--- type: "Bill" title: "TennCare - As enacted, enacts the \"Annual Coverage Assessment Act of 2021.\" - Amends TCA Title 71, Chapter 5." description: "TennCare - As enacted, enacts the \"Annual Coverage Assessment Act of 2021.\" - Amends TCA Title 71, Chapter 5." jurisdiction: "us/states/tn" legislature: "Tennessee General Assembly" session: "112" identifier: "SB 123" citation: "Tennessee SB 123 (112)" classification: ["bill"] subjects: ["TennCare"] status: "enacted" primary_sponsors: ["Haile", "Hazlewood"] version_count: 3 action_count: 51 vote_count: 9 first_action: "2021-01-13" last_action: "2021-05-21" source: "openstates" source_identifier: "ocd-bill/2d89e45a-c560-405d-ba84-1848b01e45bf" source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0123&GA=112" source_hash: "1802183c7241fe58a63242d4b43b77590709c2112e52c1fa7175a5e3421a12c9" 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 123 (112) — TennCare - As enacted, enacts the "Annual Coverage Assessment Act of 2021." - Amends TCA Title 71, Chapter 5. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **Amendment HA0156** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0156.pdf) 2. **Amendment SA0296** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0296.pdf) 3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB0123.pdf) ## Votes - HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/21/2021 (3) — **0–0** (pass) · lower - SENATE FINANCE, WAYS AND MEANS COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 4/27/2021 Passed (1) — **9–0** (pass) · upper - HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/30/2021 — **0–0** (pass) · lower - HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/27/2021 — **0–0** (pass) · lower - INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/23/2021 — **0–0** (fail) · lower - SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 4/13/2021 Passed — **9–0** (pass) · upper - FLOOR VOTE: as Amended Third Consideration 5/3/2021 Passed — **30–0** (pass) · upper - FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 5/3/2021 Passed (1) — **92–0** (pass) · lower - HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 5/3/2021 4/28/2021 (2) — **0–0** (fail) · lower ## Sponsors - Haile — primary (person) - Hazlewood — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2021-01-13** Filed for introduction `introduction, reading-1` - **2021-01-13** Filed for introduction `introduction, reading-1` - **2021-01-14** Introduced, Passed on First Consideration `introduction` - **2021-01-14** Intro., P1C. `introduction` - **2021-01-15** Passed on Second Consideration, refer to Senate Health and Welfare Committee - **2021-01-15** P2C, ref. to Insurance Committee `referral-committee` - **2021-02-01** Assigned to s/c Insurance Subcommittee `referral-committee` - **2021-03-17** Placed on s/c cal Insurance Subcommittee for 3/23/2021 - **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** Placed on Senate Health and Welfare Committee calendar for 3/31/2021 - **2021-03-30** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee` - **2021-03-30** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable` - **2021-03-31** Action deferred in Senate Health and Welfare Committee to 4/7/2021 - **2021-03-31** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/7/2021 - **2021-04-07** Placed on Senate Health and Welfare Committee calendar for 4/13/2021 - **2021-04-07** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2021 - **2021-04-07** Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/14/2021 - **2021-04-13** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 - **2021-04-14** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/21/2021 - **2021-04-14** Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/21/2021 - **2021-04-19** Placed on Senate Finance, Ways, and Means Committee calendar for 4/20/2021 - **2021-04-19** Rule #83(8) Suspended, to be heard in S. FW&M Comm. 4/20/21 - **2021-04-20** Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2021 - **2021-04-20** Action deferred in Senate Finance, Ways, and Means Committee to 4/21/2021 - **2021-04-21** Placed on Senate Finance, Ways, and Means Committee calendar for 4/27/2021 - **2021-04-21** Action deferred in Senate Finance, Ways, and Means Committee to 4/27/2021 - **2021-04-21** Placed on cal. Finance, Ways, and Means Committee for 4/27/2021 - **2021-04-21** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable` - **2021-04-27** Recommended for passage, refer to Senate Calendar Committee - **2021-04-27** Placed on cal. Calendar & Rules Committee for 4/28/2021 - **2021-04-27** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable` - **2021-04-28** H. Placed on Regular Calendar for 5/3/2021 - **2021-04-29** Placed on Senate Regular Calendar for 5/3/2021 - **2021-05-03** Passed H., Ayes 92, Nays 0, PNV 0 `passage` - **2021-05-03** Am. withdrawn. (Amendment 1 - HA0156) `amendment-withdrawal` - **2021-05-03** Subst. for comp. HB. - **2021-05-03** Engrossed; ready for transmission to House - **2021-05-03** Passed Senate as amended, Ayes 30, Nays 0 `passage` - **2021-05-03** Senate adopted Amendment (Amendment 1 - SA0296) - **2021-05-03** Comp. SB subst. - **2021-05-03** Sponsor(s) Added. - **2021-05-04** Sponsor(s) Added. - **2021-05-05** Signed by Senate Speaker - **2021-05-05** Enrolled and ready for signatures - **2021-05-07** Signed by H. Speaker - **2021-05-11** Transmitted to Governor for action. - **2021-05-18** Signed by Governor. `executive-signature` - **2021-05-21** Effective date(s) 05/18/2021,06/30/2021 - **2021-05-21** Pub. Ch. 459 - **2021-05-21** Comp. became Pub. Ch. 459 ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2d89e45a-c560-405d-ba84-1848b01e45bf`. Confidence: reported (aggregated from official Tennessee legislature records).