---
type: "Bill"
title: "Insurance, Health, Accident - As enacted, authorizes the use of HIPAA-compliant audio-only conversation when providing behavioral health provider-based telemedicine services if HIPAA-compliant real-time, interactive audio, video telecommunications, or electronic technology, or store-and-forward telemedicine services are unavailable. - Amends TCA Title 56, Chapter 7."
description: "Insurance, Health, Accident - As enacted, authorizes the use of HIPAA-compliant audio-only conversation when providing behavioral health provider-based telemedicine services if HIPAA-compliant real-time, interactive audio, video telecommunications, or electronic technology, or store-and-forward telemedicine services are unavailable. - Amends TCA Title 56, Chapter 7."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "SB 429"
citation: "Tennessee SB 429 (112)"
classification: ["bill"]
subjects: ["Accident", "Health", "Insurance"]
status: "enacted"
primary_sponsors: ["Gardenhire", "Rudder"]
version_count: 3
action_count: 39
vote_count: 6
first_action: "2021-02-05"
last_action: "2021-05-03"
source: "openstates"
source_identifier: "ocd-bill/59f0a6eb-f6f0-4366-887e-6ba8e2b22c82"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0429&GA=112"
source_hash: "ba5c825d1534185994d0be3af2cf90d9c189c23b8f72b6646fb79d2a80e838a4"
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 429 (112) — Insurance, Health, Accident - As enacted, authorizes the use of HIPAA-compliant audio-only conversation when providing behavioral health provider-based telemedicine services if HIPAA-compliant real-time, interactive audio, video telecommunications, or electronic technology, or store-and-forward telemedicine services are unavailable. - Amends TCA Title 56, Chapter 7.

## Version chain

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

1. **Amendment HA0152** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0152.pdf)
2. **Amendment SA0090** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0090.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB0429.pdf)

## Votes

- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/30/2021 — **0–0** (pass) · lower
- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/23/2021 (3) — **0–0** (fail) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/8/2021 4/1/2021 (2) — **0–0** (fail) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/16/2021 Passed — **9–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/8/2021 Passed (1) — **86–0** (pass) · lower
- FLOOR VOTE: as Amended Third Consideration 3/22/2021 Passed (1) — **32–0** (pass) · upper

## Sponsors

- Gardenhire — primary (person)
- Rudder — primary (person)

## Timeline

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

- **2021-02-05** Filed for introduction `introduction, reading-1`
- **2021-02-08** Introduced, Passed on First Consideration `introduction`
- **2021-02-08** Filed for introduction `introduction, reading-1`
- **2021-02-10** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2021-02-10** Intro., P1C. `introduction`
- **2021-02-11** P2C, ref. to Insurance Committee `referral-committee`
- **2021-02-20** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2021-03-03** Placed on Senate Commerce and Labor Committee calendar for 3/9/2021
- **2021-03-09** Placed on Senate Commerce and Labor Committee calendar for 3/16/2021
- **2021-03-09** Action deferred in Senate Commerce and Labor Committee to 3/16/2021
- **2021-03-10** Sponsor(s) Added.
- **2021-03-11** Sponsor(s) Added.
- **2021-03-16** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2021-03-17** Placed on s/c cal Insurance Subcommittee for 3/23/2021
- **2021-03-17** Sponsor(s) Added.
- **2021-03-18** Placed on Senate Regular Calendar for 3/22/2021
- **2021-03-22** Sponsor(s) Added.
- **2021-03-22** Engrossed; ready for transmission to House
- **2021-03-22** Passed Senate as amended, Ayes 32, Nays 0 `passage`
- **2021-03-22** Senate adopted Amendment (Amendment 1 - SA0090)
- **2021-03-23** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2021-03-24** Placed on cal. Insurance Committee for 3/30/2021
- **2021-03-25** Rcvd. from S., held on H. desk.
- **2021-03-30** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2021-03-31** Placed on cal. Calendar & Rules Committee for 4/1/2021
- **2021-04-01** H. Placed on Regular Calendar for 4/8/2021
- **2021-04-08** Enrolled and ready for signatures
- **2021-04-08** Passed H., Ayes 86, Nays 0, PNV 0 `passage`
- **2021-04-08** Am. withdrawn. (Amendment 1 - HA0152) `amendment-withdrawal`
- **2021-04-08** Subst. for comp. HB.
- **2021-04-08** Comp. SB subst.
- **2021-04-08** Sponsor(s) Added.
- **2021-04-13** Signed by H. Speaker
- **2021-04-13** Signed by Senate Speaker
- **2021-04-14** Transmitted to Governor for action.
- **2021-04-22** Signed by Governor. `executive-signature`
- **2021-05-03** Effective date(s) 04/22/2021
- **2021-05-03** Pub. Ch. 191
- **2021-05-03** Comp. became Pub. Ch. 191

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/59f0a6eb-f6f0-4366-887e-6ba8e2b22c82`. Confidence: reported (aggregated from official Tennessee legislature records).