---
type: "Bill"
title: "Insurance Companies, Agents, Brokers, Policies - As enacted, establishes a procedure for requesting medical information covered by HIPAA from a self-funded plan of insurance; authorizes a local government entity to opt out of the requirements upon passage of a resolution by a simple majority vote of the entity's governing body. - Amends TCA Title 8, Chapter 27."
description: "Insurance Companies, Agents, Brokers, Policies - As enacted, establishes a procedure for requesting medical information covered by HIPAA from a self-funded plan of insurance; authorizes a local government entity to opt out of the requirements upon passage of a resolution by a simple majority vote of the entity's governing body. - Amends TCA Title 8, Chapter 27."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "SB 2165"
citation: "Tennessee SB 2165 (112)"
classification: ["bill"]
subjects: ["Agents", "Brokers", "Insurance Companies", "Policies"]
status: "enacted"
primary_sponsors: ["Smith", "Watson"]
version_count: 3
action_count: 35
vote_count: 6
first_action: "2022-01-31"
last_action: "2022-03-30"
source: "openstates"
source_identifier: "ocd-bill/f38fbe8e-0b6a-483b-ab2f-0f50c6b4a969"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2165&GA=112"
source_hash: "729c535648bf538b171353b451028149f0ef254b1d77626409153d496d470f34"
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 2165 (112) — Insurance Companies, Agents, Brokers, Policies - As enacted, establishes a procedure for requesting medical information covered by HIPAA from a self-funded plan of insurance; authorizes a local government entity to opt out of the requirements upon passage of a resolution by a simple majority vote of the entity's governing body. - Amends TCA Title 8, Chapter 27.

## Version chain

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

1. **Amendment HA0520** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0520.pdf)
2. **Amendment SA0548** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0548.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB2165.pdf)

## Votes

- HOUSE LOCAL GOVERNMENT COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 2/22/2022 (3) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 2/28/2022 2/24/2022 (2) — **0–0** (fail) · lower
- HOUSE CITIES SUBCOMMITTEE: Rec for pass if am by s/c ref. to Local Government Committee 2/15/2022 — **0–0** (fail) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 2/28/2022 Passed (1) — **92–0** (pass) · lower
- SENATE STATE & LOCAL GOVERNMENT COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0 3/1/2022 Passed (1) — **8–0** (pass) · upper
- FLOOR VOTE: Third Consideration 3/7/2022 Passed — **30–0** (pass) · upper

## Sponsors

- Smith — primary (person)
- Watson — primary (person)

## Timeline

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

- **2022-01-31** Filed for introduction `introduction, reading-1`
- **2022-02-01** Filed for introduction `introduction, reading-1`
- **2022-02-02** Introduced, Passed on First Consideration `introduction`
- **2022-02-02** Intro., P1C. `introduction`
- **2022-02-03** Passed on Second Consideration, refer to Senate State and Local Government Committee
- **2022-02-03** P2C, ref. to Local Government Committee `referral-committee`
- **2022-02-07** Assigned to s/c Cities & Counties Subcommittee `referral-committee`
- **2022-02-09** Placed on s/c cal Cities & Counties Subcommittee for 2/15/2022
- **2022-02-15** Placed on Senate State and Local Government Committee calendar for 2/22/2022
- **2022-02-15** Rec for pass if am by s/c ref. to Local Government Committee `referral-committee`
- **2022-02-16** Placed on cal. Local Government Committee for 2/22/2022
- **2022-02-22** Placed on Senate State and Local Government Committee calendar for 3/1/2022
- **2022-02-22** Action deferred in Senate State and Local Government Committee to 3/1/2022
- **2022-02-22** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2022-02-23** Placed on cal. Calendar & Rules Committee for 2/24/2022
- **2022-02-24** H. Placed on Regular Calendar for 2/28/2022
- **2022-02-28** Passed H., as am., Ayes 92, Nays 0, PNV 0 `passage`
- **2022-02-28** H. adopted am. (Amendment 1 - HA0520) `amendment-passage`
- **2022-02-28** Sponsor(s) Added.
- **2022-03-01** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0
- **2022-03-01** Engrossed; ready for transmission to Sen.
- **2022-03-03** Placed on Senate Regular Calendar for 3/7/2022
- **2022-03-03** Received from House, Passed on First Consideration `introduction`
- **2022-03-07** Companion House Bill substituted
- **2022-03-07** Passed Senate, Ayes 30, Nays 0 `passage`
- **2022-03-07** Amendment withdrawn. (Amendment 1 - SA0548)
- **2022-03-07** Senate substituted House Bill for companion Senate Bill.
- **2022-03-08** Enrolled; ready for sig. of H. Speaker.
- **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. 674
- **2022-03-30** Effective date(s) 03/18/2021
- **2022-03-30** Pub. Ch. 674

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f38fbe8e-0b6a-483b-ab2f-0f50c6b4a969`. Confidence: reported (aggregated from official Tennessee legislature records).