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: Cameron Sexton (Republican)
Signed by Governor
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
Cameron Sexton
Republican • House
Cosponsors
Justin Lafferty
Republican • House
Ryan Williams
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 MOTION TO ADOPT AMENDMENT # 2 BY JONES J AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/15/2026
Yes: 19 • No: 76
House vote • 4/15/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/15/2026
Yes: 74 • No: 20
House vote • 4/13/2026
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
Bill Text
HA0901 (Substitute)
4/15/2026
Enrolled / Public Chapter
Fiscal Note
HA1117
Introduced
SA1014
Related Bills
HB 2530, AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 29, Part 2; Title 20, Chapter 9, Part 6; Title 55, Chapter 17, Part 1; Title 62, Chapter 13; Title 62, Chapter 18; Title 62, Chapter 2; Title 62, Chapter 20; Title 62, Chapter 27; Title 62, Chapter 35; Title 62, Chapter 4; Title 62, Chapter 6; Title 62, Chapter 76; Title 68, Chapter 102 and Title 68, Chapter 105, relative to professions regulated by the department of commerce and insurance.
HB 2541, AN ACT to amend Tennessee Code Annotated, Title 12, Chapter 4, Part 4, relative to the prevailing wage rate.
HB 2509, AN ACT to amend Tennessee Code Annotated, Title 7, Chapter 53; Title 13; Title 48, Chapter 101, Part 3; Title 56 and Title 67, relative to housing.
HB 2510, AN ACT to amend Tennessee Code Annotated, Title 67, Chapter 6, relative to tax revenue.
HB 2502, AN ACT to amend Tennessee Code Annotated, Title 4; Title 38; Title 39; Title 45; Title 47; Title 49 and Title 67, relative to money transmission.
HB 2533, AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 29; Title 5, Chapter 21; Title 8, Chapter 50, Part 8; Title 49, Chapter 10, Part 1; Title 49, Chapter 10, Part 14; Title 49, Chapter 11, Part 1; Title 49, Chapter 11, Part 8; Title 49, Chapter 13; Title 49, Chapter 15, Part 1; Title 49, Chapter 16, Part 2; Title 49, Chapter 17; Section 49-2-203; Title 49, Chapter 3, Part 1; Title 49, Chapter 5, Part 4; Title 49, Chapter 50, Part 10; Title 49, Chapter 50, Part 16; Title 49, Chapter 50, Part 18; Title 49, Chapter 6, Part 10; Title 49, Chapter 6, Part 15; Title 49, Chapter 6, Part 22; Title 49, Chapter 6, Part 23; Title 49, Chapter 6, Part 30; Title 49, Chapter 6, Part 34; Title 49, Chapter 6, Part 42; Title 49, Chapter 6, Part 81; Title 49, Chapter 1, Part 2; Title 49, Chapter 1, Part 3 and Section 68-204-110, relative to education.