TN LEG Contraceptive Coverage Bill


On Apr. 19, TN LEG passed bill on 12-month contraceptive coverage.


  • TN LEG passed bill SB 1919 / HB 2635 requiring health benefit plan to provide coverage for 12-month refill of contraceptives, adds new section to TN INS 56-7-23.
  • Bill Provisions
  • Health benefit plan that amends, renews, or delivers coverage policy on, after Jul. 1, 2024 shall provide coverage for 12-month refill of contraceptives obtained at one time.
  • Unless insured requests a smaller supply, or health provider prescribes smaller supply.
  • Insured to receive the contraceptives on-site at the provider's office, if available.
  • Prescribing, dispensing, and administration practices must follow all clinical guidelines to ensure the health of the patient while maximizing access to effective contraceptives.
  • Plan that provides coverage for hormonal contraceptives shall not impose utilization controls or other forms of medical management limiting the supply of contraceptives.
  • Does not require health benefit plan to cover contraceptives provided by provider, pharmacy that does not participate in health benefit plan's provider, pharmacy network
  • Legislative History
  • On Jan. 24, 2024, bill introduced in Senate; on Feb. 27, 2024, bill passed in Senate.
  • On Mar. 1, 2024, bill introduced in House; on Mar. 4, 2024, bill passed in House.
  • On Apr. 9, 2024, bill delivered to governor; on Apr. 19, 2024, bill signed by governor.
  • Effectiveness
  • This act takes effect upon becoming a law, the public welfare requiring it.
  • May 2024 TN LEG Bill Chaptered
  • On May 1, 2024, TN LEG bill assigned Pub. Ch. 732, listed Jan. 1, 2025 effective date.

Regulators TN LEG
Entity Types Ins
Reference Pub. Ch. 732, 5/1/2024; Bill, SB1919, HB2635, 4/19/2024; Citation: TN INS 56-7-23;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 4/19/2024
Effective Date 1/1/2025
Rule Id 209434
Linked to N/A
Reg. Last Update 5/1/2024
Report Section US Consumer

Last substantive update on 05/06/2024