Tennessee 114th General Assembly Status: Enacted Bipartisan · 5 R · 1 D cosponsors

HB 0858 — AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy.

Last action — Effective date(s) 01/01/2026

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

This bill has been enacted into law. Introduced February 04, 2025. Enacted.

Signed by Governor Bill Lee (Republican) on April 30, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high 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

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 7 sponsors

    1 primary, 6 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 R · 1 D) — cross-party backing.

  • 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

Commerce and Insurance, Dept. of - As enacted, revises law relative to the treatment and coverage of treatment for stage 4 advanced metastatic cancer, blood cancer, metastatic blood cancer, and associated conditions; makes related changes. - Amends TCA Title 8; 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. Sponsor(s) Added.

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

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

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

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

  9. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0

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

  11. Companion House Bill substituted

  12. Sponsor(s) Added.

  13. Comp. became Pub. Ch. 505

  14. Filed for introduction

  15. Intro., P1C.

  16. P2C, caption bill, held on desk - pending amdt.

  17. Sponsor(s) Added.

  18. Sponsor(s) Added.

  19. Ref. to Insurance Committee

  20. Assigned to s/c Insurance Subcommittee

  21. Placed on s/c cal Insurance Subcommittee for 3/19/2025

  22. Rec for pass if am by s/c ref. to Insurance Committee

  23. Placed on cal. Insurance Committee for 3/25/2025

  24. Rec. for pass. if am., ref. to Calendar & Rules Committee

  25. Placed on cal. Calendar & Rules Committee for 3/27/2025

  26. H. Placed on Regular Calendar for 3/31/2025

  27. H. adopted am. (Amendment 1 - HA0149)

  28. Sponsor(s) Added.

  29. Passed H., as am., Ayes 94, Nays 0, PNV 0

  30. Engrossed; ready for transmission to Sen.

  31. Received from House, Passed on First Consideration

  32. Senate substituted House Bill for companion Senate Bill.

  33. Senate adopted Amendment (Amendment 1 - SA0243)

  34. Passed Senate as amended, Ayes 33, Nays 0

  35. H. Placed on Message Calendar 4/17/2025

  36. H. concurred in S. am. no. 1 Ayes 92, Nays 0 PNV 1 HB0858

  37. Enrolled; ready for sig. of H. Speaker.

  38. Signed by H. Speaker

  39. Signed by Senate Speaker

  40. Transmitted to Governor for his action.

  41. Signed by Governor.

  42. Pub. Ch. 505

  43. Effective date(s) 01/01/2026

Sponsors

Sponsorship breakdown

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1 sponsors · 6 co-sponsors · 126 not signed on

Sponsors (1)

Co-sponsors (6)

Not signed on (126)

126 members have not signed on to this bill.

Show all 126 →

"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 health-insurance
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 0858 do?
Commerce and Insurance, Dept. of - As enacted, revises law relative to the treatment and coverage of treatment for stage 4 advanced metastatic cancer, blood cancer, metastatic blood cancer, and associated conditions; makes related changes. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71.
Who sponsors HB 0858?
HB 0858 is sponsored by Jones R, Alexander, Rebecca K. (Republican), Terry, Bryan (Republican), Helton-Haynes, Esther (Republican), Hardaway, T.J. (Democrat), Lynn, Susan M. (Republican), and Littleton, Mary (Republican).
What is the current status of HB 0858?
This bill has been enacted into law. Introduced February 04, 2025. Enacted.
Where can I track HB 0858?
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Last checked for changes 3 months ago · updated continuously

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