<BillNo> <Sponsor> HOUSE JOINT RESOLUTION 73 By Lynn HJR0073 000446 - 1 - A RESOLUTION to commemorate PANDAS Awareness Day, October 9, 2025. WHEREAS, PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) and PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) are serious illnesses that affect one in every 200 children in the United States, with 8,000 of those affected children residing in Tennessee; PANDAS/PANS is likely as common as pediatric cancer and pediatric diabetes; and WHEREAS, a diagnosis of PANDAS or PANS means a child has a sudden, dramatic change in personality displayed as obsessive-compulsive disorder (OCD) together with accompanying symptoms following a strep, bacterial, or viral infection; the OCD can display as intense fear or anxiety, and accompanying symptoms may include tics, anxiety, depression, behavioral regression, deterioration in school performance, sensory sensitivities, severely restricted food intake, and more; and WHEREAS, researchers have begun to substantiate that this syndrome involves a misdirected autoimmune process that affects or weakens the blood brain barrier; the inflammatory process irritates a region of the brain that manages a variety of functions, such as movement, cognitive perception, habit, executive "logic-based" thinking, emotions, and the endocrine system; and WHEREAS, PANDAS/PANS is often misdiagnosed and undertreated; treatment varies by the needs of the individual child but may include antibiotics, steroids, plasmapheresis, cognitive behavioral therapy, anti-inflammatory medications, and IVIG (intravenous immunoglobulin therapy), which is not covered by insurance; and - 2 - 000446 WHEREAS, PANDAS/PANS has been described as a tsunami that devastates families through financial distress resulting from lost wages and out-of-pocket medical expenses; and WHEREAS, it is fitting that the members of this General Assembly pause to reflect on this serious health issue; now, therefore, BE IT RESOLVED BY THE HOUSE OF REPRESENTATIVES OF THE ONE HUNDRED FOURTEENTH GENERAL ASSEMBLY OF THE STATE OF TENNESSEE, THE SENATE CONCURRING, that we commemorate PANDAS Awareness Day, October 9, 2025. BE IT FURTHER RESOLVED, that an appropriate copy of this resolution be prepared for presentation with this final clause omitted from such copy and upon proper request made to the appropriate clerk, the language appearing immediately following the State seal appear without House or Senate designation.