---
type: "Bill"
title: "Commerce and Insurance, Dept. of - As enacted, revises law relative to the treatment and coverage of treatment for stage 4 advanced metastatic cancer, blood cancer, metastatic blood cancer, and associated conditions; makes related changes. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71."
description: "Commerce and Insurance, Dept. of - As enacted, revises law relative to the treatment and coverage of treatment for stage 4 advanced metastatic cancer, blood cancer, metastatic blood cancer, and associated conditions; makes related changes. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "HB 858"
citation: "Tennessee HB 858 (114)"
classification: ["bill"]
subjects: ["Commerce and Insurance", "Dept. of"]
status: "enacted"
primary_sponsors: ["Alexander"]
version_count: 3
action_count: 30
vote_count: 6
first_action: "2025-02-04"
last_action: "2025-05-27"
source: "openstates"
source_identifier: "ocd-bill/0aae003a-bdaa-4cb5-8e42-4f13d46fb0b1"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=HB0858&ga=114"
source_hash: "3d2da22ebf08f98960a466968ba300262ce311c4ef7410a246fa5394cd7c67d4"
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 858 (114) — Commerce and Insurance, Dept. of - As enacted, revises law relative to the treatment and coverage of treatment for stage 4 advanced metastatic cancer, blood cancer, metastatic blood cancer, and associated conditions; makes related changes. - Amends TCA Title 8; Title 56; Title 63; Title 68 and Title 71.

## Version chain

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

1. **Amendment HA0149** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0149.pdf)
2. **Amendment SA0243** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0243.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/HB0858.pdf)

## Votes

- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/31/2025 Passed (2) — **94–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/31/2025 3/27/2025 (3) — **0–0** (fail) · lower
- FLOOR VOTE: as Amended Third Consideration 4/16/2025 Passed (1) — **33–0** (pass) · upper
- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/19/2025 Passed (4) — **6–0** (pass) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/25/2025 Passed — **18–0** (pass) · lower
- FLOOR VOTE: MESSAGE CALENDAR CONCUR IN SENATE AMENDMENT # 1 4/21/2025 Passed (1) — **92–0** (pass) · lower

## Sponsors

- Alexander — primary (person)

## Timeline

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

- **2025-02-04** Filed for introduction `filing`
- **2025-02-05** Intro., P1C. `introduction`
- **2025-02-06** P2C, caption bill, held on desk - pending amdt.
- **2025-02-10** Sponsor(s) Added. `sponsorship`
- **2025-03-10** Sponsor(s) Added. `sponsorship`
- **2025-03-11** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2025-03-11** Ref. to Insurance Committee `referral-committee`
- **2025-03-12** Placed on s/c cal Insurance Subcommittee for 3/19/2025
- **2025-03-19** Placed on cal. Insurance Committee for 3/25/2025
- **2025-03-19** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2025-03-25** 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 H., as am., Ayes 94, Nays 0, PNV 0 `passage`
- **2025-03-31** Sponsor(s) Added. `sponsorship`
- **2025-03-31** H. adopted am. (Amendment 1 - HA0149) `amendment-passage`
- **2025-04-01** Engrossed; ready for transmission to Sen. `receipt`
- **2025-04-03** Received from House, Passed on First Consideration `introduction`
- **2025-04-16** H. Placed on Message Calendar 4/17/2025
- **2025-04-16** Passed Senate as amended, Ayes 33, Nays 0 `passage`
- **2025-04-16** Senate adopted Amendment (Amendment 1 - SA0243)
- **2025-04-16** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2025-04-21** H. concurred in S. am. no. 1 Ayes 92, Nays 0 PNV 1 HB0858
- **2025-04-23** 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) 01/01/2026
- **2025-05-27** Pub. Ch. 505

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0aae003a-bdaa-4cb5-8e42-4f13d46fb0b1`. Confidence: reported (aggregated from official Tennessee legislature records).