---
type: "Bill"
title: "TennCare - As enacted, enacts \"Terrence's Law,\" which requires the bureau to conduct an annual review of all medications and forms of treatment for sickle cell disease, and services for enrollees with a diagnosis of sickle cell disease that are eligible for coverage under the medical assistance program; requires the bureau to solicit and consider input from the public when conducting the annual review; requires annual report to the general assembly. - Amends TCA Title 4; Title 53; Title 56; Title 63; Title 68 and Title 71."
description: "TennCare - As enacted, enacts \"Terrence's Law,\" which requires the bureau to conduct an annual review of all medications and forms of treatment for sickle cell disease, and services for enrollees with a diagnosis of sickle cell disease that are eligible for coverage under the medical assistance program; requires the bureau to solicit and consider input from the public when conducting the annual review; requires annual report to the general assembly. - Amends TCA Title 4; Title 53; Title 56; Title 63; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "HB 992"
citation: "Tennessee HB 992 (112)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Akbari", "Love"]
version_count: 1
action_count: 38
vote_count: 6
first_action: "2021-02-10"
last_action: "2021-05-03"
source: "openstates"
source_identifier: "ocd-bill/eb92827a-489d-4829-a6c0-593535fd463f"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0992&GA=112"
source_hash: "6cbbc8e06b2c4249b18bfd35f85ce7b87de6a66dcd8925964de9f84732bfb654"
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 HB 992 (112) — TennCare - As enacted, enacts "Terrence's Law," which requires the bureau to conduct an annual review of all medications and forms of treatment for sickle cell disease, and services for enrollees with a diagnosis of sickle cell disease that are eligible for coverage under the medical assistance program; requires the bureau to solicit and consider input from the public when conducting the annual review; requires annual report to the general assembly. - Amends TCA Title 4; Title 53; Title 56; Title 63; Title 68 and Title 71.

## Version chain

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

1. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/HB0992.pdf)

## Votes

- INSURANCE SUBCOMMITTEE: Rec. for pass by s/c ref. to Insurance Committee 3/2/2021 (4) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/22/2021 3/18/2021 (2) — **0–0** (fail) · lower
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/22/2021 Passed (1) — **94–0** (pass) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 3/23/2021 Passed (2) — **9–0** (pass) · upper
- FLOOR VOTE: Third Consideration 4/1/2021 Passed (1) — **33–0** (pass) · upper
- HOUSE INSURANCE COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/9/2021 (3) — **0–0** (pass) · lower

## Sponsors

- Akbari — primary (person)
- Love — primary (person)

## Timeline

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

- **2021-02-10** Filed for introduction `introduction, reading-1`
- **2021-02-11** Intro., P1C. `introduction`
- **2021-02-11** Introduced, Passed on First Consideration `introduction`
- **2021-02-11** Filed for introduction `introduction, reading-1`
- **2021-02-22** P2C, ref. to Insurance Subcommittee `referral-committee`
- **2021-02-22** P2C, ref. to Insurance Committee `referral-committee`
- **2021-02-22** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2021-02-24** Placed on s/c cal Insurance Subcommittee for 3/2/2021
- **2021-02-25** Sponsor(s) Added.
- **2021-03-02** Rec. for pass by s/c ref. to Insurance Committee `committee-passage-favorable`
- **2021-03-03** Placed on cal. Insurance Committee for 3/9/2021
- **2021-03-04** Sponsor(s) Added.
- **2021-03-09** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2021-03-09** Sponsor(s) Added.
- **2021-03-16** Placed on Senate Commerce and Labor Committee calendar for 3/23/2021
- **2021-03-17** Placed on cal. Calendar & Rules Committee for 3/18/2021
- **2021-03-18** H. Placed on Regular Calendar for 3/22/2021
- **2021-03-22** Passed H., Ayes 94, Nays 0, PNV 0 `passage`
- **2021-03-22** Sponsor(s) Added.
- **2021-03-23** Engrossed; ready for transmission to Sen.
- **2021-03-23** Recommended for passage, refer to Senate Calendar Committee
- **2021-03-25** Received from House, Passed on First Consideration `introduction`
- **2021-03-25** Placed on Senate Consent Calendar 2 for 3/29/2021
- **2021-03-29** Senate Reset on calendar for 4/1/2021
- **2021-03-30** Sponsor(s) Added.
- **2021-03-30** Placed on Senate Regular Calendar for 4/1/2021
- **2021-04-01** Passed Senate, Ayes 33, Nays 0 `passage`
- **2021-04-01** Senate substituted House Bill for companion Senate Bill.
- **2021-04-01** Sponsor(s) Added.
- **2021-04-01** Companion House Bill substituted
- **2021-04-05** Enrolled; ready for sig. of H. Speaker.
- **2021-04-07** Signed by Senate Speaker
- **2021-04-07** Signed by H. Speaker
- **2021-04-08** Transmitted to Governor for his action. `executive-receipt`
- **2021-04-20** Signed by Governor. `executive-signature`
- **2021-05-03** Effective date(s) 04/20/2021
- **2021-05-03** Pub. Ch. 186
- **2021-05-03** Comp. became Pub. Ch. 186

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/eb92827a-489d-4829-a6c0-593535fd463f`. Confidence: reported (aggregated from official Tennessee legislature records).