---
type: "Bill"
title: "Health Care - As enacted, extends the authority to barter for healthcare services if the patient is not covered by health insurance to all healthcare professionals instead of only physicians. - Amends TCA Title 4; Title 8; Title 33; Title 56; Title 63; Title 68 and Title 71."
description: "Health Care - As enacted, extends the authority to barter for healthcare services if the patient is not covered by health insurance to all healthcare professionals instead of only physicians. - Amends TCA Title 4; Title 8; Title 33; Title 56; Title 63; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "HB 655"
citation: "Tennessee HB 655 (111)"
classification: ["bill"]
subjects: ["Health Care"]
status: "enacted"
primary_sponsors: ["Crowe", "Sexton C"]
version_count: 3
action_count: 36
vote_count: 6
first_action: "2019-02-04"
last_action: "2019-05-09"
source: "openstates"
source_identifier: "ocd-bill/fc1c5a73-a98e-4e96-8ed4-98b46143c79a"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0655&GA=111"
source_hash: "1a68ffee709158138ac1fa330ef23edae2e9b1aae6b314705bc0dc36ce5d3905"
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 655 (111) — Health Care - As enacted, extends the authority to barter for healthcare services if the patient is not covered by health insurance to all healthcare professionals instead of only physicians. - Amends TCA Title 4; Title 8; Title 33; Title 56; Title 63; Title 68 and Title 71.

## Version chain

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

1. **Amendment HA0065** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0065.pdf)
2. **Amendment SA0088** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0088.pdf)
3. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/HB0655.pdf)

## Votes

- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/4/2019 Passed (1) — **82–6** (pass) · lower
- HOUSE LIFE & HEALTH INSURANCE SUBCOMMITTEE: Rec. for pass by s/c ref. to Insurance Committee 3/20/2019 (4) — **0–0** (pass) · lower
- HOUSE INSURANCE: Rec. for pass; ref to Calendar & Rules Committee 3/26/2019 (3) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/4/2019 3/28/2019 (2) — **0–0** (fail) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0 4/2/2019 Passed (2) — **8–0** (pass) · upper
- FLOOR VOTE: Third Consideration 4/15/2019 Passed (1) — **32–0** (pass) · upper

## Sponsors

- Crowe — primary (person)
- Sexton C — primary (person)

## Timeline

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

- **2019-02-04** Filed for introduction `reading-1, introduction`
- **2019-02-06** Intro., P1C. `introduction`
- **2019-02-06** Filed for introduction `reading-1, introduction`
- **2019-02-07** P2C, ref. to Insurance Committee `referral-committee`
- **2019-02-07** Introduced, Passed on First Consideration `introduction`
- **2019-02-11** Assigned to s/c Life & Health Insurance Subcommittee `referral-committee`
- **2019-02-11** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2019-02-20** Placed on s/c cal Life & Health Insurance Subcommittee for 2/27/2019
- **2019-02-27** Meeting Canceled
- **2019-03-13** Placed on s/c cal Life & Health Insurance Subcommittee for 3/20/2019
- **2019-03-20** Placed on cal. Insurance Committee for 3/26/2019
- **2019-03-20** Rec. for pass by s/c ref. to Insurance Committee `committee-passage-favorable`
- **2019-03-26** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2019-03-26** Placed on Senate Commerce and Labor Committee calendar for 4/2/2019
- **2019-03-27** Placed on cal. Calendar & Rules Committee for 3/28/2019
- **2019-03-28** H. Placed on Regular Calendar for 4/4/2019
- **2019-04-02** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0
- **2019-04-04** Engrossed; ready for transmission to Sen.
- **2019-04-04** Passed H., as am., Ayes 82, Nays 6, PNV 4 `passage`
- **2019-04-04** H. adopted am. (Amendment 1 - HA0065) `amendment-passage`
- **2019-04-08** Received from House, Passed on First Consideration `introduction`
- **2019-04-09** Placed on Senate Regular Calendar for 4/11/2019
- **2019-04-11** Senate Reset on calendar for 4/15/2019
- **2019-04-12** Placed on Senate Regular Calendar for 4/15/2019
- **2019-04-15** Passed Senate, Ayes 32, Nays 0 `passage`
- **2019-04-15** Amendment withdrawn. (Amendment 1 - SA0088)
- **2019-04-15** Senate substituted House Bill for companion Senate Bill.
- **2019-04-15** Companion House Bill substituted
- **2019-04-17** Enrolled; ready for sig. of H. Speaker.
- **2019-04-18** Signed by H. Speaker
- **2019-04-22** Signed by Senate Speaker
- **2019-04-23** Transmitted to Governor for his action. `executive-receipt`
- **2019-04-30** Signed by Governor. `executive-signature`
- **2019-05-09** Pub. Ch. 229
- **2019-05-09** Effective date(s) 04/30/2019
- **2019-05-09** Comp. became Pub. Ch. 229

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fc1c5a73-a98e-4e96-8ed4-98b46143c79a`. Confidence: reported (aggregated from official Tennessee legislature records).