Tennessee 114th General Assembly Status: Enacted Bipartisan · 6 R · 1 D cosponsors

HB 2243 — AN ACT to amend Tennessee Code Annotated, Title 8; Title 56 and Title 71, relative to healthcare provider reimbursement.

Last action — Comp. became Pub. Ch. 797

  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 January 22, 2026. Enacted.

Signed by Governor Bill Lee (Republican) on April 06, 2026.

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.

  • 9 sponsors

    1 primary, 8 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (6 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

Insurance, Health, Accident - As enacted, enacts the "Stopping Health Insurers from Excluding Legal Decisions (SHIELD) Act." - Amends TCA Title 8; Title 56 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 3/3/2026

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

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

  7. Senate Reset on calendar for 3/26/2026

  8. Sponsor(s) Added.

  9. Placed on Senate Regular Calendar for 3/26/2026

  10. Sponsor(s) Added.

  11. Senate adopted Amendment (Amendment 1 - SA0579)

  12. Passed Senate as amended, Ayes 29, Nays 0

  13. Sponsor(s) Added.

  14. Engrossed; ready for transmission to House

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

  16. Subst. for comp. HB.

  17. Am. withdrawn. (Amendment 1 - HA0831)

  18. H. adopted am. (Amendment 2 - HA0832)

  19. Passed H., as am., Ayes 80, Nays 12, PNV 0

  20. Placed on Senate Message Calendar for 4/2/2026

  21. Concurred, Ayes 32, Nays 0 (Amendment 2 - HA0832)

  22. Sponsor(s) Added.

  23. Enrolled and ready for signatures

  24. Signed by Senate Speaker

  25. Signed by H. Speaker

  26. Transmitted to Governor for action.

  27. Signed by Governor.

  28. Pub. Ch. 797

  29. Effective date(s) 07/01/2026

  30. Filed for introduction

  31. Intro., P1C.

  32. Sponsor(s) Added.

  33. Sponsor change.

  34. Sponsor(s) withdrawn.

  35. P2C, ref. to Insurance Committee

  36. Assigned to s/c Insurance Subcommittee

  37. Sponsor(s) Added.

  38. Sponsor(s) Added.

  39. Placed on s/c cal Insurance Subcommittee for 3/4/2026

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

  41. Placed on cal. Insurance Committee for 3/10/2026

  42. Action def. in Insurance Committee to 3/17/2026

  43. Placed on cal. Insurance Committee for 3/17/2026

  44. Action def. in Insurance Committee to 3/24/2026

  45. Placed on cal. Insurance Committee for 3/24/2026

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

  47. Placed on cal. Calendar & Rules Committee for 3/26/2026

  48. H. Placed on Regular Calendar for 3/30/2026

  49. Sponsor(s) Added.

  50. Comp. SB subst.

  51. Comp. became Pub. Ch. 797

Sponsors

Sponsorship breakdown

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1 sponsors · 8 co-sponsors · 124 not signed on

Sponsors (1)

  • Martin B

Co-sponsors (8)

Not signed on (124)

124 members have not signed on to this bill.

Show all 124 →

"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

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 2243 do?
Insurance, Health, Accident - As enacted, enacts the "Stopping Health Insurers from Excluding Legal Decisions (SHIELD) Act." - Amends TCA Title 8; Title 56 and Title 71.
Who sponsors HB 2243?
HB 2243 is sponsored by Martin B, Jones R, Moody, Debra (Republican), Hill, Timothy (Republican), Reneau, Michele (Republican), Hale, Michael (Republican), Capley, Kip (Republican), Grills, Rusty (Republican), and Hakeem, Yusuf (Democrat).
What is the current status of HB 2243?
This bill has been enacted into law. Introduced January 22, 2026. Enacted.
Where can I track HB 2243?
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Last checked for changes 3 months ago · updated continuously

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