Tennessee 114th General Assembly Status: Enacted Bipartisan · 9 R · 2 D cosponsors

SB 0435 — AN ACT to amend Tennessee Code Annotated, Title 56 and Title 71, relative to coverage of biomarker testing.

Last action — Comp. became Pub. Ch. 929

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

This bill has been enacted into law. Introduced January 28, 2025. Enacted.

Signed by Governor Bill Lee (Republican) on April 30, 2026.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 11 sponsors

    1 primary, 10 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (9 R · 2 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

In plain language

The bill requires health insurers to cover biomarker testing starting January 1, 2027.

This bill mandates that health benefit plans cover biomarker testing when it is deemed medically necessary. The requirement applies to plans issued or renewed on or after January 1, 2027.

What this means for you
  • Workers: This means your health insurance may cover biomarker testing if it's medically necessary starting in 2027.
  • Families: You may benefit from insurance coverage for biomarker testing when needed, beginning in 2027.
  • Healthcare: Healthcare providers may expect insurance coverage for biomarker testing to be part of benefit plans from 2027.

Summary

Insurance, Health, Accident - As enacted, requires a health insurer that issues, amends, delivers, or renews a contract or agreement for a health benefit plan to take effect on or after January 1, 2027, to include coverage for biomarker testing; requires a TennCare health benefit plan that is issued, amended, or renewed on or after January 1, 2027, to provide coverage for biomarker testing when medically necessary. - Amends TCA Title 56 and Title 71.

Bill Text

Action History

  1. Filed for introduction

  2. Sponsor(s) Added.

  3. Intro., P1C.

  4. P2C, ref. to Insurance Committee - Government Operations for Review

  5. Assigned to s/c Insurance Subcommittee

  6. Sponsor(s) Added.

  7. Sponsor(s) Added.

  8. Placed on s/c cal Insurance Subcommittee for 3/5/2025

  9. Sponsor(s) Added.

  10. Sponsor(s) Added.

  11. Action Def. in s/c Insurance Subcommittee to 3/12/2025

  12. Placed on s/c cal Insurance Subcommittee for 3/12/2025

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

  14. Placed on cal. Insurance Committee for 3/19/2025

  15. Sponsor(s) Added.

  16. Sponsor(s) Added.

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

  18. Placed on cal. Government Operations Committee for 3/31/2025

  19. Sponsor(s) Added.

  20. Taken off notice for cal. in Government Operations Committee

  21. Placed on cal. Government Operations Committee for 2/9/2026

  22. Sponsor(s) Added.

  23. Rec. for pass; ref to Finance, Ways, and Means Committee

  24. Assigned to s/c Finance, Ways, and Means Subcommittee

  25. Sponsor(s) Added.

  26. Sponsor(s) Added.

  27. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/4/2026

  28. Placed behind the budget

  29. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/18/2026

  30. Sponsor(s) Added.

  31. Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee

  32. Placed on cal. Finance, Ways, and Means Committee for 3/24/2026

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

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

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

  36. Am. withdrawn. (Amendment 1 - HA0142)

  37. H. adopted am. (Amendment 2 - HA0800)

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

  39. Sponsor(s) Added.

  40. Engrossed; ready for transmission to Sen.

  41. Received from House, Passed on First Consideration

  42. Senate substituted House Bill for companion Senate Bill.

  43. Amendment withdrawn. (Amendment 1 - SA1015)

  44. Passed Senate, Ayes 29, Nays 1

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

  46. Signed by H. Speaker

  47. Signed by Senate Speaker

  48. Transmitted to Governor for his action.

  49. Signed by Governor.

  50. Pub. Ch. 929

  51. Effective date(s) 05/07/2026

  52. Filed for introduction

  53. Introduced, Passed on First Consideration

  54. Sponsor(s) Added.

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

  56. Sponsor(s) Added.

  57. Sponsor(s) Added.

  58. Sponsor(s) Added.

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

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

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

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

  63. Assigned to General Subcommittee of Senate Commerce and Labor Committee

  64. Sponsor(s) Added.

  65. Sponsor(s) Added.

  66. Placed on Senate Commerce and Labor Committee calendar for 3/3/2026

  67. Action deferred in Senate Commerce and Labor Committee to 3/10/2026

  68. Placed on Senate Commerce and Labor Committee calendar for 3/10/2026

  69. Action deferred in Senate Commerce & Labor Committee to 3/17/2026

  70. Placed on Senate Commerce and Labor Committee calendar for 4/7/2026

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

  72. Placed on Senate Regular Calendar for 4/16/2026

  73. Placed on Senate Regular Calendar for 4/16/2026

  74. Companion House Bill substituted

  75. Sponsor(s) Added.

  76. Comp. became Pub. Ch. 929

Sponsors

Sponsorship breakdown

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1 sponsors · 10 co-sponsors · 122 not signed on

Sponsors (1)

Co-sponsors (10)

Not signed on (122)

122 members have not signed on to this bill.

Show all 122 →

"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 SB 0435 do?
Insurance, Health, Accident - As enacted, requires a health insurer that issues, amends, delivers, or renews a contract or agreement for a health benefit plan to take effect on or after January 1, 2027, to include coverage for biomarker testing; requires a TennCare health benefit plan that is issued, amended, or renewed on or after January 1, 2027, to provide coverage for biomarker testing when medically necessary. - Amends TCA Title 56 and Title 71.
Who sponsors SB 0435?
SB 0435 is sponsored by Reeves, Shane (Republican), Akbari, Raumesh (Democrat), Campbell, Heidi (Democrat), Rose, Paul (Republican), Jackson, Ed (Republican), Hensley, Joey (Republican), White, Dawn (Republican), Bailey, Paul (Republican), Bowling, Janice (Republican), Hatcher, Tom (Republican), and Walley, Page (Republican).
What is the current status of SB 0435?
This bill has been enacted into law. Introduced January 28, 2025. Enacted.
Where can I track SB 0435?
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