# Tennessee HB 0754: 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. Tennessee HB 0754, 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., is a 114th General Assembly (2025-2026) House bill sponsored by no sponsor on record; status signed, last action 2026-05-15 (Effective date(s) 05/07/2026); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-HB0754-2025-2026 - 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 0754 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: 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. - Status: signed - Chamber: House - Introduced: 2025-02-03 - Last action: 2026-05-15, Effective date(s) 05/07/2026 - Sponsors: no sponsor on record - Cosponsors: 9 - Subjects: Health Care - Touches household money: yes - Roll calls: 11 (379 yes, 180 no in all) - Economic provisions PRIA read: 3 ## Summary No summary available. ## Bill overview: provisions PRIA read - Local bans barred on minors' gender therapy: benefit, medium. 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: benefit, medium. 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, renewe… - Clinics and insurers face new reporting rules: cost, low. 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 detransiti… ## Sponsors and cosponsors - Cosponsor: Michele Carringer (Republican), House - Cosponsor: Mark Cochran (Republican), House - Cosponsor: Kirk Haston (Republican), House - Cosponsor: Dan Howell (Republican), House - Cosponsor: Aron Maberry (Republican), House - Cosponsor: Jake McCalmon (Republican), House - Cosponsor: Debra Moody (Republican), House - Cosponsor: Reeves - Cosponsor: Chris Todd (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-15 | House | FLOOR VOTE: MESSAGE CALENDAR PREVIOUS QUESTION #2 AND #4 CONCUR IN SENATE AMENDMENTS 4/15/2026 | pass | 70 | 21 | | | 2026-04-15 | House | FLOOR VOTE: MESSAGE CALENDAR #2 AND #4 CONCUR IN SENATE AMENDMENTS 4/15/2026 | pass | 73 | 23 | | | 2026-04-13 | Senate | FLOOR VOTE: as Amended Third Consideration 4/13/2026 | pass | 24 | 7 | | | 2026-03-26 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/26/2026 | pass | 70 | 21 | | | 2026-03-26 | House | FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 3 BY JONES J AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/26/2026 | fail | 21 | 69 | | | 2026-03-26 | House | FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/26/2026 | pass | 70 | 21 | | | 2026-03-26 | House | HOUSE CALENDAR & RULES COMMITTEE | fail | 0 | 0 | | | 2026-03-17 | House | HOUSE FINANCE, WAYS, AND MEANS COMMITTEE | pass | 20 | 7 | | | 2026-03-11 | House | HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE | pass | 7 | 3 | | | 2025-03-18 | House | HOUSE HEALTH COMMITTEE | pass | 18 | 5 | | | 2025-03-11 | House | POPULATION HEALTH SUBCOMMITTEE | pass | 6 | 3 | | ## Actions (42) - 2026-05-15: Effective date(s) 05/07/2026 - 2026-05-15: Pub. Ch. 932 - 2026-05-07: Signed by Governor. - 2026-05-06: Transmitted to Governor for his action. (House) - 2026-05-05: Signed by Senate Speaker (Senate) - 2026-04-30: Signed by H. Speaker (House) - 2026-04-15: Enrolled; ready for sig. of H. Speaker. (House) - 2026-04-15: H. concurred in S. am. no. 2 and no. 4 Ayes 73, Nays 23 PNV 1 (House) - 2026-04-14: H. Placed on Message Calendar for 4/15/2026 (House) - 2026-04-13: Passed Senate as amended, Ayes 24, Nays 7 (Senate) - 2026-04-13: Senate adopted Amendment (Amendment 4 - SA0993) (Senate) - 2026-04-13: Amendment withdrawn. (Amendment 3 - SA0838) (Senate) - 2026-04-13: Senate adopted Amendment (Amendment 2 - SA0834) (Senate) - 2026-04-13: Amendment withdrawn. (Amendment 1 - SA0242) (Senate) - 2026-04-13: Senate substituted House Bill for companion Senate Bill. (Senate) - 2026-03-30: Received from House, Passed on First Consideration (Senate) - 2026-03-26: Engrossed; ready for transmission to Sen. (House) - 2026-03-26: Passed H., as am., Ayes 70, Nays 21, PNV 2 (House) - 2026-03-26: Sponsor(s) Added. (House) - 2026-03-26: Failed to adopt am (Amendment 3 - HA0846), Ayes 21, Nays 69, PNV 0 (House) - 2026-03-26: H. adopted am. (Amendment 2 - HA0695) (House) - 2026-03-26: H. adopted am. (Amendment 1 - HA0111) (House) - 2026-03-19: H. Placed on Regular Calendar for 3/26/2026 (House) - 2026-03-18: Placed on cal. Calendar & Rules Committee for 3/19/2026 (House) - 2026-03-17: Rec. for pass. if am., ref. to Calendar & Rules Committee (House) - 2026-03-11: Placed on cal. Finance, Ways, and Means Committee for 3/17/2026 (House) - 2026-03-11: Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee (House) - 2026-03-04: Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/11/2026 (House) - 2026-03-04: Action Def. in s/c Finance, Ways, and Means Subcommittee to 3/11/2026 (House) - 2026-02-25: Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/4/2026 (House) - 2025-04-09: Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2025 (House) - 2025-03-26: Placed behind the budget (House) - 2025-03-19: Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/26/2025 (House) - 2025-03-18: Assigned to s/c Finance, Ways, and Means Subcommittee (House) - 2025-03-18: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee (House) - 2025-03-12: Placed on cal. Health Committee for 3/18/2025 (House) - 2025-03-11: Rec for pass if am by s/c ref. to Health Committee (House) - 2025-03-05: Placed on s/c cal Population Health Subcommittee for 3/11/2025 (House) - 2025-02-10: Assigned to s/c Population Health Subcommittee (House) - 2025-02-06: P2C, ref. to Health Committee (House) - 2025-02-05: Intro., P1C. (House) - 2025-02-03: Filed for introduction (House) ## Bill text - HA0111 (Substitute), 2026-03-26: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0111.pdf) - HA0695, 2026-03-26: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0695.pdf) - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0932.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/SB0676.pdf) - HA0846: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0846.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/HB0754.pdf) - SA0242: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0242.pdf) - SA0834: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0834.pdf) - SA0838: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0838.pdf) - SA0993: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0993.pdf) ## Related bills - HB 0794: AN ACT to amend Tennessee Code Annotated, Title 4; Title 5; Title 6; Title 7; Title 8; Title 12; Title 13; Title 29; Title 54; Title 64; Title 65; Title 68 and… (failed) - HB 0489: AN ACT to amend Tennessee Code Annotated, Title 38; Title 39; Title 40 and Title 55, relative to criminal law. (failed) - 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 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) ## Sources - [HA0111 (Substitute) (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0111.pdf) - [HA0695 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0695.pdf) - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0932.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/SB0676.pdf) - [HA0846 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0846.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/HB0754.pdf) - [SA0242 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0242.pdf) - [SA0834 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0834.pdf) - [SA0838 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0838.pdf) - [SA0993 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0993.pdf) ## Related - [HB 0794: AN ACT to amend Tennessee Code Annotated, Title 4; Title 5; Title 6; Title 7; T…](https://policyrisk.com/state-bill/TN-HB0794-2025-2026) - [HB 0489: AN ACT to amend Tennessee Code Annotated, Title 38; Title 39; Title 40 and Titl…](https://policyrisk.com/state-bill/TN-HB0489-2025-2026) - [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 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) - [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-HB0754-2025-2026 (as of 2026-11-01).