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TennesseeHB 1665114th General Assembly (2025-2026)HouseWALLET

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)

Became Law

Health Care

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Bill Overview

Analyzed Economic Effects

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

Limits on provider gender questions for minors

Starting October 1, 2026, providers may not knowingly ask minors the listed gender-identity or dysphoria questions. A provider can ask only if a parent is fully informed and gives written consent, and the question is directly tied to current diagnosis or treatment. Intake forms and electronic questionnaires for minors must leave out these items unless those two rules are met. Providers may ask if the minor volunteers the information, or in private when they reasonably suspect trafficking, abuse, or neglect to check mandatory reporting. These rules do not apply when a minor receives care without parental consent under Tennessee law. Parents must be allowed to see all forms and electronic assessments given to their child. Abuse-reporting and emergency-care duties stay the same, and minors can still report safety concerns. Violations are unprofessional conduct and can lead to board discipline.

Insurers cannot require gender questions for kids

Starting October 1, 2026, insurers and managed care groups cannot require or request providers to ask minors certain gender-identity or dysphoria questions. They also cannot cut or deny payment or penalize providers for not asking. Questions about a female’s menstrual period are still allowed. A "minor" is under 18, but not an emancipated youth, someone getting emergency care, a current or former service member, or a custodial parent of a child.

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 AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/16/2026

Yes: 72 • No: 21

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 • 3/10/2026

HOUSE HEALTH COMMITTEE

Yes: 15 • No: 4

House vote • 2/11/2026

HOUSE HEALTH SUBCOMMITTEE

Yes: 7 • No: 0

Actions Timeline

  1. Pub. Ch. 748

    4/23/2026

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

    4/23/2026

  3. Signed by Governor.

    4/13/2026

  4. Transmitted to Governor for his action.

    4/1/2026House

  5. Signed by H. Speaker

    3/24/2026House

  6. Signed by Senate Speaker

    3/24/2026Senate

  7. Enrolled; ready for sig. of H. Speaker.

    3/20/2026House

  8. Received from House, Passed on First Consideration

    3/19/2026Senate

  9. Senate substituted House Bill for companion Senate Bill.

    3/19/2026Senate

  10. Amendment withdrawn. (Amendment 1 - SA0661)

    3/19/2026Senate

  11. Passed Senate, Ayes 27, Nays 6

    3/19/2026Senate

  12. Engrossed; ready for transmission to Sen.

    3/17/2026House

  13. H. adopted am. (Amendment 1 - HA0675)

    3/16/2026House

  14. Passed H., as am., Ayes 72, Nays 21, PNV 0

    3/16/2026House

  15. Sponsor(s) Added.

    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. Sponsor(s) Added.

    2/25/2026House

  22. Placed on cal. Health Committee for 3/3/2026

    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. P2C, ref. to Health Committee

    1/21/2026House

Bill Text

  • HA0675 (Substitute)

    3/16/2026

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

  • SA0661

    PDF

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