Amends TCA Title 56 and Title 71.
Tennessee SB0435 mandates that health insurers and TennCare health benefit plans must provide coverage for biomarker testing effective January 1, 2026, for diagnosis, treatment, management, or monitoring of diseases when supported by medical evidence. This bill affects health insurers, TennCare enrollees, and healthcare providers by ensuring access to necessary testing without requiring multiple biopsies. Key provisions include requirements for timely prior authorization responses and a clear process for requesting exceptions to coverage policies.
Tennessee SB0435 mandates that health insurers and TennCare health benefit plans must provide coverage for biomarker testing effective January 1, 2026, for diagnosis, treatment, management, or monitoring of diseases when supported by medical evidence. This bill affects health insurers, TennCare enrollees, and healthcare providers by ensuring access to necessary testing without requiring multiple biopsies. Key provisions include requirements for timely prior authorization responses and a clear process for requesting exceptions to coverage policies.
Track Tennessee Legislation Like a Pro
Join hundreds of professionals using LegisGo to stay ahead of legislative changes.
Instant Alerts
Get notified when bills you track move through the legislature
AI Summaries
Understand complex legislation in seconds with AI-powered analysis
Full Access
All 132 legislators, committee schedules, and voting records