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republic-os/legislation/us/states/tn/114/hb-502.md
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---
type: "Bill"
title: "TennCare - As enacted, authorizes the bureau to provide coverage and treatment on behalf of an enrollee for the diagnosis, including genetic testing, and treatment of Kleefstra syndrome in the same manner and to the same extent that the bureau provides coverage for autism spectrum disorder, Trisomy 21 or Down syndrome, and other similar or related genetic disorders, when determined to be medically necessary. - Amends TCA Title 56 and Title 71."
description: "TennCare - As enacted, authorizes the bureau to provide coverage and treatment on behalf of an enrollee for the diagnosis, including genetic testing, and treatment of Kleefstra syndrome in the same manner and to the same extent that the bureau provides coverage for autism spectrum disorder, Trisomy 21 or Down syndrome, and other similar or related genetic disorders, when determined to be medically necessary. - Amends TCA Title 56 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "HB 502"
citation: "Tennessee HB 502 (114)"
classification: ["bill"]
subjects: ["TennCare"]
status: "enacted"
primary_sponsors: ["Littleton"]
version_count: 3
action_count: 27
vote_count: 5
first_action: "2025-01-29"
last_action: "2025-04-04"
source: "openstates"
source_identifier: "ocd-bill/11c8d91d-467e-4baf-9a5a-acd7e6e357ca"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=HB0502&ga=114"
source_hash: "d357c0e8014c95af73896c407e8e9c70cb22ec91bc94aa88cb2961ede372564f"
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 502 (114) — TennCare - As enacted, authorizes the bureau to provide coverage and treatment on behalf of an enrollee for the diagnosis, including genetic testing, and treatment of Kleefstra syndrome in the same manner and to the same extent that the bureau provides coverage for autism spectrum disorder, Trisomy 21 or Down syndrome, and other similar or related genetic disorders, when determined to be medically necessary. - 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 HA0026** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0026.pdf)
2. **Amendment SA0083** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0083.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/HB0502.pdf)
## Votes
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/10/2025 3/6/2025 (2) — **00** (fail) · lower
- HOUSE INSURANCE COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 2/26/2025 Passed — **170** (pass) · lower
- HOUSE TENNCARE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 2/18/2025 Passed — **60** (pass) · lower
- FLOOR VOTE: Third Consideration 3/20/2025 Passed (1) — **272** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/10/2025 Passed (1) — **940** (pass) · lower
## Sponsors
- Littleton — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-29** Filed for introduction `filing`
- **2025-02-03** Intro., P1C. `introduction`
- **2025-02-05** Assigned to s/c Tenncare Subcommittee `referral-committee`
- **2025-02-05** P2C, ref. to Insurance Committee `referral-committee`
- **2025-02-11** Sponsor change. `sponsorship`
- **2025-02-11** Sponsor(s) withdrawn. `sponsorship`
- **2025-02-12** Placed on s/c cal Tenncare Subcommittee for 2/18/2025
- **2025-02-18** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2025-02-19** Placed on cal. Insurance Committee for 2/26/2025
- **2025-02-26** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2025-03-05** Placed on cal. Calendar & Rules Committee for 3/6/2025
- **2025-03-06** H. Placed on Regular Calendar for 3/10/2025
- **2025-03-10** Passed H., as am., Ayes 94, Nays 0, PNV 0 `passage`
- **2025-03-10** Sponsor(s) Added. `sponsorship`
- **2025-03-10** H. adopted am. (Amendment 1 - HA0026) `amendment-passage`
- **2025-03-11** Engrossed; ready for transmission to Sen. `receipt`
- **2025-03-13** Received from House, Passed on First Consideration `introduction`
- **2025-03-20** Passed Senate, Ayes 27, Nays 2 `passage`
- **2025-03-20** Amendment withdrawn. (Amendment 1 - SA0083)
- **2025-03-20** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2025-03-21** Enrolled; ready for sig. of H. Speaker. `enrolled`
- **2025-03-26** Signed by Senate Speaker `passage`
- **2025-03-26** Signed by H. Speaker `passage`
- **2025-03-27** Transmitted to Governor for his action. `executive-receipt`
- **2025-04-03** Signed by Governor. `executive-signature`
- **2025-04-04** Effective date(s) 07/01/2025
- **2025-04-04** Pub. Ch. 145
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/11c8d91d-467e-4baf-9a5a-acd7e6e357ca`. Confidence: reported (aggregated from official Tennessee legislature records).