Tennessee 114th General Assembly Status: Passed Senate 1 R cosponsors

SB 0650 — AN ACT to amend Tennessee Code Annotated, Title 4 and Title 71, relative to TennCare.

Last action — Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2026

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

This bill has passed the Senate. Introduced January 27, 2025. It now moves to the second chamber.

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

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

Stalled 28% · moderate confidence

  • Passed Senate

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

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, enacts "Emma's Bill," which requires that when making a determination of medical necessity, the bureau shall take into consideration the patient's overall condition and use such overall condition as a factor to determine the level of funding and what medical items and services the patient receives, even if such determination does not result in the least costly course of diagnosis or treatment. - Amends TCA Title 4 and Title 71.

Bill Text

Action History

  1. Filed for introduction

  2. Intro., P1C.

  3. P2C, ref. to Insurance Committee

  4. Assigned to s/c Tenncare Subcommittee

  5. Placed on s/c cal Tenncare Subcommittee for 2/18/2025

  6. Rec. for pass by s/c ref. to Insurance Committee

  7. Placed on cal. Insurance Committee for 2/26/2025

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

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

  10. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/12/2025

  11. Placed behind the budget

  12. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2025

  13. Filed for introduction

  14. Introduced, Passed on First Consideration

  15. Passed on Second Consideration, refer to Senate Health and Welfare Committee

  16. Placed on Senate Health and Welfare Committee calendar for 2/26/2025

  17. Recommended for passage, refer to Senate Finance, Ways, and Means Committee

  18. Rule #83(8) Suspended, to be heard in Senate Finance, Ways & Means Committee on 4/15/2025

  19. Placed on Senate Finance, Ways, and Means Committee calendar for 4/15/2025

  20. Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2025

  21. Placed on Senate Finance, Ways, and Means Committee calendar for 4/20/2026

  22. Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2026

  23. Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2026

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 132 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (132)

132 members have not signed on to this bill.

Show all 132 →

"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

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 0650 do?
TennCare - As introduced, enacts "Emma's Bill," which requires that when making a determination of medical necessity, the bureau shall take into consideration the patient's overall condition and use such overall condition as a factor to determine the level of funding and what medical items and services the patient receives, even if such determination does not result in the least costly course of diagnosis or treatment. - Amends TCA Title 4 and Title 71.
Who sponsors SB 0650?
SB 0650 is sponsored by Crowe, Rusty (Republican).
What is the current status of SB 0650?
This bill has passed the Senate. Introduced January 27, 2025. It now moves to the second chamber.
Where can I track SB 0650?
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