republic-os/legislation/us/states/tn/110/hb-2251.md

---
type: "Bill"
title: "TennCare - As enacted, requires that a waiver amendment to the existing TennCare II waiver that requires elective abortion providers be excluded from participation as providers in the TennCare program be submitted to the federal centers for medicare and medicaid services for approval. - Amends TCA Title 68 and Title 71."
description: "TennCare - As enacted, requires that a waiver amendment to the existing TennCare II waiver that requires elective abortion providers be excluded from participation as providers in the TennCare program be submitted to the federal centers for medicare and medicaid services for approval. - Amends TCA Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "110"
identifier: "HB 2251"
citation: "Tennessee HB 2251 (110)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Bell", "Matlock"]
version_count: 1
action_count: 47
vote_count: 7
first_action: "2018-01-31"
last_action: "2018-04-17"
source: "openstates"
source_identifier: "ocd-bill/2ac70dcc-b787-4eff-a163-53e3f2c431d4"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB2251&GA=110"
source_hash: "bacc3b0ba29b4facde3cb86ab840f1c5cdc838378928f5cd15fcb7763a78f5db"
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 2251 (110) — TennCare - As enacted, requires that a waiver amendment to the existing TennCare II waiver that requires elective abortion providers be excluded from participation as providers in the TennCare program be submitted to the federal centers for medicare and medicaid services for approval. - Amends TCA Title 68 and Title 71.

## Version chain

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

1. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/110/Bill/HB2251.pdf)

## Votes

- FLOOR VOTE: Third Consideration 3/29/2018 PASSED (2) — **24–2** (fail) · upper
- FLOOR VOTE: Third Consideration 3/29/2018 PASSED (1) — **24–2** (fail) · upper
- FLOOR VOTE: PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/12/2018 PASSED — **67–20** (fail) · lower
- HEALTH SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 2/21/2018 (4) — **0–0** (pass) · lower
- CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/12/2018 3/8/2018 (2) — **0–0** (fail) · lower
- FLOOR VOTE: AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/12/2018 PASSED (1) — **71–17** (fail) · lower
- HEALTH COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/6/2018 (3) — **0–0** (pass) · lower

## Sponsors

- Bell — primary (person)
- Matlock — primary (person)

## Timeline

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

- **2018-01-31** Sponsor(s) Added.
- **2018-01-31** Filed for intro. `introduction, reading-1`
- **2018-01-31** Filed for introduction `introduction, reading-1`
- **2018-02-01** Intro., P1C. `introduction`
- **2018-02-01** Sponsor(s) Added.
- **2018-02-01** Introduced, Passed on First Consideration `introduction`
- **2018-02-02** Sponsor(s) Added.
- **2018-02-05** Assigned to s/c Health Subcommittee `referral-committee`
- **2018-02-05** P2C, ref. to Health Committee `referral-committee`
- **2018-02-05** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2018-02-06** Sponsor(s) Added.
- **2018-02-08** Sponsor(s) Added.
- **2018-02-14** Placed on s/c cal Health Subcommittee for 2/21/2018
- **2018-02-20** Sponsor(s) Added.
- **2018-02-21** Placed on cal. Health Committee for 2/27/2018
- **2018-02-21** Rec. for pass by s/c ref. to Health Committee `committee-passage-favorable`
- **2018-02-21** Sponsor(s) Added.
- **2018-02-27** Sponsor(s) Added.
- **2018-02-27** Action def. in Health Committee to 3/6/2018
- **2018-02-28** Placed on cal. Health Committee for 3/6/2018
- **2018-03-05** Sponsor(s) Added.
- **2018-03-06** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2018-03-07** Placed on cal. Calendar & Rules Committee for 3/8/2018
- **2018-03-07** Placed on Senate Health and Welfare Committee calendar for 3/14/2018
- **2018-03-08** H. Placed on Regular Calendar for 3/12/2018
- **2018-03-12** Sponsor(s) Added.
- **2018-03-12** Passed H., as am., Ayes 71, Nays 17, PNV 0 `passage`
- **2018-03-12** H. adopted am. (Amendment 1 - HA0754) `amendment-passage`
- **2018-03-13** Engrossed; ready for transmission to Sen.
- **2018-03-14** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 7, Nays 1 PNV 0
- **2018-03-14** Sponsor(s) Added.
- **2018-03-15** Received from House, Passed on First Consideration `introduction`
- **2018-03-26** Placed on Senate Regular Calendar calendar for 3/28/2018
- **2018-03-28** Placed on Senate Regular Calendar calendar for 3/29/2018
- **2018-03-28** Senate Reset on calendar for 3/29/2018
- **2018-03-29** Enrolled; ready for sig. of H. Speaker.
- **2018-03-29** Passed Senate, Ayes 24, Nays 2 `passage`
- **2018-03-29** Amendment withdrawn. (Amendment 1 - SA0808)
- **2018-03-29** Senate substituted House Bill for companion Senate Bill.
- **2018-03-29** Companion House Bill substituted
- **2018-04-02** Signed by H. Speaker
- **2018-04-03** Signed by Senate Speaker
- **2018-04-04** Transmitted to Governor for his action. `executive-receipt`
- **2018-04-12** Signed by Governor. `executive-signature`
- **2018-04-17** Pub. Ch. 682
- **2018-04-17** Effective date(s) 04/12/2018
- **2018-04-17** Comp. became Pub. Ch. 682

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2ac70dcc-b787-4eff-a163-53e3f2c431d4`. Confidence: reported (aggregated from official Tennessee legislature records).