---
type: "Bill"
title: "Insurance, Health, Accident - As enacted, requires that a health benefit plan that provides coverage for a screening mammogram must provide coverage for diagnostic imaging and supplemental breast screening without imposing a cost-sharing requirement on the patient. - Amends TCA Title 56, Chapter 7."
description: "Insurance, Health, Accident - As enacted, requires that a health benefit plan that provides coverage for a screening mammogram must provide coverage for diagnostic imaging and supplemental breast screening without imposing a cost-sharing requirement on the patient. - Amends TCA Title 56, Chapter 7."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "113"
identifier: "HB 355"
citation: "Tennessee HB 355 (113)"
classification: ["bill"]
subjects: ["Accident", "Health", "Insurance"]
status: "enacted"
primary_sponsors: ["Alexander"]
version_count: 4
action_count: 39
vote_count: 8
first_action: "2023-01-20"
last_action: "2023-06-02"
source: "openstates"
source_identifier: "ocd-bill/05e0dcd5-d917-47a3-a540-5eda254dc788"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0355&GA=113"
source_hash: "ccc3512a2ca92382ee41b86f87ee6e4cc9509c6b3f4868f8af489d725e80ffdb"
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 355 (113) — Insurance, Health, Accident - As enacted, requires that a health benefit plan that provides coverage for a screening mammogram must provide coverage for diagnostic imaging and supplemental breast screening without imposing a cost-sharing requirement on the patient. - Amends TCA Title 56, Chapter 7.

## Version chain

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

1. **Amendment HA0046** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0046.pdf)
2. **Amendment SA0167** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0167.pdf)
3. **Amendment SA0493** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0493.pdf)
4. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/HB0355.pdf)

## Votes

- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/18/2023 (3) — **0–0** (pass) · lower
- FLOOR VOTE: MESSAGE CALENDAR 3 CONCUR IN SENATE AMENDMENT # 2 4/21/2023 Passed — **92–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/20/2023 4/18/2023 (2) — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/18/2023 (4) — **0–0** (pass) · lower
- FLOOR VOTE: as Amended Third Consideration 4/21/2023 Passed (1) — **30–0** (pass) · upper
- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 2/21/2023 — **0–0** (fail) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/20/2023 Passed (1) — **98–0** (pass) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 2/28/2023 — **0–0** (pass) · lower

## Sponsors

- Alexander — primary (person)

## Timeline

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

- **2023-01-20** Filed for introduction `filing`
- **2023-01-21** Intro., P1C. `introduction`
- **2023-01-30** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2023-01-30** P2C, ref. to Insurance Committee `referral-committee`
- **2023-02-08** Placed on s/c cal Insurance Subcommittee for 2/14/2023
- **2023-02-14** Action Def. in s/c Insurance Subcommittee to 2/21/2023
- **2023-02-15** Placed on s/c cal Insurance Subcommittee for 2/21/2023
- **2023-02-21** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2023-02-22** Placed on cal. Insurance Committee for 2/28/2023
- **2023-02-28** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2023-03-01** Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/8/2023
- **2023-03-01** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2023-03-01** Sponsor(s) Added. `sponsorship`
- **2023-03-07** Sponsor(s) Added. `sponsorship`
- **2023-03-08** Placed behind the budget
- **2023-04-12** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/18/2023
- **2023-04-18** H. Placed on Regular Calendar for 4/20/2023
- **2023-04-18** Placed on cal. Calendar & Rules Committee for 4/18/2023
- **2023-04-18** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2023-04-18** Placed on cal. Finance, Ways, and Means Committee for 4/18/2023
- **2023-04-18** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2023-04-20** Engrossed; ready for transmission to Sen. `receipt`
- **2023-04-20** Passed H., as am., Ayes 98, Nays 0, PNV 0 `passage`
- **2023-04-20** Sponsor(s) Added. `sponsorship`
- **2023-04-20** H. adopted am. (Amendment 1 - HA0046) `amendment-passage`
- **2023-04-20** Received from House, Passed on First Consideration `introduction`
- **2023-04-21** H. concurred in S. am. no. SA2 Ayes 92, Nays 0 PNV 0 HB0355
- **2023-04-21** H. Placed on Message Calendar #3 for 4/21/2023
- **2023-04-21** Passed Senate as amended, Ayes 30, Nays 0 `passage`
- **2023-04-21** Senate adopted Amendment (Amendment 2 - SA0493)
- **2023-04-21** Amendment withdrawn. (Amendment 1 - SA0167)
- **2023-04-21** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2023-04-25** Enrolled; ready for sig. of H. Speaker. `enrolled`
- **2023-04-28** Signed by H. Speaker `passage`
- **2023-05-03** Signed by Senate Speaker `passage`
- **2023-05-04** Transmitted to Governor for his action. `executive-receipt`
- **2023-05-11** Signed by Governor. `executive-signature`
- **2023-06-02** Effective date(s) 08/09/2023
- **2023-06-02** Pub. Ch. 379

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/05e0dcd5-d917-47a3-a540-5eda254dc788`. Confidence: reported (aggregated from official Tennessee legislature records).