---
type: "Bill"
title: "TennCare - As enacted, enacts \"Lucca's Law,\" which addresses TennCare coverage of treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS). - Amends TCA Title 8; Title 56 and Title 71."
description: "TennCare - As enacted, enacts \"Lucca's Law,\" which addresses TennCare coverage of treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS). - Amends TCA Title 8; Title 56 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "HB 411"
citation: "Tennessee HB 411 (114)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Lynn"]
version_count: 4
action_count: 32
vote_count: 6
first_action: "2025-01-28"
last_action: "2025-05-27"
source: "openstates"
source_identifier: "ocd-bill/c21fdf4c-bb9b-42f9-9110-147e18405525"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=HB0411&ga=114"
source_hash: "fb0142d5fa322e9d8d3786d8ae59766a79d1ecc31263a7c63b1cda7771d0ba37"
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 411 (114) — TennCare - As enacted, enacts "Lucca's Law," which addresses TennCare coverage of treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS). - Amends TCA Title 8; Title 56 and Title 71.

## Version chain

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

1. **Amendment HA0284** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0284.pdf)
2. **Amendment SA0234** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0234.pdf)
3. **Amendment SA0415** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0415.pdf)
4. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/HB0411.pdf)

## Votes

- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/14/2025 Passed (2) — **95–0** (pass) · lower
- FLOOR VOTE: MESSAGE CALENDAR 2 CONCUR IN SENATE AMENDMENT # 2 4/22/2025 Passed (1) — **97–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/14/2025 4/10/2025 (3) — **0–0** (fail) · lower
- HOUSE TENNCARE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/18/2025 Passed — **7–0** (pass) · lower
- FLOOR VOTE: as Amended Third Consideration 4/21/2025 Passed (1) — **33–0** (pass) · upper
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 4/2/2025 Passed — **12–0** (pass) · lower

## Sponsors

- Lynn — primary (person)

## Timeline

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

- **2025-01-28** Filed for introduction `filing`
- **2025-02-03** Intro., P1C. `introduction`
- **2025-02-05** Assigned to s/c Tenncare Subcommittee `referral-committee`
- **2025-02-05** P2C, ref. to Insurance Committee `referral-committee`
- **2025-03-12** Placed on s/c cal Tenncare Subcommittee for 3/18/2025
- **2025-03-18** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2025-03-19** Placed on cal. Insurance Committee for 3/25/2025
- **2025-03-25** Action def. in Insurance Committee to 4/1/2025
- **2025-03-26** Placed on cal. Insurance Committee for 4/1/2025
- **2025-04-02** Placed on cal. Calendar & Rules Committee for 4/3/2025
- **2025-04-02** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2025-04-03** Action def. in Calendar & Rules Committee to 4/10/2025
- **2025-04-09** Placed on cal. Calendar & Rules Committee for 4/10/2025
- **2025-04-10** H. Placed on Regular Calendar for 4/14/2025
- **2025-04-14** Engrossed; ready for transmission to Sen. `receipt`
- **2025-04-14** Passed H., as am., Ayes 95, Nays 0, PNV 0 `passage`
- **2025-04-14** Sponsor(s) Added. `sponsorship`
- **2025-04-14** H. adopted am. (Amendment 1 - HA0284) `amendment-passage`
- **2025-04-15** Received from House, Passed on First Consideration `introduction`
- **2025-04-21** Passed Senate as amended, Ayes 33, Nays 0 `passage`
- **2025-04-21** Senate adopted Amendment (Amendment 2 - SA0415)
- **2025-04-21** Amendment withdrawn. (Amendment 1 - SA0234)
- **2025-04-21** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2025-04-22** H. concurred in S. am. no. 2 Ayes 97, Nays 0 PNV 0 HB0411
- **2025-04-22** H. Placed on Message Calendar 2 for 4/22/2025
- **2025-04-25** Enrolled; ready for sig. of H. Speaker. `enrolled`
- **2025-04-30** Signed by H. Speaker `passage`
- **2025-05-08** Signed by Senate Speaker `passage`
- **2025-05-09** Transmitted to Governor for his action. `executive-receipt`
- **2025-05-21** Signed by Governor. `executive-signature`
- **2025-05-27** Effective date(s) 05/21/2025
- **2025-05-27** Pub. Ch. 482

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c21fdf4c-bb9b-42f9-9110-147e18405525`. Confidence: reported (aggregated from official Tennessee legislature records).