HB 858 - SB 1382
FISCAL NOTE
Fiscal Review Committee
Tennessee General Assembly
March 4, 2025
Fiscal Analyst: Laura Moore | Email: laura.moore@capitol.tn.gov | Phone: 615-741-2564
HB 858 - SB 1382
SUMMARY OF BILL: Requires the Commissioner of the Department of Commerce and
Insurance (DCI) to conduct a study on the ease of access for patients or prescribing practitioners to
request a step therapy exception using an insurer’s online process. Requires the study to be
conducted with existing departmental resources. Requires the Commissioner to deliver the study’s
findings and any legislative recommendations to the Chief Clerk of the Senate, the Chief Clerk of
the House of Representatives, and the Legislative Librarian no later than December 15, 2025.
FISCAL IMPACT:
NOT SIGNIFICANT
Assumption:
• According to the DCI, the study can be accomplished within existing resources, without a
significant increase in state expenditures. Any fiscal impact to the DCI is estimated to be
not significant.
IMPACT TO COMMERCE:
NOT SIGNIFICANT
Assumption:
• The proposed legislation will have no significant impact on jobs or commerce in Tennessee.
CERTIFICATION:
The information contained herein is true and correct to the best of my knowledge.
Bojan Savic, Executive Director