Health Care - As enacted, revises present law relative to a patient's electronic health record and requires a health insurance entity to establish and maintain a provider access API and a prior authorization API; makes r, the official text

•:(1~-"=11:fA           ::

i ~\\ ~~· '-""L!.'...-  :

        Stnie ef Je!YU!<Ss~

                             PUBLIC CHAPTER NO. 447

                                                     SENATE BILL NO. 890

                                                       By Reeves, Hensley

                                             Substituted for: House Bill No. 869

                              By Rudder, Terry, Moody, Renea Jones, Helton-Haynes

AN ACT to amend Tennessee Code Annotated, Title 8; Title 47; Title 56; Title 63 and Title 68,
          relative to health records.

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

          SECTION 1. Tennessee Code Annotated, Section 63-2-104(b), is amended by deleting the
language ", except as provided in subsection (c)".

          SECTION 2. Tennessee Code Annotated, Section 63-2-104(c), is amended by deleting the
subsection.

          SECTION 3. Tennessee Code Annotated, Section 56-7-128(b), is amended by deleting the
subsection and substituting:

                    (b) To facilitate patient and provider access to health information, a health insurance
          entity shall establish and maintain the following application programming interfaces (API) for
          the benefit of all insureds and contracted providers:

                              (1) Patient access API, as described in 42 CFR § 422.119 (a)-(e);

                              (2) Provider directory API, as described in 42 CFR § 422.120;

                              (3) Payer-to-payer exchange API, as described in 42 CFR § 422.121 (b);

                              (4) Provider access API, as described in 42 CFR § 422.121 (a); and

                              (5) Prior authorization API, as described in 42 CFR § 422.122.

          SECTION 4. Tennessee Code Annotated, Section 56-7-128(d), is amended by deleting the
subsection and substituting:

                    (d) For the API required by this section, a health insurance entity shall establish and
          maintain each API for its insured and providers at the earliest date CMS requires any of its
          regulated plan or product types to establish and maintain the same API.

          SECTION 5. Tennessee Code Annotated, Section 56-7-128(c), is amended by deleting the
subsection.

          SECTION 6. This act takes effect July 1, 2025, the public welfare requiring it.
         SENATE BILL NO. 890

PASSED:  April 21, 2025

                                             RANDY ~NALLY
                               SPEAKER OF THE ~ENA TE

                            ·cc

                         CAMERON SEXTON, SPEAKER
                         HOUSE OF REPRESENTATIVES

°I fV\94 APPROVED this ft.. day of  2025

            lu.

         BILL LEE, GOVERNOR