Official Summary Text
ON APRIL 15, 2026, THE HOUSE ADOPTED AMENDMENT #1 AND PASSED HOUSE BILL 2503, AS AMENDED.
AMENDMENT #1 rewrites the bill to, instead, authorize a
health insurance entity
to
offer a short-term limited-duration plan
and
hospital indemnity coverage
on the marketplace.
SHORT-TERM LIMITED-DURATION PLAN
This amendment authorizes a health insurance entity to offer a short-term limited-duration plan if the plan complies with the duration limitations or requirements imposed by federal law for a short-term limited-duration plan to be offered on the marketpla
ce, and provides no less than the following minimum coverage and benefits:
A per person deductible of no more than $10,000 per term.
A per family deductible for all covered family members of no more than $10,000 per term.
A coinsurance of no more than 20% per term.
A maximum out-of-pocket coinsurance of no more than $5,000 per term.
A maximum benefit, per person, per term, of one million dollars.
Coverage with a copay of no more than $50 per person, per term, for a visit with a physician for the enrollee's history and exam only.
Coverage with a copay of no more than $50 per person, per term, for an urgent care visit.
A copay of no more than 20% of the reasonable and customary charges for: (i) a preventative care visit, (ii) an emergency room visit for accident or illness, (iii) an inpatient hospital service, (iv) an outpatient surgery, (v) a lab, and (vi) an x-ray.
Four tiers of pharmacy benefits for outpatient prescription drugs as follows: (i) for the first tier, coverage of preferred generic drugs with a copay of no more than $25 and no deductible, (ii) for the second tier, coverage of generic drugs, (iii) for the third tier, coverage of preferred brand drugs, and (iv) for the fourth tier, coverage of non-preferred generic and non-preferred brand name drugs.
This amendment provides that except as provided under federal law :
A health insurance entity offering a plan pursuant to this amendment may require an individual to meet eligibility requirements to enroll in the plan.
A plan offered pursuant to this amendment must comply with present law.
A health insurance entity may offer benefits or coverage under a short-term limited-duration plan on the marketplace that exceed the minimum requirements described above.
HOSPITAL INDEMNITY COVERAGE
This amendment authorizes a health insurance entity to offer hospital indemnity coverage if the coverage allows an individual to choose from five tiers that provide at least the following coverage:
For the first tier, a deductible of no more than $2,500.
For the second tier, a deductible of no more than $5,000.
For the third tier, a deductible of no more than $7,500.
For the fourth tier, a deductible of no more than $10,000.
For the fifth tier, a deductible of no more than $15,000.
This amendment provides that except as provided under federal law :
A health insurance entity offering coverage pursuant to this amendment may require an individual to meet eligibility requirements to enroll in the coverage.
Coverage offered pursuant to this amendment must comply with present law.
A health insurance entity may offer benefits or coverage under a hospital indemnity policy on the marketplace that exceed the minimum requirements as described above.
CONFLICTS OF LAW
If this amendment conflicts with federal law, then the federal law controls to the extent of the conflict.
RULEMAKING
This amendment requires the department of commerce and insurance to promulgate rules to effectuate the bill.
EFFECTIVE DATES
This amendment provides that notwithstanding another law to the contrary, the authorization of the sale of short-term limited-duration plans and the sale of hospital indemnity coverage on the marketplace takes effect on the
30
th day following the passage or issuance of a federal law or regulation allowing the sale of short-term limited-duration plans and the sale of hospital indemnity coverage on the marketplace
.
Current Bill Text
Read the full stored bill text
SENATE BILL 2557
By Reeves
HOUSE BILL 2503
By Sexton
HB2503
012308
- 1 -
AN ACT to amend Tennessee Code Annotated, Title 3;
Title 4; Title 5; Title 6; Title 7; Title 8; Title 10; Title
12; Title 29; Title 35; Title 36; Title 37; Title 39;
Title 40; Title 41; Title 42; Title 45; Title 47; Title
49; Title 50; Title 52; Title 53; Title 56; Title 58;
Title 63; Title 67; Title 68 and Title 71, relative to
health insurance.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 56-7-1013(f)(1), is amended by
deleting "ten (10) business days" and substituting "nine (9) business days".
SECTION 2. This act takes effect upon becoming a law, the public welfare requiring it.