Chiropractors - As enacted, requires certain insurers to reimburse chiropractic physicians at the same rate as physicians for the same services. - Amends TCA Title 56, Chapter 7 and Title 63. HB0029 has been assigned Pub, the official text

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~tate of ~ennessee

                          PUBLIC CHAPTER NO. 923

                                                    HOUSE BILL NO. 29

  By Representatives Cepicky, Hale, Sherrell, Atchley, Hawk, Slater, Lafferty, McCalmon,
                                                             Sparks

                                        Substituted for: Senate Bill No. 225

    By Senators Taylor, Bowling, Crowe, Gardenhire, Pody, Reeves, Seal, Walley, White

          AN ACT to amend Tennessee Code Annotated, Title 56, Chapter 7 and Title 63, relative
to payment for services rendered by chiropractors.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:

          SECTION 1. Tennessee Code Annotated, Section 56-7-2404, is amended by deleting
the word "chiropractor" wherever it appears in subsection (a) and substituting "chiropractic
physician"; and is further amended by deleting the word "chiropractors" from subdivision (a)(2)
and substituting "chiropractic physicians".

          SECTION 2. Tennessee Code Annotated, Section 56-7-2404(a), is amended by adding
the following new subdivision:

                    (3)

                              (A) When a health insurance entity is determining the amount of
                    reimbursement to be paid pursuant ·to subdivision (a)(1) or (2) for a service or
                    procedure that is identified and listed in a nationally recognized services and
                    procedures code book that is used by the health insurance entity, the health
                    insurance entity shall not discriminate between a chiropractic physician and a
                    physician licensed pursuant to title 63, chapter 6 or chapter 9, with respect to the
                    methodology used to calculate reimbursement or the amount of reimbursement.
                    A health insurance entity shall not attempt to circumvent this subdivision (a)(3) by
                    creating a chiropractic-specific code or payment methodology not listed in the
                    nationally recognized services and procedures code book used by the health
                    insurance entity for determining the amount of reimbursement.

                              (8) This subdivision (a)(3) does not limit the ability of a health insurance
                    entity to utilize national uniform relative value units (RVUs) that account for the
                    relative resources used in furnishing a service or procedure.

                              (C) As used in this subdivision (a)(3):

                                        (i) "Health insurance entity" has the same meaning as defined in §
                              56-7-109; and

                                        (ii) "Nationally recognized services and procedures code book"
                              includes, but is not limited to, the American Medical Association's Current
                              Procedural Terminology (CPT) code book.

                              (D) This subdivision (a)(3) does not apply to:

                                        (i) The TennCare program established under the Medical
                              Assistance Act of 1968, compiled in title 71, chapter 5, part 1, .or a
                              successor medicaid program; or

                                        (ii) The CoverKids program established under the CoverKids Act
                              of 2006, compiled in title 71, chapter 3, part 11, or a successor program.

          SECTION 3. This act takes effect on January 1, 2027, the public welfare requiring it.
                    HOUSE BILL NO. - -29 - -

PASSED:  April 23, 2026

                                  CAMERON'-SEXTON,SPEAKER

                         HOUSE OF REPRESENTATIVES             ~

                                               RANDY MCNAL\Y
                                      EAKER OF THE SENA

J (V\,, APPROVED this (l_ day of  .A          2026
                                  0

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BILL LEE, GOVERNOR