Loading chat...
TN HB2457
Bill
Status
2/3/2026
Primary Sponsor
Torrey Harris
Click for details
AI Summary
-
Requires managed care organizations (MCOs) and pharmacy benefits managers (PBMs) contracted with TennCare to reimburse claims for long-acting injectable HIV treatment and prevention drugs
-
Allows these injectable drugs to be administered in pharmacies, physician's offices, clinics, ambulatory surgical treatment centers, or hospitals
-
Mandates that MCOs and PBMs covering such claims as medical benefits must also cover them as pharmacy benefits, giving providers flexibility in billing
-
Prohibits duplicate reimbursement by limiting providers to payment under either the pharmacy benefit or medical benefit for each individual treatment
-
Takes effect July 1, 2026
Legislative Description
AN ACT to amend Tennessee Code Annotated, Title 4; Title 56 and Title 71, relative to the coverage of long-acting injectable drugs for the treatment or prevention of human immunodeficiency virus.
TennCare
Last Action
Taken off notice for cal in s/c Tenncare Subcommittee of Insurance Committee
3/3/2026