---
type: "Bill"
title: "Insurance, Health, Accident - As enacted, revises various provisions regarding when a health insurance entity can make, and when a health insurance entity is required to notify a provider of, changes in the provider's fee schedule. - Amends TCA Title 56, Chapter 7."
description: "Insurance, Health, Accident - As enacted, revises various provisions regarding when a health insurance entity can make, and when a health insurance entity is required to notify a provider of, changes in the provider's fee schedule. - Amends TCA Title 56, Chapter 7."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "110"
identifier: "SB 437"
citation: "Tennessee SB 437 (110)"
classification: ["bill"]
subjects: ["Insurance", "Health", "Accident"]
status: "enacted"
primary_sponsors: ["Sexton C", "Watson"]
version_count: 1
action_count: 38
vote_count: 3
first_action: "2017-02-06"
last_action: "2017-04-11"
source: "openstates"
source_identifier: "ocd-bill/b88de8e7-4de4-4bf7-91eb-4425086ca06e"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0437&GA=110"
source_hash: "d9b4c21a5f16ecf149bc0960b2c71ac840ddfe863481355395ceed712b8362bc"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-tn"]
---

# Tennessee SB 437 (110) — Insurance, Health, Accident - As enacted, revises various provisions regarding when a health insurance entity can make, and when a health insurance entity is required to notify a provider of, changes in the provider's fee schedule. - Amends TCA Title 56, Chapter 7.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/110/Bill/SB0437.pdf)

## Votes

- FLOOR VOTE: PASSAGE ON THIRD CONSIDERATION 3/23/2017 Passed (1) — **93–0** (pass) · lower
- FLOOR VOTE: THIRD CONSIDERATION AMENDED 3/13/2017 Passed (1) — **33–0** (pass) · upper
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/7/2017 Passed (2) — **9–0** (pass) · upper

## Sponsors

- Sexton C — primary (person)
- Watson — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-02-06** Filed for introduction `introduction, reading-1`
- **2017-02-06** Filed for intro. `introduction, reading-1`
- **2017-02-08** Introduced, Passed on First Consideration `introduction`
- **2017-02-08** Intro., P1C. `introduction`
- **2017-02-09** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2017-02-09** P2C, ref. to Insurance and Banking Committee `referral-committee`
- **2017-02-14** Assigned to s/c Insurance and Banking Subcommittee `referral-committee`
- **2017-03-01** Placed on s/c cal Insurance and Banking Subcommittee for 3/8/2017
- **2017-03-06** Placed on Senate Commerce and Labor Committee calendar for 3/7/2017
- **2017-03-06** Rule #83(8) Suspended, to be heard in Senate Commerce & Labor Committee 3/7/2017
- **2017-03-06** Sponsor(s) Added.
- **2017-03-07** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2017-03-08** Placed on cal. Insurance and Banking Committee for 3/14/2017
- **2017-03-08** Rec for pass if am by s/c ref. to Insurance and Banking Committee `referral-committee`
- **2017-03-09** Placed on Senate Regular Calendar calendar for 3/13/2017
- **2017-03-13** Engrossed; ready for transmission to House
- **2017-03-13** Passed Senate as amended, Ayes 33, Nays 0 `passage`
- **2017-03-13** Amendment withdrawn. (Amendment 2 - SA0081)
- **2017-03-13** Senate adopted Amendment (Amendment 1 - SA0068)
- **2017-03-13** Sponsor(s) Added.
- **2017-03-14** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2017-03-15** Placed on cal. Calendar & Rules Committee for 3/16/2017
- **2017-03-16** Rcvd. from S., held on H. desk.
- **2017-03-16** H. Placed on Regular Calendar for 3/23/2017
- **2017-03-23** Passed H., Ayes 93, Nays 0, PNV 0 `passage`
- **2017-03-23** Am. withdrawn. (Amendment 2 - HA0083) `amendment-withdrawal`
- **2017-03-23** Am. withdrawn. (Amendment 1 - HA0045) `amendment-withdrawal`
- **2017-03-23** Subst. for comp. HB.
- **2017-03-23** Sponsor(s) Added.
- **2017-03-23** Comp. SB subst.
- **2017-03-24** Enrolled and ready for signatures
- **2017-03-27** Transmitted to Governor for action.
- **2017-03-27** Signed by H. Speaker
- **2017-03-27** Signed by Senate Speaker
- **2017-04-05** Signed by Governor. `executive-signature`
- **2017-04-11** Pub. Ch. 88
- **2017-04-11** Effective date(s) 01/01/2019
- **2017-04-11** Comp. became Pub. Ch. 88

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b88de8e7-4de4-4bf7-91eb-4425086ca06e`. Confidence: reported (aggregated from official Tennessee legislature records).