--- type: "Bill" title: "Drugs, Prescription - As enacted, adds mandating the use of biosimilar drugs as a cost-saving measure the bureau of TennCare may implement; adds that a health carrier, health benefit plan, or utilization review organization may require a patient to try a biosimilar product prior to providing coverage for the equivalent branded prescription drug; requires the TennCare pharmacy advisory committee to consider as a factor the use of biosimilar drugs in the committee's recommendation to the bureau of TennCare on any drugs to be added to the state preferred drug list. - Amends TCA Title 4; Title 53; Title 56; Title 68 and Title 71." description: "Drugs, Prescription - As enacted, adds mandating the use of biosimilar drugs as a cost-saving measure the bureau of TennCare may implement; adds that a health carrier, health benefit plan, or utilization review organization may require a patient to try a biosimilar product prior to providing coverage for the equivalent branded prescription drug; requires the TennCare pharmacy advisory committee to consider as a factor the use of biosimilar drugs in the committee's recommendation to the bureau of TennCare on any drugs to be added to the state preferred drug list. - Amends TCA Title 4; Title 53; Title 56; Title 68 and Title 71." jurisdiction: "us/states/tn" legislature: "Tennessee General Assembly" session: "114" identifier: "HB 1198" citation: "Tennessee HB 1198 (114)" classification: ["bill"] subjects: ["Drugs", "Prescription"] status: "enacted" primary_sponsors: ["Kumar"] version_count: 3 action_count: 25 vote_count: 5 first_action: "2025-02-06" last_action: "2025-04-28" source: "openstates" source_identifier: "ocd-bill/cf2c3791-070f-4744-bc47-0bc640a13c9c" source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=HB1198&ga=114" source_hash: "b568d9f58d08aee2d46e562d2cb0c11f02753ff3935c8721f941dcb9221af4c2" 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 1198 (114) — Drugs, Prescription - As enacted, adds mandating the use of biosimilar drugs as a cost-saving measure the bureau of TennCare may implement; adds that a health carrier, health benefit plan, or utilization review organization may require a patient to try a biosimilar product prior to providing coverage for the equivalent branded prescription drug; requires the TennCare pharmacy advisory committee to consider as a factor the use of biosimilar drugs in the committee's recommendation to the bureau of TennCare on any drugs to be added to the state preferred drug list. - Amends TCA Title 4; Title 53; Title 56; Title 68 and Title 71. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **Amendment HA0140** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0140.pdf) 2. **Amendment SA0236** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0236.pdf) 3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/HB1198.pdf) ## Votes - INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/12/2025 Passed (3) — **6–0** (pass) · lower - HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/31/2025 3/27/2025 (2) — **0–0** (fail) · lower - FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/31/2025 Passed (1) — **92–1** (pass) · lower - HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/19/2025 Passed — **15–0** (pass) · lower - FLOOR VOTE: Third Consideration 3/31/2025 Passed (1) — **30–0** (pass) · upper ## Sponsors - Kumar — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2025-02-06** Filed for introduction `filing` - **2025-02-10** Intro., P1C. `introduction` - **2025-02-12** Assigned to s/c Insurance Subcommittee `referral-committee` - **2025-02-12** P2C, ref. to Insurance Committee `referral-committee` - **2025-03-05** Placed on s/c cal Insurance Subcommittee for 3/12/2025 - **2025-03-12** Placed on cal. Insurance Committee for 3/19/2025 - **2025-03-12** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee` - **2025-03-19** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable` - **2025-03-26** Placed on cal. Calendar & Rules Committee for 3/27/2025 - **2025-03-27** H. Placed on Regular Calendar for 3/31/2025 - **2025-03-31** Passed Senate, Ayes 30, Nays 0 `passage` - **2025-03-31** Amendment withdrawn. (Amendment 1 - SA0236) - **2025-03-31** Senate substituted House Bill for companion Senate Bill. `substitution` - **2025-03-31** Received from House, Passed on First Consideration `introduction` - **2025-03-31** Engrossed; ready for transmission to Sen. `receipt` - **2025-03-31** Passed H., as am., Ayes 92, Nays 1, PNV 0 `passage` - **2025-03-31** Sponsor(s) Added. `sponsorship` - **2025-03-31** H. adopted am. (Amendment 1 - HA0140) `amendment-passage` - **2025-04-02** Signed by H. Speaker `passage` - **2025-04-02** Enrolled; ready for sig. of H. Speaker. `enrolled` - **2025-04-03** Transmitted to Governor for his action. `executive-receipt` - **2025-04-03** Signed by Senate Speaker `passage` - **2025-04-11** Signed by Governor. `executive-signature` - **2025-04-28** Effective date(s) 04/11/2025 - **2025-04-28** Pub. Ch. 206 ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cf2c3791-070f-4744-bc47-0bc640a13c9c`. Confidence: reported (aggregated from official Tennessee legislature records).