--- type: "Bill" title: "Insurance, Health, Accident - As enacted, prohibits a health benefit plan from denying payment or coverage for emergency services if the symptoms presented by an enrollee of a health benefit plan and recorded by the attending provider indicate that an emergency medical condition could exist, regardless of the final diagnosis of the symptoms. - Amends TCA Title 56, Chapter 7, Part 23." description: "Insurance, Health, Accident - As enacted, prohibits a health benefit plan from denying payment or coverage for emergency services if the symptoms presented by an enrollee of a health benefit plan and recorded by the attending provider indicate that an emergency medical condition could exist, regardless of the final diagnosis of the symptoms. - Amends TCA Title 56, Chapter 7, Part 23." jurisdiction: "us/states/tn" legislature: "Tennessee General Assembly" session: "112" identifier: "SB 2386" citation: "Tennessee SB 2386 (112)" classification: ["bill"] subjects: ["Accident", "Health", "Insurance"] status: "enacted" primary_sponsors: ["Kumar", "Watson"] version_count: 3 action_count: 38 vote_count: 6 first_action: "2022-02-01" last_action: "2022-04-13" source: "openstates" source_identifier: "ocd-bill/35185095-b00e-4a4f-8e33-6ddf0ef354f7" source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2386&GA=112" source_hash: "cca41092d5fc140b2f12c4ea689a1a44892d8133d6e3c87c3fd6e9eb7ac75d61" 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 2386 (112) — Insurance, Health, Accident - As enacted, prohibits a health benefit plan from denying payment or coverage for emergency services if the symptoms presented by an enrollee of a health benefit plan and recorded by the attending provider indicate that an emergency medical condition could exist, regardless of the final diagnosis of the symptoms. - Amends TCA Title 56, Chapter 7, Part 23. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **Amendment HA0651** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0651.pdf) 2. **Amendment SA0587** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0587.pdf) 3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB2386.pdf) ## Votes - HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/24/2022 3/17/2022 (2) — **0–0** (fail) · lower - INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/1/2022 (4) — **0–0** (fail) · lower - FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/24/2022 Passed (1) — **89–0** (pass) · lower - HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/8/2022 (3) — **0–0** (pass) · lower - FLOOR VOTE: as Amended Third Consideration 3/17/2022 Passed (1) — **33–0** (pass) · upper - SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0 3/8/2022 Passed (2) — **7–0** (pass) · upper ## Sponsors - Kumar — primary (person) - Watson — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2022-02-01** Filed for introduction `introduction, reading-1` - **2022-02-02** Introduced, Passed on First Consideration `introduction` - **2022-02-02** Intro. `introduction` - **2022-02-02** Filed for introduction `introduction, reading-1` - **2022-02-03** Passed on Second Consideration, refer to Senate Commerce and Labor Committee - **2022-02-03** P1C. - **2022-02-07** P2C, ref. to Insurance Committee `referral-committee` - **2022-02-08** Assigned to s/c Insurance Subcommittee `referral-committee` - **2022-02-22** Placed on Senate Commerce and Labor Committee calendar for 3/1/2022 - **2022-02-23** Placed on s/c cal Insurance Subcommittee for 3/1/2022 - **2022-03-01** Action deferred in Senate Commerce and Labor Committee to 3/8/2022 - **2022-03-01** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee` - **2022-03-02** Placed on Senate Commerce and Labor Committee calendar for 3/8/2022 - **2022-03-02** Placed on cal. Insurance Committee for 3/8/2022 - **2022-03-08** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0 - **2022-03-08** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable` - **2022-03-10** Sponsor(s) Added. - **2022-03-15** Placed on Senate Regular Calendar for 3/17/2022 - **2022-03-16** Placed on cal. Calendar & Rules Committee for 3/17/2022 - **2022-03-17** Sponsor(s) Added. - **2022-03-17** Engrossed; ready for transmission to House - **2022-03-17** Passed Senate as amended, Ayes 33, Nays 0 `passage` - **2022-03-17** Senate adopted Amendment (Amendment 1 - SA0587) - **2022-03-17** H. Placed on Regular Calendar for 3/24/2022 - **2022-03-21** Rcvd. from S., held on H. desk. - **2022-03-24** Passed H., Ayes 89, Nays 0, PNV 0 `passage` - **2022-03-24** Am. withdrawn. (Amendment 1 - HA0651) `amendment-withdrawal` - **2022-03-24** Subst. for comp. HB. - **2022-03-24** Comp. SB subst. - **2022-03-24** Sponsor(s) Added. - **2022-03-25** Enrolled and ready for signatures - **2022-03-28** Signed by Senate Speaker - **2022-03-28** Signed by H. Speaker - **2022-03-29** Transmitted to Governor for action. - **2022-04-08** Signed by Governor. `executive-signature` - **2022-04-13** Effective date(s) 04/08/2022 - **2022-04-13** Pub. Ch. 784 - **2022-04-13** Comp. became Pub. Ch. 784 ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/35185095-b00e-4a4f-8e33-6ddf0ef354f7`. Confidence: reported (aggregated from official Tennessee legislature records).