TennesseeHB 2498114th General Assembly (2025-2026)HouseWALLET

AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

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Bill Overview

Analyzed Economic Effects

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

TennCare stops paying for gender identity care

Beginning July 1, 2026, TennCare does not pay for care meant to help someone live as a different gender or to treat distress about that. This includes surgeries, hormones, and puberty blockers. The rule applies to care done in Tennessee and to care you receive while you are in Tennessee, including telehealth from out-of-state providers. The law defines sex by anatomy and genetics at birth, which sets how these limits apply.

Limited TennCare exceptions and brief grace period

Starting July 1, 2026, TennCare can still pay for care that treats a congenital defect, early puberty, disease (not including gender dysphoria), or a physical injury. TennCare may also keep paying for gender identity‑related care that began before July 1, 2026, but only until March 31, 2027. Your treating doctor must write and file a certification, with findings, that stopping the care would be harmful. The grace period covers the same ongoing care and does not allow new or different procedures for gender identity.

Sponsors & Cosponsors

Sponsor

Kip Capley
Republican • House

Cosponsors

Mark Cochran
Republican • House
Clay Doggett
Republican • House
Rusty Grills
Republican • House
David B. Hawk
Republican • House
Dan Howell
Republican • House
Mary Littleton
Republican • House
Debra Moody
Republican • House
Jay D. Reedy
Republican • House
Tom Stinnett
Republican • House
Bryan Terry
Republican • House

Roll Call Votes

All Roll Calls

Yes: 119 • No: 23

Senate vote • 3/30/2026

FLOOR VOTE: Third Consideration 3/30/2026

Yes: 27 • No: 6

House vote • 3/12/2026

FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/12/2026

Yes: 73 • No: 14

House vote • 3/9/2026

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 3/3/2026

HOUSE INSURANCE COMMITTEE

Yes: 14 • No: 2

House vote • 2/17/2026

HOUSE TENNCARE SUBCOMMITTEE

Yes: 5 • No: 1

Actions Timeline

Signed by Governor.
4/16/2026
Transmitted to Governor for his action.
4/7/2026House
Signed by H. Speaker
4/6/2026House
Signed by Senate Speaker
4/6/2026Senate
Enrolled; ready for sig. of H. Speaker.
4/1/2026House
Senate substituted House Bill for companion Senate Bill.
3/30/2026Senate
Passed Senate, Ayes 27, Nays 6
3/30/2026Senate
Received from House, Passed on First Consideration
3/16/2026Senate
Passed H., Ayes 73, Nays 14, PNV 0
3/12/2026House
Sponsor(s) Added.
3/12/2026House
Engrossed; ready for transmission to Sen.
3/12/2026House
Sponsor(s) Added.
3/9/2026House
Objected to on Consent Calendar.
3/9/2026House
H. Placed on Regular Calendar for 3/12/2026
3/9/2026House
H. Placed on Consent Calendar for 3/9/2026
3/5/2026House
Placed on cal. Calendar & Rules Committee for 3/5/2026
3/4/2026House
Rec. for pass; ref to Calendar & Rules Committee
3/3/2026House
Sponsor(s) Added.
3/3/2026House
Sponsor(s) Added.
3/2/2026House
Placed on cal. Insurance Committee for 3/3/2026
2/25/2026House
Sponsor(s) Added.
2/18/2026House
Rec. for pass by s/c ref. to Insurance Committee
2/17/2026House
Placed on s/c cal Tenncare Subcommittee for 2/17/2026
2/11/2026House
P2C, ref. to Insurance Committee
2/5/2026House
Assigned to s/c Tenncare Subcommittee
2/5/2026House

Bill Text

Fiscal Note
PDF
Introduced
PDF

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