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SB0225 • 2026

Chiropractors

AN ACT to amend Tennessee Code Annotated, Title 56, Chapter 7 and Title 63, relative to payment for services rendered by chiropractors.

Enacted

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

Sponsor
Taylor, Cepicky
Last action
2026-05-14
Official status
Comp. became Pub. Ch. 923
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Chiropractors

This bill prohibits health insurance entities from discriminating between a chiropractic physician and a physician with respect to the methodology used to calculate reimbursement or the amount of reimbursement.

What This Bill Does

  • This bill prohibits health insurance entities from discriminating between a chiropractic physician and a physician with respect to the methodology used to calculate reimbursement or the amount of reimbursement.
  • A health insurance entity cannot attempt t o circumvent this provision by creating a chiropractic-specific code or payment methodology, although it does not limit the ability of a health insurance entity to utilize national uniform relative value units that account for the relative resources used in furnishing a service or procedure.
  • However, this bill does not apply to TennCare, CoverKids, or insurance coverage provided by this state or local governments of this state.
  • ON APRIL 21, 2026, THE HOUSE ADOPTED AMENDMENTS #1 AND #2 AND PASSED HOUSE BILL 29, AS AMENDED.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

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

Amendment 1-0 to HB0029

Plain English: House Insurance 1 Amendment No.

  • House Insurance 1 Amendment No.
  • 1 to HB0029 Kumar Signature of Sponsor AMEND Senate Bill No.
  • 225 House Bill No.
  • 29* HA0083 004067 - 1 - by deleting all language after the enacting clause and substituting instead the following: SECTION 1.
Amendment 2-0 to HB0029

Plain English: House Finance, Ways, and Means 1 Amendment No.

  • House Finance, Ways, and Means 1 Amendment No.
  • 2 to HB0029 Hicks G Signature of Sponsor AMEND Senate Bill No.
  • 225 House Bill No.
  • 29* HA1202 016393 - 1 - by deleting the effective date section and substituting: SECTION 3.
Amendment 1-0 to SB0225

Plain English: Senate Commerce and Labor 1 Amendment No.

  • Senate Commerce and Labor 1 Amendment No.
  • 1 to SB0225 Bailey Signature of Sponsor AMEND Senate Bill No.
  • 225 House Bill No.
  • 29* SA0086 004067 - 1 - by deleting all language after the enacting clause and substituting instead the following: SECTION 1.
Amendment 2-0 to SB0225

Plain English: Senate Commerce and Labor 2 Amendment No.

  • Senate Commerce and Labor 2 Amendment No.
  • 2 to SB0225 Bailey Signature of Sponsor AMEND Senate Bill No.
  • 225 House Bill No.
  • 29* SA1030 017672 - 1 - by deleting all language after the enacting clause and substituting instead the following: SECTION 1.
Amendment 3-0 to SB0225

Plain English: Senate Finance, Ways, and Means 1 Amendment No.

  • Senate Finance, Ways, and Means 1 Amendment No.
  • 3 to SB0225 Stevens Signature of Sponsor AMEND Senate Bill No.
  • 225 House Bill No.
  • 29* SA1112 018545 - 1 - by deleting the effective date section and substituting instead: SECTION 3.

Bill History

  1. 2026-05-14 Tennessee General Assembly

    Comp. became Pub. Ch. 923

  2. 2026-05-14 Tennessee General Assembly

    Effective date(s) 01/01/2027

  3. 2026-05-14 Tennessee General Assembly

    Pub. Ch. 923

  4. 2026-05-07 Tennessee General Assembly

    Signed by Governor.

  5. 2026-05-06 Tennessee General Assembly

    Transmitted to Governor for his action.

  6. 2026-05-05 Tennessee General Assembly

    Signed by Senate Speaker

  7. 2026-04-30 Tennessee General Assembly

    Signed by H. Speaker

  8. 2026-04-30 Tennessee General Assembly

    Enrolled; ready for sig. of H. Speaker.

  9. 2026-04-24 Tennessee General Assembly

    Sponsor(s) Added.

  10. 2026-04-23 Tennessee General Assembly

    H. concurred in S. am. no. 3 Ayes 87, Nays 0 PNV 6

  11. 2026-04-23 Tennessee General Assembly

    Passed Senate as amended, Ayes 32, Nays 0, PNV 1

  12. 2026-04-23 Tennessee General Assembly

    Senate adopted Amendment (Amendment 3 - SA1112)

  13. 2026-04-23 Tennessee General Assembly

    Motion to reconsider adopted.

  14. 2026-04-23 Tennessee General Assembly

    Lift tableing motion

  15. 2026-04-22 Tennessee General Assembly

    Companion House Bill substituted

  16. 2026-04-22 Tennessee General Assembly

    Passed Senate, Ayes 29, Nays 0

  17. 2026-04-22 Tennessee General Assembly

    Amendment withdrawn. (Amendment 2 - SA1030)

  18. 2026-04-22 Tennessee General Assembly

    Amendment withdrawn. (Amendment 1 - SA0086)

  19. 2026-04-22 Tennessee General Assembly

    Senate substituted House Bill for companion Senate Bill.

  20. 2026-04-22 Tennessee General Assembly

    Received from House, Passed on First Consideration

  21. 2026-04-21 Tennessee General Assembly

    Placed on Senate Regular Calendar for 4/22/2026

  22. 2026-04-21 Tennessee General Assembly

    Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 11, Nays 0 PNV 0

  23. 2026-04-21 Tennessee General Assembly

    Engrossed; ready for transmission to Sen.

  24. 2026-04-21 Tennessee General Assembly

    Sponsor(s) Added.

  25. 2026-04-21 Tennessee General Assembly

    Passed H., as am., Ayes 82, Nays 7, PNV 1

  26. 2026-04-21 Tennessee General Assembly

    H. adopted am. (Amendment 2 - HA1202)

  27. 2026-04-21 Tennessee General Assembly

    H. adopted am. (Amendment 1 - HA0083)

  28. 2026-04-20 Tennessee General Assembly

    Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2026

  29. 2026-04-16 Tennessee General Assembly

    H. Placed on Regular Calendar for 4/20/2026

  30. 2026-04-15 Tennessee General Assembly

    Placed on cal. Calendar & Rules Committee for 4/16/2026

  31. 2026-04-15 Tennessee General Assembly

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

  32. 2026-04-15 Tennessee General Assembly

    Placed on cal. Finance, Ways, and Means Committee for 4/15/2026

  33. 2026-04-15 Tennessee General Assembly

    Rec for adopt by s/c ref. to Finance, Ways, and Means Committee

  34. 2026-04-15 Tennessee General Assembly

    Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/15/2026

  35. 2026-04-14 Tennessee General Assembly

    Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2026

  36. 2026-04-14 Tennessee General Assembly

    Placed on Senate Finance, Ways, and Means Committee calendar for 4/20/2026

  37. 2026-04-08 Tennessee General Assembly

    Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026

  38. 2026-04-07 Tennessee General Assembly

    Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 1 PNV 0

  39. 2026-04-01 Tennessee General Assembly

    Placed on Senate Commerce and Labor Committee calendar for 4/7/2026

  40. 2026-03-25 Tennessee General Assembly

    Placed behind the budget

  41. 2026-03-18 Tennessee General Assembly

    Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/25/2026

  42. 2026-03-10 Tennessee General Assembly

    Action deferred in Senate Commerce and Labor Committee to 3/17/2026

  43. 2026-03-04 Tennessee General Assembly

    Placed on Senate Commerce and Labor Committee calendar for 3/10/2026

  44. 2026-03-03 Tennessee General Assembly

    Action deferred in Senate Commerce and Labor Committee to 3/10/2026

  45. 2026-02-24 Tennessee General Assembly

    Placed on Senate Commerce and Labor Committee calendar for 3/3/2026

  46. 2025-03-31 Tennessee General Assembly

    Sponsor(s) Added.

  47. 2025-03-26 Tennessee General Assembly

    Taken off notice for cal in s/c Finance, Ways, and Means Subcommittee of Finance, Ways, and Means Committee

  48. 2025-03-25 Tennessee General Assembly

    Failed in Senate Commerce and Labor Committee

  49. 2025-03-19 Tennessee General Assembly

    Placed on Senate Commerce and Labor Committee calendar for 3/25/2025

  50. 2025-03-19 Tennessee General Assembly

    Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/26/2025

  51. 2025-03-19 Tennessee General Assembly

    Assigned to s/c Finance, Ways, and Means Subcommittee

  52. 2025-03-18 Tennessee General Assembly

    Action deferred in Senate Commerce and Labor Committee to 3/25/2025

  53. 2025-03-13 Tennessee General Assembly

    Placed on Senate Commerce and Labor Committee calendar for 3/18/2025

  54. 2025-03-12 Tennessee General Assembly

    Rec. for pass. if am., ref. to Finance, Ways, and Means Committee

  55. 2025-03-11 Tennessee General Assembly

    Placed on Senate Commerce and Labor Committee calendar for 3/18/2025

  56. 2025-03-11 Tennessee General Assembly

    Action deferred in Senate Commerce and Labor Committee to Final Calendar

  57. 2025-03-06 Tennessee General Assembly

    Sponsor(s) Added.

  58. 2025-03-05 Tennessee General Assembly

    Placed on Senate Commerce and Labor Committee calendar for 3/11/2025

  59. 2025-03-05 Tennessee General Assembly

    Placed on cal. Insurance Committee for 3/12/2025

  60. 2025-03-05 Tennessee General Assembly

    Action def. in Insurance Committee to 3/12/2025

  61. 2025-03-04 Tennessee General Assembly

    Sponsor(s) Added.

  62. 2025-03-03 Tennessee General Assembly

    Sponsor(s) Added.

  63. 2025-02-26 Tennessee General Assembly

    Placed on cal. Insurance Committee for 3/5/2025

  64. 2025-02-26 Tennessee General Assembly

    Rec for pass if am by s/c ref. to Insurance Committee

  65. 2025-02-25 Tennessee General Assembly

    Sponsor(s) Added.

  66. 2025-02-19 Tennessee General Assembly

    Placed on s/c cal Insurance Subcommittee for 2/26/2025

  67. 2025-02-10 Tennessee General Assembly

    Passed on Second Consideration, refer to Senate Commerce and Labor Committee

  68. 2025-01-28 Tennessee General Assembly

    Assigned to s/c Insurance Subcommittee

  69. 2025-01-27 Tennessee General Assembly

    Introduced, Passed on First Consideration

  70. 2025-01-17 Tennessee General Assembly

    Filed for introduction

  71. 2025-01-16 Tennessee General Assembly

    Ref. to Insurance Committee

  72. 2025-01-15 Tennessee General Assembly

    P2C held on desk, pending appointment of Standing Committees

  73. 2025-01-14 Tennessee General Assembly

    Sponsor(s) Added.

  74. 2025-01-14 Tennessee General Assembly

    Intro., P1C.

  75. 2024-12-11 Tennessee General Assembly

    Filed for introduction

Official Summary Text

This bill prohibits health insurance entities from discriminating between a chiropractic physician and a physician with respect to the methodology used to calculate reimbursement or the amount of reimbursement. A health insurance entity cannot attempt t
o circumvent this provision by creating a chiropractic-specific code or payment methodology, although it does not limit the ability of a health insurance entity to utilize national uniform relative value units that account for the relative resources used
in
furnishing a service or procedure. However, this bill does not apply to TennCare, CoverKids, or insurance coverage provided by this state or local governments of this state.

ON APRIL 21, 2026, THE HOUSE ADOPTED AMENDMENTS #1 AND #2 AND PASSED HOUSE BILL 29, AS AMENDED.

AMENDMENT #1 removes the exemption for insurance coverage provided by this state or local governments of this state.

AMENDMENT #2 changes this bill's effective date to July 1, 2026.

ON APRIL 23, 2026, THE SENATE LIFTED THE TABLING MOTION, RECONSIDERED ITS ACTION IN PASSING HOUSE BILL 29, ADOPTED AMENDMENT #3, AND PASSED HOUSE BILL 29, AS AMENDED.

AMENDMENT #3 changes the effective date of the bill to January 1, 2027.

Current Bill Text

Read the full stored bill text 
HOUSE BILL 29
By Cepicky

SENATE BILL 225
By Taylor

SB0225
000671
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 56,
Chapter 7 and Title 63, relative to payment for
services rendered by chiropractors.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 56-7-2404, is amended by deleting
the word "chiropractor" wherever it appears in subsection (a) and substituting "chiropractic
physician"; and is further amended by deleting the word "chiropractors" from subdivision (a)(2)
and substituting "chiropractic physicians".
SECTION 2. Tennessee Code Annotated, Section 56-7-2404(a), is amended by adding
the following new subdivision:
(3)
(A) When a health insurance entity is determining the amount of
reimbursement to be paid pursuant to subdivision (a)(1) or (2) for a service or
procedure that is identified and listed in a nationally recognized services and
procedures code book that is used by the health insurance entity, the health
insurance entity shall not discriminate between a chiropractic physician and a
physician licensed pursuant to title 63, chapter 6 or chapter 9, with respect to the
methodology used to calculate reimbursement or the amount of reimbursement.
A health insurance entity shall not attempt to circumvent this subdivision (a)(3) by
creating a chiropractic-specific code or payment methodology not listed in the
nationally recognized services and procedures code book used by the health
insurance entity for determining the amount of reimbursement.

- 2 - 000671

(B) This subdivision (a)(3) does not limit the ability of a health insurance
entity to utilize national uniform relative value units (RVUs) that account for the
relative resources used in furnishing a service or procedure.
(C) As used in this subdivision (a)(3):
(i) "Health insurance entity" has the same meaning as defined in
§ 56-7-109; and
(ii) "Nationally recognized services and procedures code book"
includes, but is not limited to, the American Medical Association's Current
Procedural Terminology (CPT) code book.
(D) This subdivision (a)(3) does not apply to:
(i) The TennCare program established under the Medical
Assistance Act of 1968, compiled in title 71, chapter 5, part 1, or a
successor medicaid program;
(ii) The CoverKids program established under the CoverKids Act
of 2006, compiled in title 71, chapter 3, part 11, or a successor program;
or
(iii) Insurance coverage provided by this state or local
governments of this state.
SECTION 3. This act takes effect on July 1, 2025, the public welfare requiring it.