2025-2026 Regular SessionTennessee Legislature

HB0858: AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy.

Legislative Summary

As introduced, requires the commissioner to conduct a study on the ease of access for patients and prescribing practitioners to insurers' online processes to request step therapy exceptions to determine whether insurers in this state are complying with the current law requirement for ease of access in a manner that does not impose any unnecessary barriers to making an exception request; requires the commissioner to deliver findings and recommendations from the study to the chief clerks of the senate and house of representatives and the legislative librarian no later than December 15, 2025. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71.

Demographic Impact

Overall analysis of equity impact

70% Positive
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Bill History

2/4/2025
Filed for introduction
House of Representatives
2/5/2025
Intro., P1C.
House of Representatives
2/6/2025
P2C, caption bill, held on desk - pending amdt.
House of Representatives
2/10/2025
Sponsor(s) Added.
House of Representatives
3/10/2025
Sponsor(s) Added.
House of Representatives
3/11/2025
Ref. to Insurance Committee
House of Representatives
3/11/2025
Assigned to s/c Insurance Subcommittee
House of Representatives
3/12/2025
Placed on s/c cal Insurance Subcommittee for 3/19/2025
House of Representatives
3/19/2025
Rec for pass if am by s/c ref. to Insurance Committee
House of Representatives
3/19/2025
Placed on cal. Insurance Committee for 3/25/2025
House of Representatives
3/25/2025
Rec. for pass. if am., ref. to Calendar & Rules Committee
House of Representatives
3/26/2025
Placed on cal. Calendar & Rules Committee for 3/27/2025
House of Representatives
3/27/2025
H. Placed on Regular Calendar for 3/31/2025
House of Representatives
3/31/2025
H. adopted am. (Amendment 1 - HA0149)
House of Representatives
3/31/2025
Passed H., as am., Ayes 94, Nays 0, PNV 0
House of Representatives
3/31/2025
Sponsor(s) Added.
House of Representatives
4/1/2025
Engrossed; ready for transmission to Sen.
House of Representatives
4/3/2025
Received from House, Passed on First Consideration
Senate
4/16/2025
Senate substituted House Bill for companion Senate Bill.
Senate
4/16/2025
Senate adopted Amendment (Amendment 1 - SA0243)
Senate
4/16/2025
Passed Senate as amended, Ayes 33, Nays 0
Senate
4/16/2025
H. Placed on Message Calendar 4/17/2025
House of Representatives
4/21/2025
H. concurred in S. am. no. 1 Ayes 92, Nays 0 PNV 1 HB0858
House of Representatives
4/23/2025
Enrolled; ready for sig. of H. Speaker.
House of Representatives

Amendments

HA0149

Amendment 1-0 to HB0858

3/25/2025Not Adopted

Roll Call Votes

FLOOR VOTE: MESSAGE CALENDAR CONCUR IN SENATE AMENDMENT # 1
4/21/2025
92
Yea
0
Nay
1
Not Voting
0
Absent
Result: PASSED
FLOOR VOTE: as Amended Third Consideration
4/16/2025
33
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION
3/31/2025
94
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee
3/25/2025
18
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED
INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee
3/19/2025
6
Yea
0
Nay
0
Not Voting
0
Absent
Result: PASSED

Status Information

Current Status
Enrolled(4/23/2025)
Chamber
House of Representatives

Documents

Draft
Bill Text2/6/20258.4 KB
Draft
Bill Text2/4/20258.3 KB
Fiscal Note/Analysis
Fiscal Note/Analysis3/24/2025120.1 KB
Fiscal Note
Fiscal Note3/4/2025116.2 KB