# Tennessee HB 2498: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare. Tennessee HB 2498, AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare., is a 114th General Assembly (2025-2026) House bill sponsored by no sponsor on record; status signed, last action 2026-04-24 (Effective date(s) 07/01/2026); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-HB2498-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Tennessee HB 2498 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare. - Status: signed - Chamber: House - Introduced: 2026-02-03 - Last action: 2026-04-24, Effective date(s) 07/01/2026 - Sponsors: no sponsor on record - Cosponsors: 10 - Subjects: TennCare - Touches household money: yes - Roll calls: 5 (119 yes, 23 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - TennCare ends gender-identity coverage: cost, high. 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 Ten… - Limited TennCare exceptions and grace period: mixed, medium. 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 do… ## Sponsors and cosponsors - Cosponsor: Mark Cochran (Republican), House - Cosponsor: Clay Doggett (Republican), House - Cosponsor: Rusty Grills (Republican), House - Cosponsor: David B. Hawk (Republican), House - Cosponsor: Dan Howell (Republican), House - Cosponsor: Mary Littleton (Republican), House - Cosponsor: Debra Moody (Republican), House - Cosponsor: Jay D. Reedy (Republican), House - Cosponsor: Tom Stinnett (Republican), House - Cosponsor: Bryan Terry (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-30 | Senate | FLOOR VOTE: Third Consideration 3/30/2026 | pass | 27 | 6 | | | 2026-03-12 | House | FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/12/2026 | pass | 73 | 14 | | | 2026-03-09 | House | HOUSE CALENDAR & RULES COMMITTEE | fail | 0 | 0 | | | 2026-03-03 | House | HOUSE INSURANCE COMMITTEE | pass | 14 | 2 | | | 2026-02-17 | House | HOUSE TENNCARE SUBCOMMITTEE | pass | 5 | 1 | | ## Actions (29) - 2026-04-24: Effective date(s) 07/01/2026 - 2026-04-24: Pub. Ch. 765 - 2026-04-16: Signed by Governor. - 2026-04-07: Transmitted to Governor for his action. (House) - 2026-04-06: Signed by Senate Speaker (Senate) - 2026-04-06: Signed by H. Speaker (House) - 2026-04-01: Enrolled; ready for sig. of H. Speaker. (House) - 2026-03-30: Passed Senate, Ayes 27, Nays 6 (Senate) - 2026-03-30: Senate substituted House Bill for companion Senate Bill. (Senate) - 2026-03-16: Received from House, Passed on First Consideration (Senate) - 2026-03-12: Engrossed; ready for transmission to Sen. (House) - 2026-03-12: Passed H., Ayes 73, Nays 14, PNV 0 (House) - 2026-03-12: Sponsor(s) Added. (House) - 2026-03-09: H. Placed on Regular Calendar for 3/12/2026 (House) - 2026-03-09: Objected to on Consent Calendar. (House) - 2026-03-09: Sponsor(s) Added. (House) - 2026-03-05: H. Placed on Consent Calendar for 3/9/2026 (House) - 2026-03-04: Placed on cal. Calendar & Rules Committee for 3/5/2026 (House) - 2026-03-03: Sponsor(s) Added. (House) - 2026-03-03: Rec. for pass; ref to Calendar & Rules Committee (House) - 2026-03-02: Sponsor(s) Added. (House) - 2026-02-25: Placed on cal. Insurance Committee for 3/3/2026 (House) - 2026-02-18: Sponsor(s) Added. (House) - 2026-02-17: Rec. for pass by s/c ref. to Insurance Committee (House) - 2026-02-11: Placed on s/c cal Tenncare Subcommittee for 2/17/2026 (House) - 2026-02-05: Assigned to s/c Tenncare Subcommittee (House) - 2026-02-05: P2C, ref. to Insurance Committee (House) - 2026-02-04: Intro., P1C. (House) - 2026-02-03: Filed for introduction (House) ## Bill text - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0765.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/SB2118.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/HB2498.pdf) ## Related bills - HB 2428: AN ACT to amend Tennessee Code Annotated, Title 39 and Title 40, relative to first responders. (failed) - HB 2381: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13, Chapter 7; Title 65 and Title 68, relative to utilities. (failed) - HB 2309: AN ACT to amend Tennessee Code Annotated, Title 29 and Title 39, relative to criminal conduct. (failed) - HB 2210: AN ACT to amend Tennessee Code Annotated, Title 7, Chapter 4; Title 58 and Title 67, Chapter 4, relative to disaster response. (failed) - HB 2223: AN ACT to amend Tennessee Code Annotated, Title 68, relative to fireworks. (failed) - HB 2204: AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 9 and Title 38, relative to compensation of law enforcement officers. (failed) ## Sources - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0765.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/SB2118.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/HB2498.pdf) ## Related - [HB 2428: AN ACT to amend Tennessee Code Annotated, Title 39 and Title 40, relative to fi…](https://policyrisk.com/state-bill/TN-HB2428-2025-2026) - [HB 2381: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13, Chapter 7; Title 6…](https://policyrisk.com/state-bill/TN-HB2381-2025-2026) - [HB 2309: AN ACT to amend Tennessee Code Annotated, Title 29 and Title 39, relative to cr…](https://policyrisk.com/state-bill/TN-HB2309-2025-2026) - [HB 2210: AN ACT to amend Tennessee Code Annotated, Title 7, Chapter 4; Title 58 and Titl…](https://policyrisk.com/state-bill/TN-HB2210-2025-2026) - [HB 2223: AN ACT to amend Tennessee Code Annotated, Title 68, relative to fireworks.](https://policyrisk.com/state-bill/TN-HB2223-2025-2026) - [HB 2204: AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 9 and Title 3…](https://policyrisk.com/state-bill/TN-HB2204-2025-2026) - [Tennessee bills](https://policyrisk.com/states/tennessee/bills) - [Tennessee state hub](https://policyrisk.com/states/tennessee) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/TN-HB2498-2025-2026 (as of 2026-11-01).