Tennessee 114th General Assembly Status: Passed House 4 R cosponsors

HB 0638 — AN ACT to amend Tennessee Code Annotated, Title 33; Title 56; Title 63; Title 68 and Title 71, relative to healthcare providers.

Last action — Sponsor(s) Added.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the House. Introduced February 03, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 54% · moderate confidence

  • Passed House

    Current position in the legislative process.

  • 4 sponsors

    1 primary, 3 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (4 R).

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

TennCare - As introduced, prohibits a healthcare provider who participates in the TennCare or CoverKids programs from refusing to provide healthcare services to an enrollee based solely upon the enrollee’s refusal to obtain a vaccine or immunization; prohibits the bureau from reimbursing a healthcare provider in violation of such prohibition; requires the director to adopt rules. - Amends TCA Title 33; Title 56; Title 63; Title 68 and Title 71.

Bill Text

Action History

  1. Filed for introduction

  2. Introduced, Passed on First Consideration

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

  4. Placed on Senate Commerce and Labor Committee calendar for 3/18/2025

  5. Placed on Senate Commerce and Labor Committee calendar for 3/18/2025

  6. Action deferred in Senate Commerce and Labor Committee to 3/25/2025

  7. Placed on Senate Commerce and Labor Committee calendar for 3/25/2025

  8. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0

  9. Sponsor(s) Added.

  10. Placed on Senate Regular Calendar for 4/16/2025

  11. Senate adopted Amendment (Amendment 1 - SA0238)

  12. Senate adopted Amendment (Amendment 2 - SA0239)

  13. Passed Senate as amended, Ayes 26, Nays 7

  14. Sponsor(s) Added.

  15. Engrossed; ready for transmission to House

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

  17. Subst. for comp. HB.

  18. H. adopted am. (Amendment 1 - HA0247)

  19. Passed H., as am., Ayes 66, Nays 23, PNV 3

  20. Placed on Senate Message Calendar for 4/22/2025

  21. Re-refer to S. Cal Comm

  22. Placed on Senate Message Calendar for 4/20/2026

  23. Senate refused to concur in amendment

  24. Sponsor(s) Added.

  25. H. refused to recede from am. no. 1

  26. Conf. comm. appointed. (Rep. Carringer, Bulso, Renuea, Hulsey, Terry, B. Martin, Clemmons)

  27. Senate refused to recede from its non-concurrence.

  28. Conference Committee appointed (Watson, Bowling, Kyle)

  29. Conf. comm. appointed. (Reps. Carringer, Bulso, Reneau, Hulsey, Terry, B. Martin, Clemmons)

  30. Conference Committee report adopted, Ayes 27, Nays 5

  31. Sponsor(s) Added.

  32. Filed for introduction

  33. Intro., P1C.

  34. P2C, ref. to Health Committee- Government Operations for Review

  35. Assigned to s/c Health Subcommittee

  36. Placed on s/c cal Health Subcommittee for 3/19/2025

  37. Action Def. in s/c Health Subcommittee to 3/26/2025

  38. Placed on s/c cal Health Subcommittee for 3/26/2025

  39. Rec for pass if am by s/c ref. to Health Committee

  40. Placed on cal. Health Committee for 4/1/2025

  41. Rec. for pass. if am., ref. to Government Operations Committee

  42. Placed on cal. Government Operations Committee for 4/7/2025

  43. Action def. in Government Operations Committee to 4/14/2025

  44. Placed on cal. Government Operations Committee for 4/14/2025

  45. Rec. for pass; ref to Calendar & Rules Committee

  46. Placed on cal. Calendar & Rules Committee for 4/17/2025

  47. H. Placed on Regular Calendar for 4/21/2025

  48. Comp. SB subst.

  49. Sponsor(s) Added.

Sponsors

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 129 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (129)

129 members have not signed on to this bill.

Show all 129 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Subjects

healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 0638 do?
TennCare - As introduced, prohibits a healthcare provider who participates in the TennCare or CoverKids programs from refusing to provide healthcare services to an enrollee based solely upon the enrollee’s refusal to obtain a vaccine or immunization; prohibits the bureau from reimbursing a healthcare provider in violation of such prohibition; requires the director to adopt rules. - Amends TCA Title 33; Title 56; Title 63; Title 68 and Title 71.
Who sponsors HB 0638?
HB 0638 is sponsored by Carringer, Michele (Republican), Davis, Elaine (Republican), Reneau, Michele (Republican), and Fritts, Monty (Republican).
What is the current status of HB 0638?
This bill has passed the House. Introduced February 03, 2025. It now moves to the second chamber.
Where can I track HB 0638?
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Last checked for changes 3 months ago · updated continuously

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