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TennesseeSB 2153114th General Assembly (2025-2026)SenateWALLET

AN ACT to amend Tennessee Code Annotated, Title 33 and Title 68, Chapter 1, relative to early childhood mental health programs.

Sponsored By: Page Walley (Republican)

Signed by Governor

Health, Dept. of

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Home mental health visits for young kids

Beginning July 1, 2026, Tennessee runs a voluntary, at‑home mental health program for children birth through age five. Services include parent‑child therapy by licensed clinicians, care coordination to connect you with medical, school, housing, and social help, and developmental and mental health checks. Families facing socioeconomic, environmental, or behavioral health challenges get priority. Care follows evidence‑based, trauma‑informed standards with program fidelity checks.

TennCare and grants fund home visits

Beginning July 1, 2026, the state can use federal funds, state money, grants, and donations to run the program. TennCare may cover medically necessary services, if managed care agreements allow. If your family has TennCare, your visits can be covered under those rules. The state also seeks philanthropy and community partners to add support.

Rules and provider standards for program

The Department of Health can set program rules with the mental health department, following the state rulemaking process. This rulemaking authority takes effect upon becoming law. Starting July 1, 2026, providers must use licensed clinicians and trained care coordinators and meet department qualifications and evaluation standards. The program must coordinate with other state efforts to avoid duplicate services.

Sponsors & Cosponsors

Sponsor

  • Page Walley

    Republican • Senate

Cosponsors

  • Becky Duncan Massey

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 105 • No: 25

House vote • 4/2/2026

FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/2/2026

Yes: 71 • No: 17

Senate vote • 3/12/2026

FLOOR VOTE: Third Consideration 3/12/2026

Yes: 28 • No: 5

Senate vote • 3/4/2026

SENATE HEALTH AND WELFARE COMMITTEE

Yes: 6 • No: 3

Actions Timeline

  1. Signed by Governor.

    4/21/2026Senate

  2. Transmitted to Governor for action.

    4/10/2026Senate

  3. Signed by H. Speaker

    4/9/2026House

  4. Enrolled and ready for signatures

    4/6/2026Senate

  5. Signed by Senate Speaker

    4/6/2026Senate

  6. Subst. for comp. HB.

    4/2/2026House

  7. Passed H., Ayes 71, Nays 17, PNV 5

    4/2/2026House

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

    3/16/2026House

  9. Passed Senate, Ayes 28, Nays 5

    3/12/2026Senate

  10. Engrossed; ready for transmission to House

    3/12/2026Senate

  11. Sponsor(s) Added.

    3/12/2026Senate

  12. Placed on Senate Regular Calendar for 3/12/2026

    3/10/2026Senate

  13. Recommended for passage, refer to Senate Calendar Committee

    3/4/2026Senate

  14. Action deferred in Senate Health and Welfare Committee to 3/4/2026

    2/25/2026Senate

  15. Placed on Senate Health and Welfare Committee calendar for 3/4/2026

    2/25/2026Senate

  16. Placed on Senate Health and Welfare Committee calendar for 2/25/2026

    2/18/2026Senate

  17. Passed on Second Consideration, refer to Senate Health and Welfare Committee

    2/5/2026Senate

  18. Filed for introduction

    2/2/2026Senate

  19. Introduced, Passed on First Consideration

    2/2/2026Senate

Bill Text

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