All Roll Calls
Yes: 182 • No: 0
TennesseeHB 1816114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 33; Title 38 and Title 41, relative to mental health.
Sponsored By: Ryan Williams, Ryan (Republican)
Became Law
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
Sponsor
Ryan Williams, Ryan
Republican • House
Cosponsors
David B. Hawk, David B.
Republican • House
William Lamberth, William
Republican • House
Bill Powers, Bill
Republican • Senate
Roll Call Votes
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
Pub. Ch. 960
5/18/2026Effective date(s) 07/01/2026
5/18/2026Signed by Governor.
5/7/2026Transmitted to Governor for his action.
5/6/2026HouseSigned by Senate Speaker
5/5/2026SenateSigned by H. Speaker
4/30/2026HouseEnrolled; ready for sig. of H. Speaker.
4/29/2026HouseSenate substituted House Bill for companion Senate Bill.
4/23/2026SenateAmendment withdrawn. (Amendment 2 - SA1078)
4/23/2026SenateAmendment withdrawn. (Amendment 3 - SA1079)
4/23/2026SenateAmendment withdrawn. (Amendment 1 - SA0830)
4/23/2026SenatePassed Senate, Ayes 28, Nays 0
4/23/2026SenateReceived from House, Passed on First Consideration
4/22/2026SenateH. adopted am. (Amendment 1 - HA0996)
4/21/2026HouseH. adopted am. (Amendment 2 - HA1150)
4/21/2026HousePassed H., as am., Ayes 88, Nays 0, PNV 0
4/21/2026HouseSponsor(s) Added.
4/21/2026HouseEngrossed; ready for transmission to Sen.
4/21/2026HouseRec. for pass. if am., ref. to Calendar & Rules Committee
4/14/2026HousePlaced on cal. Calendar & Rules Committee for 4/14/2026
4/14/2026HouseH. Placed on Regular Calendar for 4/16/2026
4/14/2026HouseRec. for pass by s/c ref. to Finance, Ways, and Means Committee
4/8/2026HousePlaced on cal. Finance, Ways, and Means Committee for 4/14/2026
4/8/2026HouseSponsor(s) Added.
4/6/2026HouseRec. for pass. if am., ref. to Finance, Ways, and Means Committee
4/1/2026House
Bill Text
HA0996 (Substitute)
4/21/2026
Enrolled / Public Chapter
Fiscal Note
HA1150
Introduced
SA0830
SA1078
SA1079
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