---
type: "Bill"
title: "Insurance, Health, Accident - As enacted, requires a health carrier, health benefit plan, or utilization review organization that denies coverage of a prescription drug for the treatment of a medical condition through the use of a step therapy protocol to provide access to a clear, readily accessible, and convenient process for a patient or prescribing practitioner to request a step therapy exception; enacts other related provisions. - Amends TCA Title 8; Title 33; Title 53; Title 56; Title 63 and Title 71."
description: "Insurance, Health, Accident - As enacted, requires a health carrier, health benefit plan, or utilization review organization that denies coverage of a prescription drug for the treatment of a medical condition through the use of a step therapy protocol to provide access to a clear, readily accessible, and convenient process for a patient or prescribing practitioner to request a step therapy exception; enacts other related provisions. - Amends TCA Title 8; Title 33; Title 53; Title 56; Title 63 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "HB 677"
citation: "Tennessee HB 677 (112)"
classification: ["bill"]
subjects: ["Accident", "Health", "Insurance"]
status: "enacted"
primary_sponsors: ["Hall", "Hensley"]
version_count: 5
action_count: 69
vote_count: 10
first_action: "2021-02-08"
last_action: "2022-05-25"
source: "openstates"
source_identifier: "ocd-bill/b5068fd7-c46e-4b84-b4e4-063f9925ce04"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0677&GA=112"
source_hash: "5cf55c83044a5bf19b0e69a355f0c690e5053b2036ad3b1b51cf0836eb4ec44a"
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 677 (112) — Insurance, Health, Accident - As enacted, requires a health carrier, health benefit plan, or utilization review organization that denies coverage of a prescription drug for the treatment of a medical condition through the use of a step therapy protocol to provide access to a clear, readily accessible, and convenient process for a patient or prescribing practitioner to request a step therapy exception; enacts other related provisions. - Amends TCA Title 8; Title 33; Title 53; Title 56; Title 63 and Title 71.

## Version chain

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

1. **Amendment HA0652** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0652.pdf)
2. **Amendment HA0873** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0873.pdf)
3. **Amendment HA0874** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0874.pdf)
4. **Amendment SA0670** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0670.pdf)
5. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/HB0677.pdf)

## Votes

- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Finance, Ways, and Means Committee 3/14/2022 (5) — **0–0** (pass) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 3/15/2022 Passed (3) — **9–0** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 3/31/2022 Passed (2) — **33–0** (pass) · upper
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 4/5/2022 (3) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/18/2022 4/14/2022 (2) — **0–0** (fail) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/18/2022 Passed (1) — **92–0** (pass) · lower
- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/1/2022 (7) — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee 3/30/2022 (4) — **0–0** (fail) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 3/8/2022 (6) — **0–0** (pass) · lower
- FLOOR VOTE: Concur in House Amend# 3 4/21/2022 Passed (1) — **30–0** (pass) · upper

## Sponsors

- Hall — primary (person)
- Hensley — primary (person)

## Timeline

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

- **2021-02-08** Filed for introduction `introduction, reading-1`
- **2021-02-10** Intro., P1C. `introduction`
- **2021-02-11** P2C, ref. to Insurance Committee -- Government Operations for Review `referral-committee`
- **2021-02-11** Introduced, Passed on First Consideration `introduction`
- **2021-02-11** Filed for introduction `introduction, reading-1`
- **2021-02-20** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2021-02-22** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2021-02-24** Sponsor(s) Added.
- **2021-03-08** Sponsor(s) Added.
- **2021-03-09** Sponsor(s) Added.
- **2021-03-10** Sponsor(s) Added.
- **2021-03-11** Sponsor(s) Added.
- **2021-03-18** Sponsor(s) Added.
- **2021-03-23** Sponsor(s) Added.
- **2021-03-24** Placed on s/c cal Insurance Subcommittee for 3/30/2021
- **2021-03-24** Sponsor(s) Added.
- **2021-03-24** Placed on Senate Commerce and Labor Committee calendar for 3/30/2021
- **2021-03-24** Sponsor(s) Added.
- **2021-03-30** Def. to Summer Study in Insurance Subcommittee
- **2021-03-30** Placed on Senate Commerce and Labor Committee calendar for 4/6/2021
- **2021-03-30** Action deferred in Senate Commerce and Labor Committee to 4/6/2021
- **2021-04-06** Assigned to General Subcommittee of Senate Commerce and Labor Committee `referral-committee`
- **2022-02-23** Placed on s/c cal Insurance Subcommittee for 3/1/2022
- **2022-03-01** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2022-03-01** Sponsor(s) Added.
- **2022-03-02** Placed on cal. Insurance Committee for 3/8/2022
- **2022-03-02** Placed on Senate Commerce and Labor Committee calendar for 3/8/2022
- **2022-03-08** Sponsor(s) Added.
- **2022-03-08** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
- **2022-03-08** Action deferred in Senate Commerce and Labor Committee to 3/15/2022
- **2022-03-08** Sponsor(s) Added.
- **2022-03-09** Placed on cal. Government Operations Committee for 3/14/2022
- **2022-03-09** Placed on Senate Commerce and Labor Committee calendar for 3/15/2022
- **2022-03-14** Rec. for pass; ref to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2022-03-15** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0
- **2022-03-16** Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/23/2022
- **2022-03-16** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2022-03-23** Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/30/2022
- **2022-03-23** Action Def. in s/c Finance, Ways, and Means Subcommittee to 3/30/2022
- **2022-03-28** Refer to Senate Calendar Committee
- **2022-03-28** Recalled from Senate Finance, Ways & Means Committee
- **2022-03-29** Placed on Senate Regular Calendar for 3/31/2022
- **2022-03-30** Placed on cal. Finance, Ways, and Means Committee for 4/5/2022
- **2022-03-30** Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee `referral-committee`
- **2022-03-31** Engrossed; ready for transmission to House
- **2022-03-31** Passed Senate as amended, Ayes 33, Nays 0 `passage`
- **2022-03-31** Senate adopted Amendment (Amendment 1 - SA0670)
- **2022-04-01** Sponsor(s) Added.
- **2022-04-04** Rcvd. from S., held on H. desk.
- **2022-04-05** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2022-04-13** Placed on cal. Calendar & Rules Committee for 4/14/2022
- **2022-04-14** H. Placed on Regular Calendar for 4/18/2022
- **2022-04-18** Sponsor(s) Added.
- **2022-04-18** Comp. SB subst.
- **2022-04-18** Passed H., as am., Ayes 92, Nays 0, PNV 1 `passage`
- **2022-04-18** Am. withdrawn. (Amendment 1 - HA0652) `amendment-withdrawal`
- **2022-04-18** H. adopted am. (Amendment 3 - HA0874) `amendment-passage`
- **2022-04-18** Am. withdrawn. (Amendment 2 - HA0873) `amendment-withdrawal`
- **2022-04-18** Subst. for comp. HB.
- **2022-04-20** Placed on Senate Message Calendar for 4/21/2022
- **2022-04-21** Concurred, Ayes 30, Nays 0 (Amendment 3 - HA0874) `passage`
- **2022-04-27** Enrolled and ready for signatures
- **2022-04-28** Signed by Senate Speaker
- **2022-05-02** Transmitted to Governor for action.
- **2022-05-02** Signed by H. Speaker
- **2022-05-11** Signed by Governor. `executive-signature`
- **2022-05-25** Comp. became Pub. Ch. 1020
- **2022-05-25** Effective date(s) 05/11/2022, 01/01/2023
- **2022-05-25** Pub. Ch. 1020

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b5068fd7-c46e-4b84-b4e4-063f9925ce04`. Confidence: reported (aggregated from official Tennessee legislature records).