Tennessee 114th General Assembly Status: Enacted 12 R cosponsors

SB 2118 — AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, relative to TennCare.

Last action — Comp. became Pub. Ch. 765

  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 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 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 12 sponsors

    1 primary, 11 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (12 R).

  • Cleared a recorded vote

    Passed 2 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

TennCare - As enacted, prohibits the division from providing coverage or reimbursement for a medical procedure performed on, or administered to, an individual if the performance or administration of the procedure is for the purpose of enabling the individual to identify with, or live as, a purported identity inconsistent with the individual's sex, or treat purported discomfort or distress from a discordance between the individual's sex and asserted identity. - Amends TCA Title 71, Chapter 5.

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 2/17/2026

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

  7. Sponsor(s) Added.

  8. Placed on cal. Insurance Committee for 3/3/2026

  9. Sponsor(s) Added.

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

  11. Sponsor(s) Added.

  12. Placed on cal. Calendar & Rules Committee for 3/5/2026

  13. H. Placed on Consent Calendar for 3/9/2026

  14. Sponsor(s) Added.

  15. Objected to on Consent Calendar.

  16. H. Placed on Regular Calendar for 3/12/2026

  17. Sponsor(s) Added.

  18. Passed H., Ayes 73, Nays 14, PNV 0

  19. Engrossed; ready for transmission to Sen.

  20. Received from House, Passed on First Consideration

  21. Senate substituted House Bill for companion Senate Bill.

  22. Passed Senate, Ayes 27, Nays 6

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

  24. Signed by H. Speaker

  25. Signed by Senate Speaker

  26. Transmitted to Governor for his action.

  27. Signed by Governor.

  28. Pub. Ch. 765

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

  30. Filed for introduction

  31. Introduced, Passed on First Consideration

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

  33. Placed on Senate Health and Welfare Committee calendar for 3/11/2026

  34. Action deferred in Senate Health and Welfare Committee to 3/18/2026

  35. Placed on Senate Health and Welfare Committee calendar for 3/17/2026

  36. Recommended for passage, refer to Senate Calendar Committee

  37. Placed on Senate Regular Calendar for 3/30/2026

  38. Sponsor(s) Added.

  39. Companion House Bill substituted

  40. Comp. became Pub. Ch. 765

Sponsors

Sponsorship breakdown

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1 sponsors · 11 co-sponsors · 121 not signed on

Sponsors (1)

Co-sponsors (11)

Not signed on (121)

121 members have not signed on to this bill.

Show all 121 →

"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

civil-rights healthcare
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 2118 do?
TennCare - As enacted, prohibits the division from providing coverage or reimbursement for a medical procedure performed on, or administered to, an individual if the performance or administration of the procedure is for the purpose of enabling the individual to identify with, or live as, a purported identity inconsistent with the individual's sex, or treat purported discomfort or distress from a discordance between the individual's sex and asserted identity. - Amends TCA Title 71, Chapter 5.
Who sponsors SB 2118?
SB 2118 is sponsored by Lowe, Adam (Republican), Haile, Ferrell (Republican), Bailey, Paul (Republican), Bowling, Janice (Republican), Hatcher, Tom (Republican), Hensley, Joey (Republican), Johnson, Jack (Republican), Rose, Paul (Republican), Seal, Jessie (Republican), Stevens, John (Republican), Taylor, Brent (Republican), and White, Dawn (Republican).
What is the current status of SB 2118?
This bill has been enacted into law. Introduced January 22, 2026. Enacted.
Where can I track SB 2118?
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