TennesseeHB 1665114th General Assembly (2025-2026)House

AN ACT to amend Tennessee Code Annotated, Title 4; Title 33; Title 47; Title 56; Title 63; Title 68 and Title 71, relative to the protection of minors in healthcare settings.

Sponsored By: Aron Maberry (Republican)

Signed by Governor

Health Care

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Insurers cannot demand gender questions for minors

Beginning October 1, 2026, Tennessee bars health insurers and other healthcare payers from requesting or requiring certain questions for minors. These include questions about gender identity, feeling normal in their bodies, being the correct gender, or gender confusion or dysphoria. Payers cannot cut or deny provider payments, impose penalties, or otherwise disadvantage providers for not asking. The rule covers people under 18, excluding emancipated minors and those needing emergency treatment under Tennessee's emergency-care law. It also excludes current or former armed forces, reserve, or National Guard members, and minors who have full custody of their own minor child. Questions about a female patient's menstrual period are exempt.

Sponsors & Cosponsors

Sponsor

  • Aron Maberry

    Republican • House

Cosponsors

  • Rusty Grills

    Republican • House

  • David B. Hawk

    Republican • House

  • Dan Howell

    Republican • House

  • Jake McCalmon

    Republican • House

  • Debra Moody

    Republican • House

  • Michele Reneau

    Republican • House

  • Chris Todd

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 192 • No: 53

Senate vote • 3/19/2026

FLOOR VOTE: Third Consideration 3/19/2026

Yes: 27 • No: 6

House vote • 3/16/2026

FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/16/2026

Yes: 71 • No: 22

House vote • 3/16/2026

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 3/16/2026

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/16/2026

Yes: 72 • No: 21

House vote • 3/10/2026

HOUSE HEALTH COMMITTEE

Yes: 15 • No: 4

House vote • 2/11/2026

HOUSE HEALTH SUBCOMMITTEE

Yes: 7 • No: 0

Actions Timeline

  1. Effective date(s) 10/01/2026

    4/23/2026
  2. Pub. Ch. 748

    4/23/2026
  3. Signed by Governor.

    4/13/2026
  4. Transmitted to Governor for his action.

    4/1/2026House
  5. Signed by Senate Speaker

    3/24/2026Senate
  6. Signed by H. Speaker

    3/24/2026House
  7. Enrolled; ready for sig. of H. Speaker.

    3/20/2026House
  8. Passed Senate, Ayes 27, Nays 6

    3/19/2026Senate
  9. Amendment withdrawn. (Amendment 1 - SA0661)

    3/19/2026Senate
  10. Senate substituted House Bill for companion Senate Bill.

    3/19/2026Senate
  11. Received from House, Passed on First Consideration

    3/19/2026Senate
  12. Engrossed; ready for transmission to Sen.

    3/17/2026House
  13. Passed H., as am., Ayes 72, Nays 21, PNV 0

    3/16/2026House
  14. Sponsor(s) Added.

    3/16/2026House
  15. H. adopted am. (Amendment 1 - HA0675)

    3/16/2026House
  16. H. Placed on Regular Calendar for 3/16/2026

    3/12/2026House
  17. Placed on cal. Calendar & Rules Committee for 3/12/2026

    3/11/2026House
  18. Rec. for pass. if am., ref. to Calendar & Rules Committee

    3/10/2026House
  19. Placed on cal. Health Committee for 3/10/2026

    3/4/2026House
  20. Action def. in Health Committee to 3/10/2026

    3/3/2026House
  21. Placed on cal. Health Committee for 3/3/2026

    2/25/2026House
  22. Sponsor(s) Added.

    2/25/2026House
  23. Rec. for pass by s/c ref. to Health Committee

    2/11/2026House
  24. Placed on s/c cal Health Subcommittee for 2/11/2026

    2/4/2026House
  25. Assigned to s/c Health Subcommittee

    1/21/2026House

Bill Text

  • HA0675 (Substitute)

    3/16/2026

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0661

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