---
type: "Bill"
title: "TennCare - As enacted, excludes anxiety episodes and nonemergent depression episodes from episodes of care in any payment reform initiative involved with medical assistance. - Amends TCA Title 71."
description: "TennCare - As enacted, excludes anxiety episodes and nonemergent depression episodes from episodes of care in any payment reform initiative involved with medical assistance. - Amends TCA Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "110"
identifier: "HB 1541"
citation: "Tennessee HB 1541 (110)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Crowe", "Ramsey"]
version_count: 1
action_count: 45
vote_count: 5
first_action: "2018-01-10"
last_action: "2018-05-23"
source: "openstates"
source_identifier: "ocd-bill/03a554d4-3d8f-477a-aa59-153fe0d12901"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB1541&GA=110"
source_hash: "4119f79be7ac7da4a878ec7d7bdb837deb4946bbe8ffc44e96ada2fcb2c0c2e1"
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 1541 (110) — TennCare - As enacted, excludes anxiety episodes and nonemergent depression episodes from episodes of care in any payment reform initiative involved with medical assistance. - Amends TCA Title 71.

## Version chain

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

1. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/110/Bill/HB1541.pdf)

## Votes

- CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/23/2018 4/18/2018 (1) — **0–0** (fail) · lower
- HEALTH SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 3/14/2018 — **0–0** (pass) · lower
- HEALTH COMMITTEE: Rec. for pass; ref to Finance, Ways & Means Committee 3/20/2018 — **0–0** (pass) · lower
- FINANCE, WAYS & MEANS SUBCOMMITTEE: Rec for pass if am by s/c ref. to Finance, Ways & Means Committee 4/18/2018 (3) — **0–0** (fail) · lower
- FINANCE, WAYS & MEANS COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 4/18/2018 (2) — **0–0** (pass) · lower

## Sponsors

- Crowe — primary (person)
- Ramsey — primary (person)

## Timeline

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

- **2018-01-10** Filed for intro. `introduction, reading-1`
- **2018-01-17** Intro., P1C. `introduction`
- **2018-01-18** P2C, ref. to Health Committee `referral-committee`
- **2018-01-19** Assigned to s/c Health Subcommittee `referral-committee`
- **2018-02-01** Introduced, Passed on First Consideration `introduction`
- **2018-02-01** Filed for introduction `introduction, reading-1`
- **2018-02-05** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2018-03-07** Placed on s/c cal Health Subcommittee for 3/14/2018
- **2018-03-07** Placed on Senate Health and Welfare Committee calendar for 3/14/2018
- **2018-03-14** Placed on cal. Health Committee for 3/20/2018
- **2018-03-14** Rec. for pass by s/c ref. to Health Committee `committee-passage-favorable`
- **2018-03-14** Sponsor(s) Added.
- **2018-03-14** Recommended for passage, refer to Senate Finance, Ways, and Means Committee
- **2018-03-20** Rec. for pass; ref to Finance, Ways & Means Committee `committee-passage-favorable`
- **2018-03-21** Placed on s/c cal Finance, Ways & Means Subcommittee for 3/28/2018
- **2018-03-21** Assigned to s/c Finance, Ways & Means Subcommittee `referral-committee`
- **2018-03-28** Placed behind the budget
- **2018-04-04** Placed on s/c cal Finance, Ways & Means Subcommittee for 4/13/2018
- **2018-04-11** Placed on s/c cal Finance, Ways & Means Subcommittee for 4/18/18
- **2018-04-13** Placed on Senate Finance, Ways, and Means Committee calendar for 4/17/2018
- **2018-04-17** Action deferred in Senate Finance, Ways, and Means Committee to 4/18/2018
- **2018-04-18** H. Placed on Regular Calendar for 4/23/2018
- **2018-04-18** Placed on cal. Calendar & Rules Committee for 4/18/2018
- **2018-04-18** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2018-04-18** Placed on cal. Finance, Ways & Means Committee for 4/18/2018
- **2018-04-18** Rec for pass if am by s/c ref. to Finance, Ways & Means Committee `referral-committee`
- **2018-04-18** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2018-04-18** Placed on Senate Finance, Ways, and Means Committee calendar for 4/18/2018
- **2018-04-19** Placed on Senate Regular Calendar calendar for 4/23/2018
- **2018-04-23** Engrossed; ready for transmission to House
- **2018-04-23** Passed Senate as amended, Ayes 32, Nays 0 `passage`
- **2018-04-23** Senate adopted Amendment (Amendment 1 - SA1143)
- **2018-04-24** Sponsor(s) Added.
- **2018-04-24** Comp. SB subst.
- **2018-04-24** Passed H., Ayes 89, Nays 5, PNV 0 `passage`
- **2018-04-24** Am. withdrawn. (Amendment 1 - HA1265) `amendment-withdrawal`
- **2018-04-24** Subst. for comp. HB.
- **2018-04-30** Enrolled and ready for signatures
- **2018-05-01** Signed by Senate Speaker
- **2018-05-08** Signed by H. Speaker
- **2018-05-09** Transmitted to Governor for action.
- **2018-05-21** Signed by Governor. `executive-signature`
- **2018-05-23** Comp. became Pub. Ch. 1016
- **2018-05-23** Pub. Ch. 1016
- **2018-05-23** Effective date(s) 05/21/2018

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/03a554d4-3d8f-477a-aa59-153fe0d12901`. Confidence: reported (aggregated from official Tennessee legislature records).