TennesseeHB 2498114th General Assembly (2025-2026)HouseWALLET

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

Sponsored By: Sponsor information unavailable

Signed by Governor

TennCare

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Bill Overview

Analyzed Economic Effects

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

TennCare ends gender-identity coverage

Beginning July 1, 2026, TennCare stops paying for care meant to help someone live as a different sex or to treat identity-related distress. This includes surgeries, puberty blockers, and hormones defined as medical procedures. The rule applies to care done in Tennessee or when the patient is in Tennessee, including by telehealth. TennCare also cannot pay for different later procedures done only for those purposes.

Limited TennCare exceptions and grace period

Beginning July 1, 2026, TennCare can still cover care that treats a birth defect, early puberty, a disease (not gender dysphoria or related mental conditions), or a physical injury. If a treatment began before July 1, 2026, TennCare may keep paying only if it ends by March 31, 2027. The treating doctor must put in writing that stopping would harm the patient and include supporting findings in the medical record. This temporary continuation ends March 31, 2027.

Sponsors & Cosponsors

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

Effective date(s) 07/01/2026
4/24/2026
Pub. Ch. 765
4/24/2026
Signed by Governor.
4/16/2026
Transmitted to Governor for his action.
4/7/2026House
Signed by Senate Speaker
4/6/2026Senate
Signed by H. Speaker
4/6/2026House
Enrolled; ready for sig. of H. Speaker.
4/1/2026House
Passed Senate, Ayes 27, Nays 6
3/30/2026Senate
Senate substituted House Bill for companion Senate Bill.
3/30/2026Senate
Received from House, Passed on First Consideration
3/16/2026Senate
Engrossed; ready for transmission to Sen.
3/12/2026House
Passed H., Ayes 73, Nays 14, PNV 0
3/12/2026House
Sponsor(s) Added.
3/12/2026House
H. Placed on Regular Calendar for 3/12/2026
3/9/2026House
Objected to on Consent Calendar.
3/9/2026House
Sponsor(s) Added.
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
Sponsor(s) Added.
3/3/2026House
Rec. for pass; ref to Calendar & Rules Committee
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

Bill Text

Enrolled / Public Chapter
PDF
Fiscal Note
PDF
Introduced
PDF

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