---
type: "Bill"
title: "TennCare - As enacted, enacts the \"Annual Coverage Assessment Act of 2019.\" - Amends TCA Title 71, Chapter 5 and Chapter 888 of the Public Acts of 2018."
description: "TennCare - As enacted, enacts the \"Annual Coverage Assessment Act of 2019.\" - Amends TCA Title 71, Chapter 5 and Chapter 888 of the Public Acts of 2018."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "SB 474"
citation: "Tennessee SB 474 (111)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Haile", "Hazlewood"]
version_count: 3
action_count: 44
vote_count: 8
first_action: "2019-02-04"
last_action: "2019-05-29"
source: "openstates"
source_identifier: "ocd-bill/fce347ca-eb50-4340-b1f4-f618044d4886"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0474&GA=111"
source_hash: "8a989a5812c42f9f1647c942145bdca35501e306d0ea2310c8d607347871dedd"
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 474 (111) — TennCare - As enacted, enacts the "Annual Coverage Assessment Act of 2019." - Amends TCA Title 71, Chapter 5 and Chapter 888 of the Public Acts of 2018.

## Version chain

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

1. **Amendment HA0427** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0427.pdf)
2. **Amendment SA0302** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0302.pdf)
3. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/SB0474.pdf)

## Votes

- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/17/2019 (3) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/22/2019 Passed (1) — **94–1** (pass) · lower
- SENATE FINANCE, WAYS AND MEANS COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 4/24/2019 Passed (2) — **11–0** (pass) · upper
- FLOOR VOTE: Third Consideration 4/30/2019 Passed (1) — **29–0** (pass) · upper
- HOUSE INSURANCE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 4/17/2019 — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/22/2019 4/18/2019 (2) — **0–0** (fail) · lower
- HOUSE TENNCARE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/27/2019 (4) — **0–0** (fail) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 4/10/2019 Passed (3) — **9–0** (pass) · upper

## Sponsors

- Haile — primary (person)
- Hazlewood — primary (person)

## Timeline

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

- **2019-02-04** Filed for introduction `reading-1, introduction`
- **2019-02-05** Filed for introduction `reading-1, introduction`
- **2019-02-06** Introduced, Passed on First Consideration `introduction`
- **2019-02-06** Intro., P1C. `introduction`
- **2019-02-07** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2019-02-07** P2C, ref. to Insurance Committee `referral-committee`
- **2019-02-11** Assigned to s/c TennCare Subcommittee `referral-committee`
- **2019-03-20** Placed on s/c cal TennCare Subcommittee for 3/27/2019
- **2019-03-27** Placed on cal. Insurance Committee for 4/2/2019
- **2019-03-27** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2019-03-27** Rec. for pass by s/c ref. to Insurance Committee `committee-passage-favorable`
- **2019-04-02** Taken off notice for cal. in Insurance Committee
- **2019-04-04** Placed on Senate Health and Welfare Committee calendar for 4/10/2019
- **2019-04-10** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0
- **2019-04-17** Placed on cal. Calendar & Rules Committee for 4/18/2019
- **2019-04-17** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2019-04-17** Placed on cal. Finance, Ways, and Means Committee for 4/17/2019
- **2019-04-17** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-04-17** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/17/2019
- **2019-04-17** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2019-04-17** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-04-17** Placed on cal. Insurance Committee for 4/17/2019
- **2019-04-18** Placed on Senate Finance, Ways, and Means Committee calendar for 4/23/2019
- **2019-04-18** H. Placed on Regular Calendar for 4/22/2019
- **2019-04-22** Passed H., as am., Ayes 94, Nays 1, PNV 0 `passage`
- **2019-04-22** H. adopted am. (Amendment 1 - HA0427) `amendment-passage`
- **2019-04-23** Placed on Senate Finance, Ways, and Means Committee calendar for 4/24/2019
- **2019-04-23** Action deferred in Senate Finance, Ways, and Means Committee to 4/24/2019
- **2019-04-23** Engrossed; ready for transmission to Sen.
- **2019-04-24** Recommended for passage, refer to Senate Calendar Committee
- **2019-04-24** Received from House, Passed on First Consideration `introduction`
- **2019-04-25** Placed on Senate Regular Calendar for 4/30/2019
- **2019-04-30** Companion House Bill substituted
- **2019-04-30** Passed Senate, Ayes 29, Nays 0 `passage`
- **2019-04-30** Amendment withdrawn. (Amendment 1 - SA0302)
- **2019-04-30** Senate substituted House Bill for companion Senate Bill.
- **2019-05-06** Enrolled; ready for sig. of H. Speaker.
- **2019-05-08** Signed by H. Speaker
- **2019-05-13** Signed by Senate Speaker
- **2019-05-15** Transmitted to Governor for his action. `executive-receipt`
- **2019-05-22** Signed by Governor. `executive-signature`
- **2019-05-29** Comp. became Pub. Ch. 434
- **2019-05-29** Pub. Ch. 434
- **2019-05-29** Effective date(s) 05/22/2019; 06/30/2019

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fce347ca-eb50-4340-b1f4-f618044d4886`. Confidence: reported (aggregated from official Tennessee legislature records).