All Roll Calls
Yes: 148 • No: 105
TennesseeHB 2503114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 3; Title 4; Title 5; Title 6; Title 7; Title 8; Title 10; Title 12; Title 29; Title 35; Title 36; Title 37; Title 39; Title 40; Title 41; Title 42; Title 45; Title 47; Title 49; Title 50; Title 52; Title 53; Title 56; Title 58; Title 63; Title 67; Title 68 and Title 71, relative to health insurance.
Sponsored By: CameronSpeaker Sexton, Cameron (Republican)
Became Law
Insurance, Health, Accident
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Short-term plans on the marketplace
Insurers can sell short-term health plans on Tennessee’s marketplace once federal rules allow it; sales start 30 days later. Plans must cover at least $10,000 per term, cap deductibles at $10,000 per person, and cap coinsurance at 20% with at most $5,000 in coinsurance out-of-pocket per term. The per-person maximum benefit per term is $1,000,000, and federal limits on plan length apply. Doctor and urgent care copays are no more than $50; ER, hospital, surgery, labs, and X-rays can charge up to 20%. Drug coverage uses four tiers, with Tier 1 preferred generics up to a $25 copay and no deductible; insurers may set eligibility rules and offer richer benefits.
Hospital indemnity plans on marketplace
Insurers can sell hospital indemnity coverage on Tennessee’s marketplace once federal rules allow it; sales start 30 days later. These plans pay fixed cash amounts for covered events, no matter what other insurance pays. You can choose a deductible of $2,500, $5,000, $7,500, $10,000, or $15,000. Coverage must meet state and federal compliance rules. Insurers may set eligibility rules and offer richer benefits.
Federal rules control these marketplace plans
Federal law controls these marketplace products. If any state rule in this law conflicts, the federal rule applies instead. This applies to short-term plans and hospital indemnity coverage sold on the marketplace.
Sponsors & Cosponsors
Sponsor
CameronSpeaker Sexton, Cameron
Republican • House
Cosponsors
Justin Lafferty, Justin
Republican • House
Ryan Williams, Ryan
Republican • House
Roll Call Votes
Senate vote • 4/21/2026
FLOOR VOTE: Third Consideration 4/21/2026
Yes: 24 • No: 9
House vote • 4/15/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/15/2026
Yes: 74 • No: 20
House vote • 4/15/2026
FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 2 BY JONES J AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/15/2026
Yes: 19 • No: 76
House vote • 4/13/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 4/6/2026
HOUSE GOVERNMENT OPERATIONS COMMITTEE
Yes: 10 • No: 0
House vote • 3/31/2026
HOUSE INSURANCE COMMITTEE
Yes: 15 • No: 0
House vote • 3/25/2026
INSURANCE SUBCOMMITTEE
Yes: 6 • No: 0
Actions Timeline
Pub. Ch. 1036
5/27/2026Effective date(s) 05/21/2026
5/27/2026Signed by Governor.
5/21/2026Transmitted to Governor for his action.
5/11/2026HouseSigned by Senate Speaker
5/5/2026SenateSigned by H. Speaker
4/30/2026HouseEnrolled; ready for sig. of H. Speaker.
4/27/2026HouseSenate substituted House Bill for companion Senate Bill.
4/21/2026SenateAmendment withdrawn. (Amendment 1 - SA1014)
4/21/2026SenatePassed Senate, Ayes 24, Nays 9
4/21/2026SenateH. adopted am. (Amendment 1 - HA0901)
4/15/2026HouseFailed to adopt am (Amendment 2- HA1117), Ayes 19, Nays 76, PNV 0
4/15/2026HousePassed H., as am., Ayes 74, Nays 20, PNV 0
4/15/2026HouseSponsor(s) Added.
4/15/2026HouseEngrossed; ready for transmission to Sen.
4/15/2026HouseReceived from House, Passed on First Consideration
4/15/2026SenateH. Placed on Regular Calendar for 4/13/2026
4/9/2026HousePlaced on cal. Calendar & Rules Committee for 4/9/2026
4/8/2026HouseRec. for pass; ref to Calendar & Rules Committee
4/6/2026HousePlaced on cal. Government Operations Committee for 4/6/2026
4/1/2026HouseRec. for pass. if am., ref. to Government Operations Committee
3/31/2026HouseRec for pass if am by s/c ref. to Insurance Committee
3/25/2026HousePlaced on cal. Insurance Committee for 3/31/2026
3/25/2026HouseSponsor(s) Added.
3/24/2026HouseNo Action Taken
3/18/2026House
Bill Text
HA0901 (Substitute)
4/15/2026
Enrolled / Public Chapter
Fiscal Note
HA1117
Introduced
SA1014
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