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HB0533 • 2026

Health Care

AN ACT to amend Tennessee Code Annotated, Title 63 and Title 68, relative to reproductive health care.

Abortion Children Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Rudder, Massey
Last action
2025-04-29
Official status
Comp. became Pub. Ch. 247
Effective date
Not listed

Plain English Breakdown

The bill summary and digest do not provide specific details about the effective date or insurance coverage requirements.

Fertility Treatment and Contraceptive Protection Act

This act ensures individuals' rights to engage in activities related to fertility treatments and contraception without facing legal restrictions from Tennessee laws.

What This Bill Does

  • Defines 'fertility treatment' to include methods like preserving eggs, sperm, or embryos for future use, artificial insemination, genetic testing of embryos, medication prescribed or obtained over-the-counter as indicated for fertility, gamete donation, and other related services.
  • Specifies that individuals have the right to engage in activities associated with fertility treatments and contraception without facing legal restrictions from Tennessee laws.
  • Clarifies that healthcare providers can perform fertility treatments and contraceptives if they are licensed or authorized by state law.
  • Limits the definition of 'contraceptive' to products legally marketed under federal drug regulations as of July 1, 2025.

Who It Names or Affects

  • Individuals seeking fertility treatment or contraception
  • Healthcare providers offering fertility services

Terms To Know

Fertility Treatment
Medical procedures and methods used to help individuals conceive a child, including preserving reproductive cells for future use.
Contraceptive
Any device or medication intended to prevent pregnancy that is legally marketed under federal drug laws as of July 1, 2025.

Limits and Unknowns

  • The act does not create a legal requirement for insurance coverage of fertility treatments.
  • It only applies to contraceptives and fertility treatments that are legally available as of July 1, 2025.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Amendment 1-0 to HB0533

Plain English: The amendment adds new sections to Tennessee laws that protect individuals' rights to use contraception and receive fertility treatments without restrictions from state laws.

  • Adds definitions for terms like 'contraception', 'fertility treatment', and 'healthcare provider'.
  • Establishes a right for individuals to engage in activities related to contraception and fertility treatment, ensuring healthcare providers can perform these services.
  • Clarifies that this amendment does not create an entitlement or funding requirement for such treatments.
  • The exact impact on existing laws is unclear without further context.
Amendment 2-0 to HB0533

Plain English: This amendment adds new sections to Tennessee laws to protect and define reproductive health services like contraception and fertility treatments.

  • Adds definitions for terms such as 'contraception', 'fertility treatment', and 'healthcare provider'.
  • States that the law does not prohibit fertility treatment or contraception, nor their use in the state.
  • Establishes that human life begins at fertilization according to Tennessee's laws.
  • The amendment text does not specify how these protections will be enforced or funded.
Amendment 3-0 to HB0533

Plain English: The amendment changes the definition of 'contraceptive' to exclude abortion-inducing drugs.

  • Removes and replaces part of SECTION 2 that defines what a contraceptive is, specifically excluding abortion-inducing drugs from this category.
  • The exact impact on reproductive health care services in Tennessee is not fully explained by the amendment text alone.
  • It's unclear how this change will affect access to or funding for specific types of contraception and related medical procedures.
Amendment 4-0 to HB0533

Plain English: This amendment changes the effective date of certain provisions in HB0533 to July 1, 2025.

  • Changes the end date for a provision from an unspecified time to July 1, 2025.
  • Removes SECTION 3 entirely and replaces it with new language setting the act's effective date.
  • The amendment text does not specify which exact provisions are affected by changing their end date.
  • It is unclear what specific content was removed from or added to SECTION 3 beyond setting a new effective date.
Amendment 1-0 to SB0449

Plain English: The amendment adds new sections to Tennessee laws that protect individuals' rights to use contraception and receive fertility treatments without restrictions from other state laws.

  • Adds definitions for terms like 'contraception', 'fertility treatment', and 'healthcare provider'.
  • Establishes a right for individuals to engage in activities related to contraception and fertility treatment, ensuring healthcare providers can perform these services.
  • Clarifies that this amendment does not create an entitlement or funding requirement for such treatments.
  • The exact impact on existing laws is unclear without further context.

Bill History

  1. 2025-04-29 Tennessee General Assembly

    Comp. became Pub. Ch. 247

  2. 2025-04-29 Tennessee General Assembly

    Effective date(s) 07/01/2025

  3. 2025-04-29 Tennessee General Assembly

    Pub. Ch. 247

  4. 2025-04-24 Tennessee General Assembly

    Signed by Governor.

  5. 2025-04-21 Tennessee General Assembly

    Transmitted to Governor for action.

  6. 2025-04-21 Tennessee General Assembly

    Signed by H. Speaker

  7. 2025-04-17 Tennessee General Assembly

    Signed by Senate Speaker

  8. 2025-04-16 Tennessee General Assembly

    Enrolled and ready for signatures

  9. 2025-04-14 Tennessee General Assembly

    Sponsor(s) Added.

  10. 2025-04-14 Tennessee General Assembly

    Concurred, Ayes 27, Nays 3 (Amendment 4 - HA0357)

  11. 2025-04-11 Tennessee General Assembly

    Placed on Senate Message Calendar for 4/14/2025

  12. 2025-04-10 Tennessee General Assembly

    Comp. SB subst.

  13. 2025-04-10 Tennessee General Assembly

    Sponsor(s) Added.

  14. 2025-04-10 Tennessee General Assembly

    Passed H., as am., Ayes 54, Nays 37, PNV 8

  15. 2025-04-10 Tennessee General Assembly

    Am. withdrawn. (Amendment 1 - HA0183)

  16. 2025-04-10 Tennessee General Assembly

    H. adopted am. (Amendment 4 - HA0357)

  17. 2025-04-10 Tennessee General Assembly

    Am. withdrawn. (Amendment 3 - HA0317)

  18. 2025-04-10 Tennessee General Assembly

    Am. tabled. (Amendment 2 - HA0312)

  19. 2025-04-10 Tennessee General Assembly

    Subst. for comp. HB.

  20. 2025-04-09 Tennessee General Assembly

    Sponsor(s) Added.

  21. 2025-04-08 Tennessee General Assembly

    Sponsor(s) Added.

  22. 2025-04-07 Tennessee General Assembly

    Sponsor(s) Added.

  23. 2025-04-03 Tennessee General Assembly

    H. Placed on Regular Calendar for 4/10/2025

  24. 2025-04-02 Tennessee General Assembly

    Placed on cal. Calendar & Rules Committee for 4/3/2025

  25. 2025-03-25 Tennessee General Assembly

    Rec. for pass. if am., ref. to Calendar & Rules Committee

  26. 2025-03-20 Tennessee General Assembly

    Rcvd. from S., held on H. desk.

  27. 2025-03-19 Tennessee General Assembly

    Placed on cal. Health Committee for 3/25/2025

  28. 2025-03-18 Tennessee General Assembly

    Action def. in Health Committee to 3/25/2025

  29. 2025-03-18 Tennessee General Assembly

    Sponsor(s) Added.

  30. 2025-03-17 Tennessee General Assembly

    Engrossed; ready for transmission to House

  31. 2025-03-17 Tennessee General Assembly

    Passed Senate as amended, Ayes 29, Nays 0

  32. 2025-03-17 Tennessee General Assembly

    Senate adopted Amendment (Amendment 1 - SA0107)

  33. 2025-03-17 Tennessee General Assembly

    Sponsor(s) Added.

  34. 2025-03-14 Tennessee General Assembly

    Placed on Senate Regular Calendar for 3/17/2025

  35. 2025-03-12 Tennessee General Assembly

    Placed on cal. Health Committee for 3/18/2025

  36. 2025-03-12 Tennessee General Assembly

    Sponsor(s) Added.

  37. 2025-03-12 Tennessee General Assembly

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

  38. 2025-03-11 Tennessee General Assembly

    Rec. for pass. if am., ref. to Health Committee

  39. 2025-03-11 Tennessee General Assembly

    Sponsor(s) Added.

  40. 2025-03-11 Tennessee General Assembly

    Sponsor(s) Added.

  41. 2025-03-05 Tennessee General Assembly

    Placed on s/c cal Population Health Subcommittee for 3/11/2025

  42. 2025-03-05 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 3/12/2025

  43. 2025-02-12 Tennessee General Assembly

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

  44. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  45. 2025-02-05 Tennessee General Assembly

    Assigned to s/c Population Health Subcommittee

  46. 2025-02-05 Tennessee General Assembly

    P2C, ref. to Health Committee

  47. 2025-02-03 Tennessee General Assembly

    Intro., P1C.

  48. 2025-01-29 Tennessee General Assembly

    Filed for introduction

  49. 2025-01-29 Tennessee General Assembly

    Filed for introduction

Official Summary Text

This bill enacts the "Fertility Treatment and Contraceptive Protection Act," which provides that (i) an individual has
a right to engage in activities associated with fertility treatment and contraception; (ii) the laws of this state do not prohibit an activity associated with fertility treatment or contraception; and (iii) the laws of this state clearly and unambiguously

acknowledge the right of an individual to perform, and the right of an individual to receive or use, fertility treatment and contraceptives in this state.

As used in this bill, "fertility treatment" includes (i) the preservation of human oocytes, sperm,
or embryos for later reproductive use; (ii) artificial insemination, including intravaginal insemination, intracervical insemination, and intrauterine insemination; (iii) assisted reproductive technology, including in vitro fertilization and other treatme
n
ts or procedures in which reproductive genetic material, such as oocytes, sperm, fertilized eggs, and embryos, are handled; (iv) genetic testing of embryos; (v) medication prescribed or obtained over-the-counter, as indicated for fertility; (vi) gamete do
n
ation; and (vii) other information, referrals, treatments, procedures, medications, laboratory testing, technologies, or services relating to fertility.

ON MARCH 17, 2025, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 449, AS AMENDED.

AMENDMEN
T #1 makes the following revisions:



Defines, for purposes of the bill, a "healthcare provider" as an individual who is licensed, certified, registered, or otherwise authorized or permitted by the laws of this state to administer health care in the ordinary course of business in the practicing of a profession.



Defines, for purposes of the bill, a "person" as an individual human being.



Clarifies that the law of this state clearly and unambiguously acknowledges the right of a healthcare provider, instead of an individual, to perform, and the right of a person to receive or use, fertility treatment and contraceptives in this state.



Clarifies that the bill does not create an entitlement to fertility treatment or contraception, or to coverage of or funding or reimbursement for fertility treatment or contraception.

ON APRIL 10, 2025, THE HOUSE SUBSTITUTED SENATE BILL 449 FOR HOUSE BILL 533, ADOPTED AMENDMENT #4, AND PASSED SENATE BILL 449, AS AMENDED.

AMENDMENT #4 specifies that contraceptives that this bil
l declares not to be prohibited under state law includes only those products that are
legally marketed under the federal Food, Drug, and Cosmetic Act

as of July 1, 2025
. This amendment also changes this bill's effective date from upon becoming a law to
Ju
ly 1, 2025.

Current Bill Text

Read the full stored bill text
SENATE BILL 449
By Massey

HOUSE BILL 533
By Rudder

HB0533
001852
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 63
and Title 68, relative to reproductive health care.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. This act is known and may be cited as the "Fertility Treatment and
Contraceptive Protection Act."
SECTION 2. Tennessee Code Annotated, Title 63, Chapter 1, Part 1, is amended by
adding the following as a new section:
(a) As used in this section:
(1) "Contraception" means an action taken to prevent pregnancy,
including the use of contraceptives, emergency contraceptives, fertility
awareness-based methods, and sterilization procedures;
(2) "Contraceptive" means any device, medication, biological product, or
procedure that is intended for use in the prevention of pregnancy, whether
specifically intended to prevent pregnancy or for other health needs, and that is
legally marketed under the federal Food, Drug, and Cosmetic Act (21 U.S.C. §
301 et seq.); and
(3) "Fertility treatment" includes:
(A) The preservation of human oocytes, sperm, or embryos for
later reproductive use;
(B) Artificial insemination, including intravaginal insemination,
intracervical insemination, and intrauterine insemination;

- 2 - 001852

(C) Assisted reproductive technology, including in vitro fertilization
and other treatments or procedures in which reproductive genetic
material, such as oocytes, sperm, fertilized eggs, and embryos, are
handled;
(D) Genetic testing of embryos;
(E) Medication prescribed or obtained over-the-counter, as
indicated for fertility;
(F) Gamete donation; and
(G) Other information, referrals, treatments, procedures,
medications, laboratory testing, technologies, or services relating to
fertility.
(b) Notwithstanding another law, an individual has a right to engage in activities
associated with fertility treatment and contraception. The laws of this state do not
prohibit an activity associated with fertility treatment or contraception. The law of this
state clearly and unambiguously acknowledges the right of an individual to perform, and
the right of an individual to receive or use, fertility treatment and contraceptives in this
state.
SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it.