026HouseH. Placed on Regular Calendar for 3/26/2026
3/19/2026HousePlaced on cal. Calendar & Rules Committee for 3/19/2026
3/18/2026HouseRec. for pass. if am., ref. to Calendar & Rules Committee
3/17/2026House
Bill Text
HA0111 (Substitute)
3/26/2026
HA0695
3/26/2026
Enrolled / Public Chapter
Fiscal Note
HA0846
Introduced
SA0242
SA0834
SA0838
SA0993
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