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Legislators with BillsLegislators(97)
Referred Bills (38)
As introduced, makes various changes to the law concerning the electronic delivery of health care and its coverage under insurance policies. - Amends TCA Title 56 and Section 63-1-155.
As introduced, prohibits a pharmacy benefit manager and certain other third parties from taking certain actions against entities and pharmacies participating in the federal 340B drug discount program; creates a private cause of action against violators. - Amends TCA Title 4; Title 56 and Title 71.
As introduced, extends the effective date of a commercial risk insurance policy cancellation from 10 days to 15 days after notice is mailed to a named insured. - Amends TCA Title 56 and Title 67.
As introduced, prohibits a health benefit plan that provides coverage for advanced metastatic cancer and associated conditions from requiring an enrollee to have failed to successfully respond to a different drug or prove a history of failure to a different drug as a prerequisite to the plan providing coverage of a prescription drug approved by the United States food and drug administration. - Amends TCA Title 8; Title 53; Title 56; Title 63; Title 68 and Title 71.
As introduced, removes statute encouraging insurance providers to develop a plan to provide only major medical insurance coverage for catastrophic illness requiring inpatient hospital care; moves to part of code on pharmacy benefits managers the requirement that pharmacy benefits managers notify within 14 days a pharmacist of a failure by any health insurer to provide timely payment for nondisputed claims. - Amends TCA Title 4; Title 8; Title 33; Title 53; Title 56; Title 63; Title 68 and Title 71.
As introduced, caps the total amount that a health insurance carrier can require a covered patient with diabetes to pay for a 30-day supply of insulin at no more than $100; caps the total price that a person who supplies prescription insulin drugs into or within this state for use by a patient with diabetes can charge for a 30-day supply of insulin at no more than $100. - Amends TCA Title 8; Title 53; Title 56, Chapter 7; Title 63 and Title 71, Chapter 5.
As introduced, requires the department of commerce and insurance to issue a report and provide an educational presentation by January 31 each year concerning the methodologies and approaches used by the department to ensure health plans are complying with the federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71.
As introduced, decreases from five to three business days, the date by which a pharmacy benefits manager or covered entity must remove a drug from the maximum allowable cost list following the date that the manager or entity becomes aware that the drug no longer is generally available for purchase by pharmacies in this state from a national or regional wholesaler. - Amends TCA Title 4; Title 8; Title 53; Title 56 and Title 71.
As introduced, requires insurance contracts to limit the risk to the assured and offer the best outcome for the assured based on the assured's informed choice given full disclosure to the assured of cost information by the other party; requires entities utilizing utilization review agents to implement a gold card program whereby certain prior authorization requirements or processes are waived. - Amends TCA Title 4; Title 8; Title 56 and Title 71.
As introduced, removes the preexisting condition exclusion from the mandated insurance coverage requirement for pregnancy. - Amends TCA Title 4; Title 8; Title 56 and Title 71.
As introduced, enacts the "Mental Healthcare and Substance Abuse Services Network Adequacy Act." - Amends TCA Title 4; Title 33; Title 47; Title 56 and Title 71.
As introduced, caps the total amount that a health insurance carrier can require a covered patient with diabetes to pay for a 30-day supply of insulin at no more than $100; requires the department of health and the division of consumer affairs to study and investigate the pricing of prescription insulin drugs and report findings no later than November 1, 2020. - Amends TCA Title 8; Title 53; Title 56, Chapter 7; Title 63; Title 68 and Title 71, Chapter 5.
As introduced, deletes the provision whereby, if a policy of insurance issued in this state provides for coverage of health care rendered by a healthcare provider covered, then the insured or other persons entitled to benefits under the policy are entitled to assign their benefits to the healthcare provider and such rights must be stated clearly in the policy. - Amends TCA Title 56 and Title 68.
As enacted, extends the Access Tennessee health insurance program from June 30, 2020, to June 30, 2025. - Amends TCA Section 56-7-2916.
As introduced, corrects a reference to the insurance and banking committee of the house of representatives by replacing it with a reference to the insurance committee of the house of representatives. - Amends TCA Title 33; Title 56; Title 63; Title 68 and Title 71.
As introduced, requires the commissioner of commerce and insurance to conduct a study to determine the amount of insurance policies that provide benefits for neurological disorders and the amount of claims for treatment of autism spectrum disorder within such policies; requires the commissioner to report to the commerce committees no later than January 1, 2020. - Amends TCA Title 4; Title 8 and Title 56.
As introduced, permits the commissioner to submit to the governor by electronic means the required annual report of all official department transactions for the preceding year. - Amends TCA Title 4 and Title 56.
As introduced, requires a health insurance entity on health plans issued, delivered, executed, amended, or renewed on or after July 1, 2020, to include in that health plan a special enrollment period that allows the enrollment of a pregnant individual at any time after the commencement of the pregnancy as certified by a healthcare professional acting within the healthcare professional's scope of practice. - Amends TCA Title 8; Title 56 and Title 71.
As introduced, prohibits pharmacy benefit managers from prohibiting a pharmacy or pharmacist from informing patients of all relative options pertaining to their prescription medications, including the cost or effectiveness of alternative medications, and whether a cash payment would cost less than an applicable insurance copayment or deductible. - Amends TCA Title 56, Chapter 7 and Title 63, Chapter 10.
As enacted, revises various provisions of the Revised Tennessee Captive Insurance Act. - Amends TCA Title 56.
As enacted, makes various changes to law concerning pharmacy benefits managers. - Amends TCA Title 56, Chapter 7, Part 31.
As enacted, enacts the "Tennessee Right to Shop Act." - Amends TCA Title 8; Title 33; Title 56; Title 63 and Title 68.
As enacted, allows the owner of a prearrangement insurance policy, and not just the beneficiary, to irrevocably assign the policy or policy benefits to a funeral establishment if the insurance company issuing the policy does not offer a funeral trust, or only offers a funeral trust for an additional charge. - Amends TCA Title 56 and Title 62, Chapter 5, Part 4.
As enacted, revises the notice requirements with which a health care facility must comply under certain circumstances in order to preserve an assignment of health insurance benefits to an out-of-network facility-based physician, or from collecting out-of-network charges from an insured. - Amends TCA Title 56 and Title 68.
As enacted, extends the authority to barter for healthcare services if the patient is not covered by health insurance to all healthcare professionals instead of only physicians. - Amends TCA Title 4; Title 8; Title 33; Title 56; Title 63; Title 68 and Title 71.
As enacted, enacts the "Proton Therapy Access Act." - Amends TCA Title 8; Title 56 and Title 71.
As introduced, requires the department to enter into a memorandum of understanding for collaboration in the development of a comprehensive healthcare information system, which must be accessible on the department's website. - Amends TCA Title 4; Title 33; Title 56; Title 63 and Title 68.
As introduced, removes restrictions on coverage of off-label drugs by insurers; removes definitions of medical literature and standard reference compendia. - Amends TCA Title 56; Title 63 and Title 71.
As introduced, adds a patient's residence and place of employment, if equipped to engage in telehealth communications, as locations a patient may be and receive telehealth services covered by health insurance; revises other telehealth provisions. - Amends TCA Title 56.
As introduced, clarifies that a written request for a hospital to provide a more detailed statement of services received and expenses incurred by a patient must be received by the hospital within one year of the patient's discharge in order for the hospital to be required to respond. - Amends TCA Title 10; Title 49; Title 56; Title 63; Title 68 and Title 71.
As introduced, removes the use of state-funded pharmacy benefits managers; removes certain exemption under public records law. - Amends TCA Title 4; Title 8; Title 10; Title 56; Title 63; Title 68 and Title 71.
As introduced, requires that a health benefit plan issued, entered into, or renewed on or after January 1, 2020, provide, at a minimum, coverage for certain items or services, immunizations, preventive care, and screenings. - Amends TCA Title 56, Chapter 7.
As introduced, authorizes the commissioner of commerce and insurance to make available to healthcare providers on the department's website any prescribed claim form for reporting by healthcare providers. - Amends TCA Title 8; Title 56; Title 68 and Title 71.
As introduced, reduces from 21 to 14 calendar days the time within which a health insurance entity must pay a claim for payment from a provider that is submitted electronically; establishes a period of 10 calendar days within which a health insurance entity must pay a claim received by electronic submission and that was approved through the entity's preauthorization process. - Amends TCA Title 56.
As introduced, enacts the "Medical Assistance Savings Act" to require health insurance policies to cover a dependent child until the child reaches 26 years of age. - Amends TCA Title 56.
As enacted, makes various changes to the “Tennessee Life and Health Insurance Guaranty Association Act,” which include excluding from coverage certain persons receiving payments through structured settlements, establishing procedures during delinquency proceedings, setting the amount of assessments for long-term care insurance written by impaired or insolvent member insurers, and other changes. - Amends TCA Section 56-12-202; Section 56-12-203; Section 56-12-204; Section 56-12-205; Section 56-12-207; Section 56-12-208 and Section 56-12-218.
As introduced, requires healthcare providers and healthcare facilities prior to providing healthcare services to inform a patient whether any health insurance policy carried by the patient is accepted, and whether the services provided will be considered in-network; provides an exception for patients experiencing medical emergencies. - Amends TCA Title 8; Title 33; Title 56; Title 63 and Title 68.
As introduced, requires health insurance to cover acupuncture services as a benefit beginning January 1, 2020. - Amends TCA Title 56, Chapter 7.