# Tennessee HB 0858: AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy. Tennessee HB 0858, AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy., 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) 01/01/2026); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-HB0858-2025-2026 - 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 0858 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy. - Status: signed - Chamber: House - Introduced: 2025-02-04 - Last action: 2025-05-27, Effective date(s) 01/01/2026 - Sponsors: no sponsor on record - Cosponsors: 6 - Subjects: Commerce and Insurance, Dept. of - Touches household money: yes - Roll calls: 6 (243 yes, 0 no in all) - Economic provisions PRIA read: 1 ## Summary No summary available. ## Bill overview: provisions PRIA read - Cancer drug access protections and reporting: mixed, medium. Beginning January 1, 2026, these rules apply to policies or agreements entered into, renewed, or amended on or after that date. Tennessee plans covering stage 4 advanced metastatic cancer or metastatic blood cancer cannot require other treatments before covering qualifying drugs. Stage 4 advanced m… ## Sponsors and cosponsors - Cosponsor: T.J. Hardaway (Democrat), House - Cosponsor: Esther Helton-Haynes (Republican), House - Cosponsor: Renea Jones (Republican), House - Cosponsor: Mary Littleton (Republican), House - Cosponsor: Susan M. Lynn (Republican), House - Cosponsor: Bryan Terry (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-21 | House | FLOOR VOTE: MESSAGE CALENDAR CONCUR IN SENATE AMENDMENT # 1 4/21/2025 | pass | 92 | 0 | | | 2025-04-16 | Senate | FLOOR VOTE: as Amended Third Consideration 4/16/2025 | pass | 33 | 0 | | | 2025-03-31 | House | HOUSE CALENDAR & RULES COMMITTEE | fail | 0 | 0 | | | 2025-03-31 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/31/2025 | pass | 94 | 0 | | | 2025-03-25 | House | HOUSE INSURANCE COMMITTEE | pass | 18 | 0 | | | 2025-03-19 | House | INSURANCE SUBCOMMITTEE | pass | 6 | 0 | | ## Actions (30) - 2025-05-27: Effective date(s) 01/01/2026 - 2025-05-27: Pub. Ch. 505 - 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) - 2025-04-23: Enrolled; ready for sig. of H. Speaker. (House) - 2025-04-21: H. concurred in S. am. no. 1 Ayes 92, Nays 0 PNV 1 HB0858 (House) - 2025-04-16: H. Placed on Message Calendar 4/17/2025 (House) - 2025-04-16: Passed Senate as amended, Ayes 33, Nays 0 (Senate) - 2025-04-16: Senate adopted Amendment (Amendment 1 - SA0243) (Senate) - 2025-04-16: Senate substituted House Bill for companion Senate Bill. (Senate) - 2025-04-03: Received from House, Passed on First Consideration (Senate) - 2025-04-01: Engrossed; ready for transmission to Sen. (House) - 2025-03-31: Passed H., as am., Ayes 94, Nays 0, PNV 0 (House) - 2025-03-31: Sponsor(s) Added. (House) - 2025-03-31: H. adopted am. (Amendment 1 - HA0149) (House) - 2025-03-27: H. Placed on Regular Calendar for 3/31/2025 (House) - 2025-03-26: Placed on cal. Calendar & Rules Committee for 3/27/2025 (House) - 2025-03-25: Rec. for pass. if am., ref. to Calendar & Rules Committee (House) - 2025-03-19: Placed on cal. Insurance Committee for 3/25/2025 (House) - 2025-03-19: Rec for pass if am by s/c ref. to Insurance Committee (House) - 2025-03-12: Placed on s/c cal Insurance Subcommittee for 3/19/2025 (House) - 2025-03-11: Assigned to s/c Insurance Subcommittee (House) - 2025-03-11: Ref. to Insurance Committee (House) - 2025-03-10: Sponsor(s) Added. (House) - 2025-02-10: Sponsor(s) Added. (House) - 2025-02-06: P2C, caption bill, held on desk - pending amdt. (House) - 2025-02-05: Intro., P1C. (House) - 2025-02-04: Filed for introduction (House) ## Bill text - HA0149 (Substitute), 2025-03-31: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0149.pdf) - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0505.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/HB0858.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/HB0858.pdf) - SA0243: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0243.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 - [HA0149 (Substitute) (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0149.pdf) - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0505.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/HB0858.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/HB0858.pdf) - [SA0243 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0243.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-HB0858-2025-2026 (as of 2026-11-01).