--- type: "Bill" title: "Insurance, Health, Accident - As enacted, prohibits a health insurer from considering the location where complex rehabilitation technology will be used when making a medical necessity determination; requires health insurers to offer a prior authorization process for complex rehabilitation technology coverage determinations; imposes other related requirements governing coverage for complex rehabilitation technology. - Amends TCA Title 56 and Title 71." description: "Insurance, Health, Accident - As enacted, prohibits a health insurer from considering the location where complex rehabilitation technology will be used when making a medical necessity determination; requires health insurers to offer a prior authorization process for complex rehabilitation technology coverage determinations; imposes other related requirements governing coverage for complex rehabilitation technology. - Amends TCA Title 56 and Title 71." jurisdiction: "us/states/tn" legislature: "Tennessee General Assembly" session: "112" identifier: "SB 2134" citation: "Tennessee SB 2134 (112)" classification: ["bill"] subjects: ["Accident", "Health", "Insurance"] status: "enacted" primary_sponsors: ["Jernigan", "Reeves"] version_count: 3 action_count: 41 vote_count: 7 first_action: "2022-01-27" last_action: "2022-05-06" source: "openstates" source_identifier: "ocd-bill/ed7544f2-8228-4f71-948b-e1b4183be3f1" source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2134&GA=112" source_hash: "03718db447dcf8e7acdacf470887a0aa2817a8b403bf49042414a0592b1b8f5f" 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 2134 (112) — Insurance, Health, Accident - As enacted, prohibits a health insurer from considering the location where complex rehabilitation technology will be used when making a medical necessity determination; requires health insurers to offer a prior authorization process for complex rehabilitation technology coverage determinations; imposes other related requirements governing coverage for complex rehabilitation technology. - Amends TCA Title 56 and Title 71. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **Amendment HA0754** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0754.pdf) 2. **Amendment SA0690** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0690.pdf) 3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB2134.pdf) ## Votes - FLOOR VOTE: Concur in House Amend# 1 4/14/2022 Passed (1) — **27–0** (pass) · upper - FLOOR VOTE: as Amended Third Consideration 3/28/2022 Passed (2) — **28–0** (pass) · upper - SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 1 3/15/2022 Passed (3) — **8–0** (pass) · upper - HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/7/2022 3/31/2022 (2) — **0–0** (fail) · lower - FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/7/2022 Passed (1) — **88–0** (pass) · lower - INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/15/2022 (3) — **0–0** (fail) · lower - HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/22/2022 — **0–0** (pass) · lower ## Sponsors - Jernigan — primary (person) - Reeves — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2022-01-27** Filed for introduction `introduction, reading-1` - **2022-01-31** Filed for introduction `introduction, reading-1` - **2022-01-31** Intro., P1C. `introduction` - **2022-02-02** Introduced, Passed on First Consideration `introduction` - **2022-02-02** Assigned to s/c Insurance Subcommittee `referral-committee` - **2022-02-02** P2C, ref. to Insurance Committee `referral-committee` - **2022-02-03** Passed on Second Consideration, refer to Senate Commerce and Labor Committee - **2022-03-02** Placed on Senate Commerce and Labor Committee calendar for 3/8/2022 - **2022-03-02** Placed on s/c cal Insurance Subcommittee for 3/8/2022 - **2022-03-08** Action deferred in Senate Commerce and Labor Committee to 3/15/2022 - **2022-03-08** Action Def. in s/c Insurance Subcommittee to 3/15/2022 - **2022-03-09** Placed on Senate Commerce and Labor Committee calendar for 3/15/2022 - **2022-03-09** Placed on s/c cal Insurance Subcommittee for 3/15/2022 - **2022-03-15** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 1 - **2022-03-15** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee` - **2022-03-16** Placed on cal. Insurance Committee for 3/22/2022 - **2022-03-22** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable` - **2022-03-24** Placed on Senate Regular Calendar for 3/28/2022 - **2022-03-28** Engrossed; ready for transmission to House - **2022-03-28** Passed Senate as amended, Ayes 28, Nays 0 `passage` - **2022-03-28** Senate adopted Amendment (Amendment 1 - SA0690) - **2022-03-29** Sponsor(s) Added. - **2022-03-30** Placed on cal. Calendar & Rules Committee for 3/31/2022 - **2022-03-31** Rcvd. from S., held on H. desk. - **2022-03-31** H. Placed on Regular Calendar for 4/7/2022 - **2022-04-07** Passed H., as am., Ayes 88, Nays 0, PNV 1 `passage` - **2022-04-07** H. adopted am. (Amendment 1 - HA0754) `amendment-passage` - **2022-04-07** Subst. for comp. HB. - **2022-04-07** Comp. SB subst. - **2022-04-07** Sponsor(s) Added. - **2022-04-11** Placed on Senate Message Calendar for 4/13/2022 - **2022-04-13** Placed on Senate Message Calendar for 4/14/2022 - **2022-04-14** Concurred, Ayes 27, Nays 0 (Amendment 1 - HA0754) `passage` - **2022-04-19** Signed by Senate Speaker - **2022-04-19** Enrolled and ready for signatures - **2022-04-19** Signed by H. Speaker - **2022-04-21** Transmitted to Governor for action. - **2022-05-03** Signed by Governor. `executive-signature` - **2022-05-06** Effective date(s) 07/01/2022 - **2022-05-06** Pub. Ch. 973 - **2022-05-06** Comp. became Pub. Ch. 973 ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ed7544f2-8228-4f71-948b-e1b4183be3f1`. Confidence: reported (aggregated from official Tennessee legislature records).