New SB 282 bill limits insurer coverage for investigational treatments in healthcare

March 28, 2025 | House, Passed, 2025 Bills, Tennessee Legislation Bills, Tennessee


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New SB 282 bill limits insurer coverage for investigational treatments in healthcare
Tennessee's House Bill 192, introduced on March 28, 2025, is stirring significant conversation as it seeks to address the complexities surrounding individualized investigational treatments for patients. The bill aims to clarify the responsibilities of health plans, third-party administrators, and governmental agencies regarding coverage for these experimental therapies, which are often not included in standard health insurance policies.

At its core, House Bill 192 does not mandate insurers to cover the costs associated with individualized investigational treatments. Instead, it allows health plans and governmental agencies the option to provide such coverage, leaving the decision largely at their discretion. This provision has sparked debate among healthcare advocates who argue that patients should have guaranteed access to potentially life-saving treatments, while opponents caution against the financial implications of mandating coverage for unproven therapies.

One of the bill's notable features is its protection for healthcare providers. It stipulates that a provider's recommendation for an individualized investigational treatment cannot be the sole reason for disciplinary action against their medical license. This provision aims to encourage healthcare professionals to explore innovative treatment options without fear of repercussions, a point that has garnered support from medical associations.

However, the bill also includes a controversial clause that absolves manufacturers and providers from liability for harm caused by these treatments, provided they comply with the bill's terms. Critics argue this could lead to a lack of accountability for companies producing investigational therapies, raising concerns about patient safety.

As the bill moves forward, its implications could reshape the landscape of patient access to experimental treatments in Tennessee. Advocates for patient rights are closely monitoring the discussions, emphasizing the need for a balance between innovation and safety. With a scheduled effective date of July 1, 2025, the future of House Bill 192 remains uncertain, but its potential impact on healthcare access and accountability is undeniable.

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This article is based on a bill currently being presented in the state government—explore the full text of the bill for a deeper understanding and compare it to the constitution

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