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TennesseeHB 1816114th General Assembly (2025-2026)House

AN ACT to amend Tennessee Code Annotated, Title 33; Title 38 and Title 41, relative to mental health.

Sponsored By: Sponsor information unavailable

Signed by Governor

Drugs, Prescription

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

More crisis care for uninsured with co-occurring disorders

Beginning July 1, 2026, the council provides $25 million in FY 2026–2027 to the Department of Mental Health and Substance Abuse Services. The funds expand crisis, residential, and inpatient care for uninsured people who have both mental health and substance use disorders. For money paid into the opioid abatement fund on or after July 1, 2026, 10% of funds available after county shares go into a separate account for the same services. That account can only pay for crisis, residential, and inpatient care for this uninsured group. Deposits happen when county payments go out.

More mobile crisis help for TennCare

Beginning July 1, 2026, the council allocates $12.3 million to the Bureau of TennCare. It pays $4.1 million each year in FY 2026–2027, 2027–2028, and 2028–2029. The money boosts per‑member‑per‑month adult mobile crisis payments to nonprofit behavioral health providers that serve TennCare enrollees statewide. TennCare consults with the Tennessee Association of Mental Health Organizations on how to split the funds. The money comes from opioid abatement dollars not required to go to counties.

Protect state and local opioid funds

Beginning July 1, 2026, these opioid abatement allocations must add to, not replace, current state mental health and substance use funding. The law also bars these allocations from cutting or changing county or city opioid settlement distributions. Counties and cities keep their settlement shares while the new funding goes out.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • David B. Hawk

    Republican • House

  • William Lamberth

    Republican • House

  • Powers

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 182 • No: 0

Senate vote • 4/23/2026

FLOOR VOTE: Third Consideration 4/23/2026

Yes: 28 • No: 0

House vote • 4/21/2026

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/21/2026

Yes: 88 • No: 0

House vote • 4/16/2026

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 4/14/2026

HOUSE FINANCE, WAYS, AND MEANS COMMITTEE

Yes: 28 • No: 0

House vote • 4/8/2026

HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE

Yes: 13 • No: 0

House vote • 4/1/2026

HOUSE JUDICIARY COMMITTEE

Yes: 19 • No: 0

House vote • 3/23/2026

HOUSE CIVIL JUSTICE SUBCOMMITTEE

Yes: 6 • No: 0

Actions Timeline

  1. Effective date(s) 07/01/2026

    5/18/2026

  2. Pub. Ch. 960

    5/18/2026

  3. Signed by Governor.

    5/7/2026

  4. Transmitted to Governor for his action.

    5/6/2026House

  5. Signed by Senate Speaker

    5/5/2026Senate

  6. Signed by H. Speaker

    4/30/2026House

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

    4/29/2026House

  8. Passed Senate, Ayes 28, Nays 0

    4/23/2026Senate

  9. Amendment withdrawn. (Amendment 1 - SA0830)

    4/23/2026Senate

  10. Amendment withdrawn. (Amendment 3 - SA1079)

    4/23/2026Senate

  11. Amendment withdrawn. (Amendment 2 - SA1078)

    4/23/2026Senate

  12. Senate substituted House Bill for companion Senate Bill.

    4/23/2026Senate

  13. Received from House, Passed on First Consideration

    4/22/2026Senate

  14. Engrossed; ready for transmission to Sen.

    4/21/2026House

  15. Passed H., as am., Ayes 88, Nays 0, PNV 0

    4/21/2026House

  16. H. adopted am. (Amendment 2 - HA1150)

    4/21/2026House

  17. Sponsor(s) Added.

    4/21/2026House

  18. H. adopted am. (Amendment 1 - HA0996)

    4/21/2026House

  19. H. Placed on Regular Calendar for 4/16/2026

    4/14/2026House

  20. Placed on cal. Calendar & Rules Committee for 4/14/2026

    4/14/2026House

  21. Rec. for pass. if am., ref. to Calendar & Rules Committee

    4/14/2026House

  22. Placed on cal. Finance, Ways, and Means Committee for 4/14/2026

    4/8/2026House

  23. Rec. for pass by s/c ref. to Finance, Ways, and Means Committee

    4/8/2026House

  24. Sponsor(s) Added.

    4/6/2026House

  25. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/8/2026

    4/1/2026House

Bill Text

  • HA0996 (Substitute)

    4/21/2026

    PDF

  • HA1150

    4/21/2026

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

  • SA0830

    PDF

  • SA1078

    PDF

  • SA1079

    PDF

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