All Roll Calls
Yes: 153 • No: 4
TennesseeHB 1956114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy.
Sponsored By: Sponsor information unavailable
Signed by Governor
Insurance Companies, Agents, Brokers, Policies
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Broader drug protections for cancer patients
Beginning January 1, 2027, these protections apply to policies or agreements entered into, renewed, or amended on or after that date. Plans covering cancer and associated conditions cannot require patients diagnosed with cancer to try other treatments before covering approved prescription drugs. The law expands protections beyond advanced or metastatic cancers to cancer generally. The existing exception in Tennessee Code § 56-7-3502(h)(3) still applies. Tennessee’s commerce and insurance commissioner and health commissioner can issue rules through the state’s administrative rulemaking process.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
Clark Boyd
Republican • House
Rush Bricken
Republican • House
Karen D. Camper
Democrat • House
Kip Capley
Republican • House
Michele Carringer
Republican • House
Jesse Chism
Democrat • House
John Ray Clemmons
Democrat • House
Mark Cochran
Republican • House
John Crawford
Republican • House
Tandy Darby
Republican • House
Elaine Davis
Republican • House
Vincent Dixie
Democrat • House
Clay Doggett
Republican • House
Jeremy Faison
Republican • House
Andrew Farmer
Republican • House
Bob Freeman
Democrat • House
Ron M. Gant
Republican • House
John Gillespie
Republican • House
Ronnie Glynn
Democrat • House
Rusty Grills
Republican • House
Yusuf Hakeem
Democrat • House
Michael Hale
Republican • House
Torrey C. Harris
Democrat • House
David B. Hawk
Republican • House
Esther Helton-Haynes
Republican • House
Caleb Hemmer
Democrat • House
Gary Hicks
Republican • House
Tim Hicks
Republican • House
Dan Howell
Republican • House
Renea Jones
Republican • House
William Lamberth
Republican • House
Mary Littleton
Republican • House
Harold Love, Jr.
Democrat • House
Susan M. Lynn
Republican • House
Aron Maberry
Republican • House
Pat Marsh
Republican • House
Brock Martin
Republican • House
Jake McCalmon
Republican • House
Bo Mitchell
Democrat • House
Debra Moody
Republican • House
Jerome Moon
Republican • House
Antonio Parkinson
Democrat • House
Justin J. Pearson
Democrat • House
Jason Powell
Democrat • House
Powers
Affiliation unavailable
Kevin D. Raper
Republican • House
Iris Rudder
Republican • House
Lowell Russell
Republican • House
Rick Scarbrough
Republican • House
Paul Sherrell
Republican • House
William Slater
Republican • House
Bryan Terry
Republican • House
Travis
Affiliation unavailable
Greg Vital
Republican • House
White
Affiliation unavailable
Ryan Williams
Republican • House
Dave Wright
Republican • House
Jason Zachary
Republican • House
Roll Call Votes
Senate vote • 4/20/2026
FLOOR VOTE: Third Consideration 4/20/2026
Yes: 30 • No: 3
House vote • 4/6/2026
FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/6/2026
Yes: 90 • No: 1
House vote • 4/2/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 3/30/2026
HOUSE GOVERNMENT OPERATIONS COMMITTEE
Yes: 11 • No: 0
House vote • 3/24/2026
HOUSE INSURANCE COMMITTEE
Yes: 17 • No: 0
House vote • 3/11/2026
INSURANCE SUBCOMMITTEE
Yes: 5 • No: 0
Actions Timeline
Effective date(s) 01/01/2027
5/26/2026Pub. Ch. 995
5/26/2026Signed by Governor.
5/19/2026Transmitted to Governor for his action.
5/7/2026HouseSigned by Senate Speaker
5/5/2026SenateSigned by H. Speaker
4/30/2026HouseEnrolled; ready for sig. of H. Speaker.
4/23/2026HousePassed Senate, Ayes 30, Nays 3
4/20/2026SenateSenate substituted House Bill for companion Senate Bill.
4/20/2026SenateReceived from House, Passed on First Consideration
4/9/2026SenateEngrossed; ready for transmission to Sen.
4/6/2026HousePassed H., Ayes 90, Nays 1, PNV 4
4/6/2026HouseSponsor(s) Added.
4/6/2026HouseH. Placed on Regular Calendar for 4/6/2026
4/2/2026HousePlaced on cal. Calendar & Rules Committee for 4/2/2026
4/1/2026HouseRec. for pass; ref to Calendar & Rules Committee
3/30/2026HousePlaced on cal. Government Operations Committee for 3/30/2026
3/25/2026HouseRec. for pass; ref to Government Operations Committee
3/24/2026HouseSponsor(s) Added.
3/23/2026HousePlaced on cal. Insurance Committee for 3/24/2026
3/18/2026HouseAction def. in Insurance Committee to 3/24/2026
3/17/2026HouseSponsor(s) Added.
3/16/2026HouseSponsor(s) Added.
3/11/2026HousePlaced on cal. Insurance Committee for 3/17/2026
3/11/2026HouseRec. for pass by s/c ref. to Insurance Committee
3/11/2026House
Bill Text
Enrolled / Public Chapter
Fiscal Note
Introduced
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