Overview

STATE BUDGET
Tennessee’s fiscal year begins on July 1 and ends on June 30 the following year. The state operates on an annual budget cycle. State agencies submit their budget requests to the governor by October 1. The governor submits the proposed budget to the state legislature by February 1. The deadline for new governors is March 1. The legislature typically adopts a budget between April and June.
STATE LEGISLATURE
The state Legislature has 33 Senators, and the House of Representatives has 99 members. The representatives are elected to two-year terms, and the senators are elected to four-year staggered terms. The Tennessee General Assembly meets convenes on the second Tuesday of January. Each General Assembly meets 90 session days over a two-year period. Generally, legislative sessions last from mid-January through late April or May of each year. Bills carry over from odd to even numbered years.
KEY RESOURCES
- Tennessee General Assembly
- Tennessee Office of the Attorney General
- Tennessee Department of Commerce & Insurance
- Baptist Memorial Health Care Cost Estimator
- Tennessee Governor
- Information about Healthcare Policy in Tennessee
2025 LEGISLATIVE SUMMARY
Tennessee introduced several bills in 2025 that will roll over into 2026. These bills proposed limiting noncompete agreements, with exceptions for physician ownership transactions (HB1034/SB0995 and HB1206/SB0852), and expanding the types of facilities exempt from need certification to expand (HB0819/SB1369 and HB0970/SB0853).
Tennessee Laws
Tenn. Code Ann. § 56-28-114. Contracts for service to subscribers — Rates: Hospital Service Corporations – Tennessee
Introduced: Status: Enacted
The rates charged to the subscribers for hospital service and the rates of payment by the corporation to the contracting hospital or hospitals at all times shall be subject to the approval or disapproval of […]
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Tenn. Code Ann. § 56-29-117. Submission of contracts and schedule of rates to commissioner — Disapproval: Hospital and Medical Services Corporations – Tennessee
Introduced: Status: Enacted
The corporation shall submit to the commissioner specimen copies of each different type of subscriber’s contract and a schedule of rates applicable to the subscriber’s contract that it proposes to issue in this state. The […]
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Tenn. Code Ann. § 56-32-102. Chapter definitions: Health Maintenance Organization Act of 1986 – Tennessee
Introduced: Status: Enacted
Provides definitions for chapter 32, sections 56-32-101 through 56-32-138 – Health Maintenance Organization Act of 1986.
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Tenn. Code Ann. § 56-32-104. Certificate of authority; prerequisites: Health Maintenance Organization Act of 1986 – Tennessee
Introduced: Status: Enacted
States that the insurance commissioner, in issuing a certificate of authority, shall consider In the event the HMO enters into an agreement with any physician-hospital organization, or any other provider, provider group, or provider network, […]
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Tenn. Code Ann. § 56-32-122. Acquisition of control of or merger of a health maintenance organization: Health Maintenance Organization Act of 1986 – Tennessee
Introduced: Status: Enacted
No person may make a tender for or a request or invitation for tenders of, or enter into an agreement to exchange securities for or acquire in the open market or otherwise, any voting security […]
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