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republic-os/legislation/us/states/tn/112/hb-181.md
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Fabio 5a13be122b Legislation: batch E — CA TN VA VT WA WI WV WY 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:28:36 -04:00

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---
type: "Bill"
title: "TennCare - As enacted, enacts the \"Annual Coverage Assessment Act of 2021.\" - Amends TCA Title 71, Chapter 5."
description: "TennCare - As enacted, enacts the \"Annual Coverage Assessment Act of 2021.\" - Amends TCA Title 71, Chapter 5."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "HB 181"
citation: "Tennessee HB 181 (112)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Haile", "Hazlewood"]
version_count: 3
action_count: 51
vote_count: 9
first_action: "2021-01-13"
last_action: "2021-05-21"
source: "openstates"
source_identifier: "ocd-bill/5dca4bfa-85eb-47b1-b81b-a37b90cdab8f"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0181&GA=112"
source_hash: "3c1d50158bcb3f490d6ef13462bd21561fab42da1695e047306ad4fe56bd4498"
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 181 (112) — TennCare - As enacted, enacts the "Annual Coverage Assessment Act of 2021." - Amends TCA Title 71, Chapter 5.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Amendment HA0156** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0156.pdf)
2. **Amendment SA0296** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0296.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/HB0181.pdf)
## Votes
- SENATE FINANCE, WAYS AND MEANS COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 4/27/2021 Passed (2) — **9–0** (pass) · upper
- INSURANCE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/23/2021 (6) — **0–0** (fail) · lower
- FLOOR VOTE: as Amended Third Consideration 5/3/2021 Passed (1) — **30–0** (pass) · upper
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/21/2021 (4) — **0–0** (pass) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/30/2021 (5) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 5/3/2021 Passed (1) — **92–0** (pass) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 4/13/2021 Passed (3) — **9–0** (pass) · upper
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/27/2021 (3) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 5/3/2021 4/28/2021 (2) — **0–0** (fail) · lower
## Sponsors
- Haile — primary (person)
- Hazlewood — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-01-13** Filed for introduction `introduction, reading-1`
- **2021-01-13** Filed for introduction `introduction, reading-1`
- **2021-01-14** Intro., P1C. `introduction`
- **2021-01-14** Introduced, Passed on First Consideration `introduction`
- **2021-01-15** P2C, ref. to Insurance Committee `referral-committee`
- **2021-01-15** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2021-02-01** Assigned to s/c Insurance Subcommittee `referral-committee`
- **2021-03-17** Placed on s/c cal Insurance Subcommittee for 3/23/2021
- **2021-03-23** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2021-03-24** Placed on cal. Insurance Committee for 3/30/2021
- **2021-03-25** Placed on Senate Health and Welfare Committee calendar for 3/31/2021
- **2021-03-30** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2021-03-30** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2021-03-31** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/7/2021
- **2021-03-31** Action deferred in Senate Health and Welfare Committee to 4/7/2021
- **2021-04-07** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2021
- **2021-04-07** Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/14/2021
- **2021-04-07** Placed on Senate Health and Welfare Committee calendar for 4/13/2021
- **2021-04-13** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0
- **2021-04-14** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/21/2021
- **2021-04-14** Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/21/2021
- **2021-04-19** Placed on Senate Finance, Ways, and Means Committee calendar for 4/20/2021
- **2021-04-19** Rule #83(8) Suspended, to be heard in S. FW&M Comm. 4/20/21
- **2021-04-20** Placed on Senate Finance, Ways, and Means Committee calendar for 4/21/2021
- **2021-04-20** Action deferred in Senate Finance, Ways, and Means Committee to 4/21/2021
- **2021-04-21** Placed on cal. Finance, Ways, and Means Committee for 4/27/2021
- **2021-04-21** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2021-04-21** Placed on Senate Finance, Ways, and Means Committee calendar for 4/27/2021
- **2021-04-21** Action deferred in Senate Finance, Ways, and Means Committee to 4/27/2021
- **2021-04-27** Placed on cal. Calendar & Rules Committee for 4/28/2021
- **2021-04-27** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2021-04-27** Recommended for passage, refer to Senate Calendar Committee
- **2021-04-28** H. Placed on Regular Calendar for 5/3/2021
- **2021-04-29** Placed on Senate Regular Calendar for 5/3/2021
- **2021-05-03** Comp. SB subst.
- **2021-05-03** Sponsor(s) Added.
- **2021-05-03** Passed H., Ayes 92, Nays 0, PNV 0 `passage`
- **2021-05-03** Am. withdrawn. (Amendment 1 - HA0156) `amendment-withdrawal`
- **2021-05-03** Subst. for comp. HB.
- **2021-05-03** Engrossed; ready for transmission to House
- **2021-05-03** Passed Senate as amended, Ayes 30, Nays 0 `passage`
- **2021-05-03** Senate adopted Amendment (Amendment 1 - SA0296)
- **2021-05-04** Sponsor(s) Added.
- **2021-05-05** Signed by Senate Speaker
- **2021-05-05** Enrolled and ready for signatures
- **2021-05-07** Signed by H. Speaker
- **2021-05-11** Transmitted to Governor for action.
- **2021-05-18** Signed by Governor. `executive-signature`
- **2021-05-21** Comp. became Pub. Ch. 459
- **2021-05-21** Effective date(s) 05/18/2021,06/30/2021
- **2021-05-21** Pub. Ch. 459
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5dca4bfa-85eb-47b1-b81b-a37b90cdab8f`. Confidence: reported (aggregated from official Tennessee legislature records).
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