Tennessee 114th General Assembly Status: Enacted 11 R cosponsors

SB 2040 — AN ACT to amend Tennessee Code Annotated, Title 63, relative to the ownership or control of pharmacies by pharmacy benefits managers.

Last action — Effective date(s) 05/22/2026

  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 22, 2026. Enacted.

Signed by Governor Bill Lee (Republican) on April 30, 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 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 11 sponsors

    1 primary, 10 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (11 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.

In plain language

The bill addresses ownership and control of pharmacies by pharmacy benefits managers in Tennessee.

This legislation proposes amendments to how pharmacies can be owned or controlled by pharmacy benefits managers. It aims to alter the regulations that govern these relationships in Tennessee.

What this means for you
  • Families: Families could see changes in their access to pharmacy services depending on the outcomes of these amendments.
  • Consumers: Consumers might experience different pharmacy service options based on new regulations.
  • Healthcare: This means healthcare providers may face changes in how pharmacies operate under PBMs.

Summary

Pharmacy, Pharmacists - As enacted, enacts the "Freedom, Access, and Integrity in Registered Pharmacy (FAIR Rx) Act." - Amends TCA Title 63.

Bill Text

Action History

  1. Filed for introduction

  2. Intro., P1C.

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

  4. Assigned to s/c Health Subcommittee

  5. Reassigned to Insurance Committee - Government Operations for Review

  6. Assigned to s/c Insurance Subcommittee

  7. Sponsor(s) Added.

  8. Sponsor(s) Added.

  9. Sponsor(s) Added.

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

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

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

  13. Sponsor(s) Added.

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

  15. Sponsor(s) Added.

  16. Placed on cal. Government Operations Committee for 3/16/2026

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

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

  19. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/25/2026

  20. Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/1/2026

  21. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/1/2026

  22. Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/8/2026

  23. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/8/2026

  24. Placed behind the budget

  25. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026

  26. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/15/2026

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

  28. Placed on cal. Finance, Ways, and Means Committee for 4/15/2026

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

  30. Placed on cal. Calendar & Rules Committee for 4/16/2026

  31. H. Placed on Regular Calendar for 4/20/2026

  32. Comp. SB subst.

  33. Sponsor(s) Added.

  34. Comp. became Pub. Ch. 1111

  35. Filed for introduction

  36. Sponsor(s) Added.

  37. Introduced, Passed on First Consideration

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

  39. Sponsor(s) Added.

  40. Sponsor(s) Added.

  41. Placed on Senate Health and Welfare Committee calendar for 2/25/2026

  42. Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 1 PNV 0

  43. Placed on Senate Finance, Ways, and Means Committee calendar for 3/17/2026

  44. Action deferred in Senate Finance, Ways, and Means Committee to 3/24/2026

  45. Placed on Senate Finance, Ways, and Means Committee calendar for 3/24/2026

  46. Sponsor(s) Added.

  47. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 2 PNV 0

  48. Placed on Senate Regular Calendar for 4/21/2026

  49. Placed on Senate Regular Calendar for 4/20/2026

  50. Senate adopted Amendment (Amendment 2 - SA0841)

  51. Senate adopted Amendment (Amendment 3 - SA0842)

  52. Senate adopted Amendment (Amendment 4 - SA1052)

  53. Amendment withdrawn. (Amendment 1 - SA0533)

  54. Passed Senate as amended, Ayes 24, Nays 9

  55. Engrossed; ready for transmission to House

  56. Sponsor(s) Added.

  57. Subst. for comp. HB.

  58. Am. withdrawn. (Amendment 1 - HA0648)

  59. Am. withdrawn. (Amendment 2 - HA0649)

  60. Am. withdrawn. (Amendment 3 - HA1228)

  61. Passed H., Ayes 86, Nays 7, PNV 0

  62. Enrolled and ready for signatures

  63. Signed by Senate Speaker

  64. Signed by H. Speaker

  65. Transmitted to Governor for action.

  66. Signed by Governor.

  67. Pub. Ch. 1111

  68. Effective date(s) 05/22/2026

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 2040 do?
Pharmacy, Pharmacists - As enacted, enacts the "Freedom, Access, and Integrity in Registered Pharmacy (FAIR Rx) Act." - Amends TCA Title 63.
Who sponsors SB 2040?
SB 2040 is sponsored by Harshbarger, Bobby (Republican), Haile, Ferrell (Republican), Reeves, Shane (Republican), McNally, Randy (Republican), Hatcher, Tom (Republican), Lowe, Adam (Republican), Watson, Bo (Republican), Yager, Ken (Republican), Hensley, Joey (Republican), Bowling, Janice (Republican), and Pody, Mark (Republican).
What is the current status of SB 2040?
This bill has been enacted into law. Introduced January 22, 2026. Enacted.
Where can I track SB 2040?
Track SB 2040 free on One Click Politics — get push/email alerts when it moves.

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