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Bill > HB1956

TN HB1956

TN HB1956
AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63; Title 68 and Title 71, relative to step therapy.

summary

Introduced
01/22/2026
In Committee
02/04/2026
Crossed Over
Passed
Dead

Introduced Session

114th General Assembly

Bill Summary

As introduced, expands the prohibition, from stage 4 advanced metastatic cancer or metastatic blood cancer to any cancer, against a health benefit plan that provides coverage for cancer requiring the use of a step therapy protocol before the health benefit plan provides coverage for an approved prescription drug to an enrollee who has received a diagnosis of cancer. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71.

AI Summary

This bill expands protections for cancer patients by prohibiting health benefit plans from requiring a "step therapy protocol" before covering an approved prescription drug for any cancer diagnosis, rather than just for stage 4 advanced metastatic cancer or metastatic blood cancer. Step therapy is a process where a health insurance plan requires patients to try certain less expensive drugs first before approving a more expensive, potentially more effective, drug prescribed by their doctor. This change aims to ensure that individuals diagnosed with any form of cancer can access the necessary prescription medications without unnecessary delays or hurdles imposed by their insurance provider, and it applies to policies and agreements entered into, renewed, or amended on or after January 1, 2027.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Assigned to s/c Insurance Subcommittee (on 02/04/2026)
(1 Companion Bills)

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