---
type: "Bill"
title: "TennCare - As enacted, adds chiropractic services performed by a person authorized to engage in the practice of chiropractic to the list of healthcare services that may be included as covered TennCare medical assistance. - Amends TCA Title 71, Chapter 5."
description: "TennCare - As enacted, adds chiropractic services performed by a person authorized to engage in the practice of chiropractic to the list of healthcare services that may be included as covered TennCare medical assistance. - Amends TCA Title 71, Chapter 5."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "SB 319"
citation: "Tennessee SB 319 (112)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Cepicky", "Hensley"]
version_count: 3
action_count: 60
vote_count: 9
first_action: "2021-01-22"
last_action: "2021-06-01"
source: "openstates"
source_identifier: "ocd-bill/226d6540-058c-4173-9ee9-a3d0ac88921f"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0319&GA=112"
source_hash: "a592bcb26ec9ba5e1a3a44b56beb56627da5b5b9058f279416eff8406190fb62"
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 319 (112) — TennCare - As enacted, adds chiropractic services performed by a person authorized to engage in the practice of chiropractic to the list of healthcare services that may be included as covered TennCare medical assistance. - Amends TCA Title 71, Chapter 5.

## Version chain

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

1. **Amendment HA0153** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0153.pdf)
2. **Amendment SA0297** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0297.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB0319.pdf)

## Votes

- 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 4/13/2021 Passed (2) — **9–0** (pass) · upper
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 5/4/2021 5/3/2021 (2) — **0–0** (fail) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/30/2021 Passed — **14–3** (pass) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 5/3/2021 (4) — **0–0** (pass) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 5/3/2021 (5) — **0–0** (pass) · lower
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 5/3/2021 (3) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 5/4/2021 Passed (1) — **78–11** (pass) · lower
- INSURANCE SUBCOMMITTEE: Rec. for pass by s/c ref. to Insurance Committee 3/23/2021 — **0–0** (pass) · lower
- SENATE FINANCE, WAYS AND MEANS COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 5/4/2021 Passed (1) — **10–0** (pass) · upper

## Sponsors

- Cepicky — primary (person)
- Hensley — primary (person)

## Timeline

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

- **2021-01-22** Filed for introduction `introduction, reading-1`
- **2021-01-26** Filed for introduction `introduction, reading-1`
- **2021-02-08** Introduced, Passed on First Consideration `introduction`
- **2021-02-08** Intro., P1C. `introduction`
- **2021-02-10** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2021-02-10** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2021-02-10** P2C, ref. to Insurance Committee `referral-committee`
- **2021-03-10** Placed on s/c cal Insurance Subcommittee for 3/16/2021
- **2021-03-16** Sponsor(s) Added.
- **2021-03-16** Action Def. in s/c Insurance Subcommittee to 3/23/2021
- **2021-03-17** Placed on s/c cal Insurance Subcommittee for 3/23/2021
- **2021-03-22** Sponsor(s) Added.
- **2021-03-23** Rec. for pass by s/c ref. to Insurance Committee `committee-passage-favorable`
- **2021-03-24** Placed on cal. Insurance Committee for 3/30/2021
- **2021-03-25** Placed on Senate Health and Welfare Committee calendar for 3/31/2021
- **2021-03-30** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2021-03-30** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2021-03-31** Action deferred in Senate Health and Welfare Committee to 4/7/2021
- **2021-03-31** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/7/2021
- **2021-04-07** Placed on Senate Health and Welfare Committee calendar for 4/13/2021
- **2021-04-07** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2021
- **2021-04-07** Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/14/2021
- **2021-04-13** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0
- **2021-04-14** Sponsor(s) Added.
- **2021-04-14** Placed behind the budget
- **2021-04-22** Placed on Senate Finance, Ways, and Means Committee calendar for 4/27/2021
- **2021-04-22** Rule #83(8) Suspended, to be heard in S. FW&M Comm. 4/27/21
- **2021-04-27** Action deferred in Senate Finance, Ways, and Means Committee to 4/28/2021
- **2021-04-28** Action deferred in Senate Finance, Ways, and Means Committee to 5/3/2021
- **2021-04-28** Placed on Senate Finance, Ways, and Means Committee calendar for 4/28/2021
- **2021-04-28** Placed on s/c cal Finance, Ways, and Means Subcommittee for 5/3/2021
- **2021-04-29** Placed on Senate Finance, Ways, and Means Committee calendar for 5/3/2021
- **2021-05-03** Placed on Senate Finance, Ways, and Means Committee calendar for 5/4/2021
- **2021-05-03** Action deferred in Senate Finance, Ways, and Means Committee to 5/4/2021
- **2021-05-03** Sponsor(s) Added.
- **2021-05-03** H. Placed on Regular Calendar for 5/4/2021
- **2021-05-03** Placed on cal. Calendar & Rules Committee for 5/3/2021
- **2021-05-03** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2021-05-03** Placed on cal. Finance, Ways, and Means Committee for 5/3/2021
- **2021-05-03** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2021-05-04** Companion House Bill substituted
- **2021-05-04** Placed on Senate Regular Calendar 2 for 5/4/2021
- **2021-05-04** Recommended for passage, refer to Senate Calendar Committee
- **2021-05-04** Sponsor(s) Added.
- **2021-05-04** Passed Senate, Ayes 31, Nays 0 `passage`
- **2021-05-04** Amendment withdrawn. (Amendment 1 - SA0297)
- **2021-05-04** Senate substituted House Bill for companion Senate Bill.
- **2021-05-04** Received from House, Passed on First Consideration `introduction`
- **2021-05-04** Engrossed; ready for transmission to Sen.
- **2021-05-04** Passed H., as am., Ayes 78, Nays 11, PNV 2 `passage`
- **2021-05-04** H. adopted am. (Amendment 1 - HA0153) `amendment-passage`
- **2021-05-05** Sponsor(s) Added.
- **2021-05-06** Enrolled; ready for sig. of H. Speaker.
- **2021-05-11** Signed by H. Speaker
- **2021-05-13** Transmitted to Governor for his action. `executive-receipt`
- **2021-05-13** Signed by Senate Speaker
- **2021-05-25** Signed by Governor. `executive-signature`
- **2021-06-01** Comp. became Pub. Ch. 524
- **2021-06-01** Effective date(s) 05/25/2021, 01/01/2022
- **2021-06-01** Pub. Ch. 524

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/226d6540-058c-4173-9ee9-a3d0ac88921f`. Confidence: reported (aggregated from official Tennessee legislature records).