---
type: "Bill"
title: "Insurance, Health, Accident - As enacted, revises certain protocols for mental health and substance abuse services. - Amends TCA Title 56 and Title 71."
description: "Insurance, Health, Accident - As enacted, revises certain protocols for mental health and substance abuse services. - Amends TCA Title 56 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 437"
citation: "Tennessee SB 437 (114)"
classification: ["bill"]
subjects: ["Accident", "Health", "Insurance"]
status: "enacted"
primary_sponsors: ["Reeves"]
version_count: 3
action_count: 25
vote_count: 3
first_action: "2025-01-28"
last_action: "2025-04-30"
source: "openstates"
source_identifier: "ocd-bill/7f42ae95-f90c-4e7e-9771-9807f81acc67"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB0437&ga=114"
source_hash: "1a3ebc6bab0dacbf63c0b0f0f13dc62919d1649f31c5a3d49602c6710bf8acb1"
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 437 (114) — Insurance, Health, Accident - As enacted, revises certain protocols for mental health and substance abuse services. - Amends TCA Title 56 and Title 71.

## Version chain

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

1. **Amendment HA0080** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0080.pdf)
2. **Amendment SA0088** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0088.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB0437.pdf)

## Votes

- FLOOR VOTE: as Amended Third Consideration 3/20/2025 Passed (1) — **29–1** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/27/2025 Passed (1) — **96–0** (pass) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 5, Nays 2 PNV 1 3/11/2025 Passed — **5–2** (pass) · upper

## Sponsors

- Reeves — primary (person)

## Timeline

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

- **2025-01-28** Filed for introduction `filing`
- **2025-02-10** Introduced, Passed on First Consideration `introduction`
- **2025-02-12** Passed on Second Consideration, refer to Senate Commerce and Labor Committee `referral-committee`
- **2025-02-25** Placed on Senate Commerce and Labor Committee calendar for 3/4/2025
- **2025-02-25** Placed on Senate Commerce and Labor Committee calendar for 3/4/2025
- **2025-03-04** Action deferred in Senate Commerce and Labor Committee to 3/11/2025
- **2025-03-05** Placed on Senate Commerce and Labor Committee calendar for 3/11/2025
- **2025-03-11** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 5, Nays 2 PNV 1
- **2025-03-12** Sponsor(s) Added. `sponsorship`
- **2025-03-18** Placed on Senate Regular Calendar for 3/20/2025
- **2025-03-20** Engrossed; ready for transmission to House `receipt`
- **2025-03-20** Sponsor(s) Added. `sponsorship`
- **2025-03-20** Passed Senate as amended, Ayes 29, Nays 1 `passage`
- **2025-03-20** Senate adopted Amendment (Amendment 1 - SA0088)
- **2025-03-24** Rcvd. from S., held on H. desk.
- **2025-03-27** Passed H., Ayes 96, Nays 0, PNV 0 `passage`
- **2025-03-27** Am. withdrawn. (Amendment 1 - HA0080) `amendment-withdrawal`
- **2025-03-27** Subst. for comp. HB. `substitution`
- **2025-03-28** Enrolled and ready for signatures `enrolled`
- **2025-04-01** Signed by Senate Speaker `passage`
- **2025-04-02** Transmitted to Governor for action. `executive-receipt`
- **2025-04-02** Signed by H. Speaker `passage`
- **2025-04-11** Signed by Governor. `executive-signature`
- **2025-04-30** Effective date(s) 01/01/2026
- **2025-04-30** Pub. Ch. 168

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7f42ae95-f90c-4e7e-9771-9807f81acc67`. Confidence: reported (aggregated from official Tennessee legislature records).