---
type: "Bill"
title: "Insurance, Health, Accident - As enacted, requires a health insurance entity, a health services provider, or a healthcare facility to notify a patient of communication among the entity, a health services provider, and a healthcare facility concerning the patient's medical claim; requires a utilization review agent to notify the provider or healthcare facility, as well as the enrollee, when additional information is needed for a prior authorization request. - Amends TCA Title 56; Title 63 and Title 68."
description: "Insurance, Health, Accident - As enacted, requires a health insurance entity, a health services provider, or a healthcare facility to notify a patient of communication among the entity, a health services provider, and a healthcare facility concerning the patient's medical claim; requires a utilization review agent to notify the provider or healthcare facility, as well as the enrollee, when additional information is needed for a prior authorization request. - Amends TCA Title 56; Title 63 and Title 68."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "SB 1248"
citation: "Tennessee SB 1248 (112)"
classification: ["bill"]
subjects: ["Accident", "Health", "Insurance"]
status: "enacted"
primary_sponsors: ["Garrett", "Reeves"]
version_count: 5
action_count: 44
vote_count: 8
first_action: "2021-02-10"
last_action: "2022-03-30"
source: "openstates"
source_identifier: "ocd-bill/e7edb3e3-2879-446d-8b31-874f8b1f34a2"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB1248&GA=112"
source_hash: "8561be4a39c3734a81632065a7f126e2ff50cd0be7226778bf4722981b4d707d"
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 1248 (112) — Insurance, Health, Accident - As enacted, requires a health insurance entity, a health services provider, or a healthcare facility to notify a patient of communication among the entity, a health services provider, and a healthcare facility concerning the patient's medical claim; requires a utilization review agent to notify the provider or healthcare facility, as well as the enrollee, when additional information is needed for a prior authorization request. - Amends TCA Title 56; Title 63 and Title 68.

## Version chain

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

1. **Amendment HA0228** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0228.pdf)
2. **Amendment HA0354** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0354.pdf)
3. **Amendment SA0161** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0161.pdf)
4. **Amendment SA0483** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0483.pdf)
5. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB1248.pdf)

## Votes

- FLOOR VOTE: MESSAGE CALENDAR CONCUR IN SENATE AMENDMENT # 2 3/3/2022 Passed — **91–0** (pass) · lower
- FLOOR VOTE: as Amended Third Consideration 2/24/2022 Passed (1) — **31–0** (pass) · upper
- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/12/2021 (3) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/21/2021 Passed (1) — **94–0** (pass) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment, refer to Senate Calendar Committee 2/15/2022 Passed — **9–0** (pass) · upper
- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/23/2021 (5) — **0–0** (fail) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/21/2021 4/15/2021 (2) — **0–0** (fail) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 4/6/2021 (4) — **0–0** (pass) · lower

## Sponsors

- Garrett — primary (person)
- Reeves — primary (person)

## Timeline

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

- **2021-02-10** Filed for introduction `introduction, reading-1`
- **2021-02-11** Introduced, Passed on First Consideration `introduction`
- **2021-02-11** Filed for introduction `introduction, reading-1`
- **2021-02-22** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2021-02-22** Intro., P1C. `introduction`
- **2021-02-24** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2021-02-24** P2C, ref. to Insurance Committee-- Government Operations for Review `referral-committee`
- **2021-03-10** Placed on s/c cal Insurance Subcommittee for 3/16/2021
- **2021-03-16** Action Def. in s/c Insurance Subcommittee to 3/23/2021
- **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
- **2021-03-30** Action def. in Insurance Committee to 4/6/2021
- **2021-03-31** Placed on cal. Insurance Committee for 4/6/2021
- **2021-04-06** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
- **2021-04-07** Placed on cal. Government Operations Committee for 4/12/2021
- **2021-04-12** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2021-04-14** Placed on cal. Calendar & Rules Committee for 4/15/2021
- **2021-04-15** H. Placed on Regular Calendar for 4/21/2021
- **2021-04-21** Engrossed; ready for transmission to Sen.
- **2021-04-21** Passed H., as am., Ayes 94, Nays 0, PNV 0 `passage`
- **2021-04-21** Sponsor(s) Added.
- **2021-04-21** Am. withdrawn. (Amendment 1 - HA0228) `amendment-withdrawal`
- **2021-04-21** H. adopted am. (Amendment 2 - HA0354) `amendment-passage`
- **2021-04-22** Received from House, Passed on First Consideration `introduction`
- **2022-02-09** Placed on Senate Commerce and Labor Committee calendar for 2/15/2022
- **2022-02-15** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2022-02-22** Placed on Senate Regular Calendar for 2/24/2022
- **2022-02-24** Sponsor(s) Added.
- **2022-02-24** Companion House Bill substituted
- **2022-02-24** Passed Senate as amended, Ayes 31, Nays 0 `passage`
- **2022-02-24** Senate adopted Amendment (Amendment 2 - SA0483)
- **2022-02-24** Amendment withdrawn. (Amendment 1 - SA0161)
- **2022-02-24** Senate substituted House Bill for companion Senate Bill.
- **2022-02-28** H. Placed on Message Calendar for 3/3/22
- **2022-03-03** Enrolled; ready for sig. of H. Speaker.
- **2022-03-03** H. concurred in S. am. no. 2 Ayes 91, Nays 0 PNV 0 HB1195
- **2022-03-09** Signed by Senate Speaker
- **2022-03-09** Signed by H. Speaker
- **2022-03-11** Transmitted to Governor for his action. `executive-receipt`
- **2022-03-18** Signed by Governor. `executive-signature`
- **2022-03-30** Comp. became Pub. Ch. 664
- **2022-03-30** Effective date(s) 03/18/2022, 01/01/2023
- **2022-03-30** Pub. Ch. 664

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e7edb3e3-2879-446d-8b31-874f8b1f34a2`. Confidence: reported (aggregated from official Tennessee legislature records).