TennesseeSB 2070114th General Assembly (2025-2026)Senate

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to healthcare provider reimbursement.

Sponsored By: Sponsor information unavailable

Signed by Governor

Insurance, Health, Accident

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Bill Overview

Analyzed Economic Effects

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

No insurer penalties for providers with vaccine-exempt patients

Beginning July 1, 2026, health insurers in Tennessee must leave documented vaccine‑exempt patients out of your vaccination rate and any vaccine-based quality metric. They cannot count those patients in denominators used for scores, bonuses, or payment tiers. They cannot drop you from a network, cut your rates, downcode, or withhold incentives just because you keep exempt patients or miss a preventive standard due to the exemption. If they deny, reduce, or take back payment in violation of these rules, the claim is treated as a clean claim and can earn interest under state law. To exclude a patient from vaccine metrics, you must note the exemption in the chart and submit a claim with a non‑immunization diagnosis code (for example ICD Z28.0, Z28.1, or Z28.2). These protections apply to contracts entered into, delivered, amended, or renewed on or after July 1, 2026.

Sponsors & Cosponsors

Cosponsors

Janice Bowling
Republican • Senate
Rusty Crowe
Republican • Senate
Bobby Harshbarger
Republican • Senate
Joey Hensley
Republican • Senate
Mark Pody
Republican • Senate
Stevens
Affiliation unavailable
Page Walley
Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 149 • No: 12

Senate vote • 4/2/2026

FLOOR VOTE: Motion to Concur House Amendment # 2 4/2/2026

Yes: 32 • No: 0

House vote • 3/30/2026

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/30/2026

Yes: 80 • No: 12

Senate vote • 3/26/2026

FLOOR VOTE: as Amended Third Consideration 3/26/2026

Yes: 29 • No: 0

Senate vote • 3/3/2026

SENATE COMMERCE AND LABOR COMMITTEE

Yes: 8 • No: 0

Actions Timeline

Effective date(s) 07/01/2026
5/1/2026
Pub. Ch. 797
5/1/2026
Signed by Governor.
4/21/2026Senate
Transmitted to Governor for action.
4/10/2026Senate
Signed by H. Speaker
4/9/2026House
Signed by Senate Speaker
4/6/2026Senate
Enrolled and ready for signatures
4/6/2026Senate
Sponsor(s) Added.
4/2/2026Senate
Concurred, Ayes 32, Nays 0 (Amendment 2 - HA0832)
4/2/2026Senate
Placed on Senate Message Calendar for 4/2/2026
3/31/2026Senate
Passed H., as am., Ayes 80, Nays 12, PNV 0
3/30/2026House
H. adopted am. (Amendment 2 - HA0832)
3/30/2026House
Am. withdrawn. (Amendment 1 - HA0831)
3/30/2026House
Subst. for comp. HB.
3/30/2026House
Rcvd. from S., held on H. desk.
3/30/2026House
Engrossed; ready for transmission to House
3/26/2026Senate
Sponsor(s) Added.
3/26/2026Senate
Passed Senate as amended, Ayes 29, Nays 0
3/26/2026Senate
Senate adopted Amendment (Amendment 1 - SA0579)
3/26/2026Senate
Sponsor(s) Added.
3/25/2026Senate
Placed on Senate Regular Calendar for 3/26/2026
3/24/2026Senate
Sponsor(s) Added.
3/12/2026Senate
Senate Reset on calendar for 3/26/2026
3/12/2026Senate
Placed on Senate Regular Calendar for 3/12/2026
3/10/2026Senate
Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 1
3/3/2026Senate

Bill Text

HA0832
3/30/2026
PDF
Enrolled / Public Chapter
PDF
Fiscal Note
PDF
HA0831
PDF
Introduced
PDF
SA0579
PDF

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