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TennesseeSB 0890114th General Assembly (2025-2026)SenateWALLET

AN ACT to amend Tennessee Code Annotated, Title 8; Title 47; Title 56; Title 63 and Title 68, relative to health records.

Sponsored By: Shane Reeves (Republican)

Became Law

Health Care

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Bill Overview

Analyzed Economic Effects

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

Insurers must share health data digitally

Beginning July 1, 2025, health insurers in Tennessee must run standard digital connections for health data. They must provide five types: patient access, provider directory, payer-to-payer exchange, provider access, and prior authorization. These tools let insured people and in-network providers view and share health records and prior authorization details. Insurers must have each tool live by the earliest date that CMS requires for any of their plan types.

Old state health record rules removed

Beginning July 1, 2025, the law deletes subsection (b) and (c) of §63-2-104 and subsection (c) of §56-7-128. Those prior state rules no longer apply. This cleanup aligns the code with the new standard digital data-sharing system and reduces conflicting rules. But it also ends any rights or duties that were only in those deleted parts.

Sponsors & Cosponsors

Sponsor

  • Shane Reeves

    Republican • Senate

Cosponsors

  • Joey Hensley

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 130 • No: 0

House vote • 4/21/2025

FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/21/2025

Yes: 92 • No: 0

Senate vote • 3/13/2025

FLOOR VOTE: as Amended Third Consideration 3/13/2025

Yes: 31 • No: 0

Senate vote • 3/4/2025

SENATE COMMERCE AND LABOR COMMITTEE

Yes: 7 • No: 0

Actions Timeline

  1. Pub. Ch. 447

    5/15/2025

  2. Effective date(s) 07/01/2025

    5/15/2025

  3. Signed by Governor.

    5/9/2025Senate

  4. Transmitted to Governor for action.

    5/1/2025Senate

  5. Signed by H. Speaker

    4/30/2025House

  6. Signed by Senate Speaker

    4/29/2025Senate

  7. Enrolled and ready for signatures

    4/28/2025Senate

  8. Subst. for comp. HB.

    4/21/2025House

  9. Am. withdrawn. (Amendment 1 - HA0258)

    4/21/2025House

  10. Passed H., Ayes 92, Nays 0, PNV 0

    4/21/2025House

  11. Rcvd. from S., held on H. desk.

    3/17/2025House

  12. Senate adopted Amendment (Amendment 1 - SA0067)

    3/13/2025Senate

  13. Passed Senate as amended, Ayes 31, Nays 0

    3/13/2025Senate

  14. Sponsor(s) Added.

    3/13/2025Senate

  15. Engrossed; ready for transmission to House

    3/13/2025Senate

  16. Placed on Senate Regular Calendar for 3/13/2025

    3/11/2025Senate

  17. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 7, Nays 0 PNV 0

    3/4/2025Senate

  18. Action deferred in Senate Commerce and Labor Committee to 3/4/2025

    2/25/2025Senate

  19. Placed on Senate Commerce and Labor Committee calendar for 3/4/2025

    2/25/2025Senate

  20. Placed on Senate Commerce and Labor Committee calendar for 3/4/2025

    2/25/2025Senate

  21. Placed on Senate Commerce and Labor Committee calendar for 2/25/2025

    2/18/2025Senate

  22. Passed on Second Consideration, refer to Senate Commerce and Labor Committee

    2/12/2025Senate

  23. Introduced, Passed on First Consideration

    2/10/2025Senate

  24. Filed for introduction

    2/5/2025Senate

Bill Text

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