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Back to HB 1198
Tennessee General Assembly· HB 1198Transmitted to Governor for his action.

Drugs, Prescription - As enacted, adds mandating the use of biosimilar drugs as a cost-saving measure the bureau of TennCare may implement; adds that a health carrier, health benefit plan, or utilization review organizat, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Tennessee General Assembly, fetched 2026-09-25. Page and line markers are part of the official record; nothing is edited or removed. This is the chaptered version. The official bill page.
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                        ~tate of ~ennessee

                         PUBLIC CHAPTER NO. 206

                                                  HOUSE BILL NO. 1198

                                          By Representatives Kumar, Terry

                                        Substituted for: Senate Bill No. 436

                                                    By Senator Reeves

         AN ACT to amend Tennessee Code Annotated, Title 4; Title 53; Title 56; Title 68 and
Title 71, relative to biosimilar medicine.

         WHEREAS, the legislature finds that increasing access to biosimilar medicines has the
potential to significantly reduce prescription drug costs; and

         WHEREAS, biosimilar medicines are approved according to the same federal Food and
Drug Administration (FDA) standards of pharmaceutical quality, safety, and efficacy as the
FDA's reference medicines; and

          WHEREAS, it is the intent of the legislature to eliminate barriers impeding access to
biosimilar medicines and the savings biosimilar medicines can provide; now, therefore,

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

          SECTION 1. Tennessee Code Annotated, Section 4-3-1013(e), is amended by adding
the language "or biosimilars, as that term is defined in § 56-7-3501" at the end of the
subsection.

          SECTION 2. Tennessee Code Annotated, Section 56-7-3501, is amended by adding the
following as a new subdivision:

                    ( ) "Biosimilar" means a biological product that is licensed under 42 U.S.C. §
          262(k) and that is not listed as "discontinued" in the federal food and drug
          administration's database of licensed biological products, also known as the "Purple
          Book";

          SECTION 3. Tennessee Code Annotated, Section 56-7-3502(f)(1), is amended by
deleting the subdivision and substituting:

                    (1) A health carrier, health benefit plan, or utilization review organization from
          requiring a patient to try an AB-rated generic equivalent product, interchangeable
          biological product, or biosimilar product prior to providing coverage for the equivalent
          branded prescription drug;

          SECTION 4. Tennessee Code Annotated, Section 71-5-103, is amended by adding the
following as a new subdivision:

                    ( ) "Biosimilar" means a biological product that is licensed under 42 U.S.C. §
          262(k) and that is not listed as "discontinued" in the federal food and drug
          administration's database of licensed biological products, also known as the "Purple
           Book";

           SECTION 5. Tennessee Code Annotated, Section 71-5-198(c), is amended by adding
 the language "or biosimilars" at the end of the subsection.

           SECTION 6. Tennessee Code Annotated, Section 71-5-2404(a), is amended by deleting
 the language "including, but not limited to, efficacy, the use of generic drugs and therapeutic
 equivalent drugs, and cost information related to each drug" and substituting "including efficacy;
 the use of generic drugs, biosimilars, as that term is defined in § 71-5-103, and therapeutic
 equivalent drugs; and cost information related to each drug".
HB1198
          SECTION 7. This act takes effect upon becoming a law, the public welfare requiring it.

                                                                   2
                    HOUSE BILL NO. 1198

PASSED:  March 31, 2025

                                               CAMERON SEXTON, SPEAKER
                                               HOUSE OF REPRESENTATIVES

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                                            -  R- -A.-.N.-D- -Y=-I-•'{~ ;~g~ t - - - - - -

                                               SPEAKER OF THE SENATE

APPROVED this \\\l.. day of t\pri\             2025

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BILL LEE, GOVER OR
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