Tennessee 2025-2026 Regular Session

Tennessee Senate Bill SB1010 Compare Versions

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2-HOUSE BILL 1220
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54 SENATE BILL 1010
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1312 AN ACT to amend Tennessee Code Annotated, Title 4;
1413 Title 8; Title 53; Title 56; Title 63; Title 68 and Title
1514 71, relative to contraceptives.
1615
1716 WHEREAS, the legislature declares that freedom to access, use, or refuse a
1817 contraceptive method of choice is a fundamental right, central to a person's liberty, privacy,
1918 health, well-being, dignity, equality, and ability to participate in the social and economic life of
2019 this State; and
2120 WHEREAS, the legislature finds that contraception is safe and essential health care, and
2221 access to contraceptive products and services is necessary for the prevention of unintended
2322 pregnancy and sexually transmitted diseases, as well as for a person's ability to participate
2423 equally in economic and social life, and make decisions about their families and their lives; and
2524 WHEREAS, the legislature finds that the right to make personal decisions about
2625 contraceptive use is important for all people, and is especially critical for historically
2726 marginalized groups, including African-American, indigenous, and other people of color;
2827 immigrants; lesbian, gay, bisexual, transgender, and queer people; people with disabilities;
2928 people with low incomes; and people living in rural and underserved areas; and
3029 WHEREAS, the legislature finds that broad access to contraceptives is internationally
3130 recognized by the World Health Organization as advancing other human rights, such as the
3231 right to life, liberty, expression, health, work, and education; and
3332 WHEREAS, the legislature determines that readily and practically available
3433 contraceptive procedures, supplies, and information regardless of sex, race, age, gender,
3534 income, number of children, marital status, citizenship, or motive is in the best interest of the
3635 people of this State; now, therefore,
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4140 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
4241 SECTION 1. Tennessee Code Annotated, Title 68, Chapter 1, is amended by adding
4342 the following as a new part:
4443 68-1-2501. Short title.
4544 This part is known and may be cited as the "Tennessee Contraceptive Freedom
4645 Act."
4746 68-1-2502. Definitions.
4847 As used in this part:
4948 (1) ''Contraception'':
5049 (A) Means an action taken to prevent pregnancy, including the
5150 use of contraceptives, emergency contraceptives, fertility awareness-
5251 based methods, and sterilization procedures; and
5352 (B) Does not mean, and is distinct from, abortion;
5453 (2) ''Contraceptive'' means a device, medication, biological product, or
5554 procedure that is intended for use in the prevention of pregnancy, whether
5655 specifically intended to prevent pregnancy or for other health needs, legally
5756 marketed under the Federal Food, Drug, and Cosmetic Act, compiled in 21
5857 U.S.C. § 301 et seq.;
5958 (3) ''Family planning'' includes all forms of contraception;
6059 (4) ''Healthcare provider'' means:
6160 (A) A healthcare practitioner, individual, or facility licensed,
6261 authorized, certified, registered, or regulated under title 33, title 63, or this
6362 title, federal law or order, or an executive order of the governor;
6463 (B) Employees, agents, or contractors of practitioners, individuals,
6564 or facilities described in subdivision (4)(A); and
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7069 (C) The department of health and any agency, board, council, or
7170 committee attached to the department of health;
7271 (5) ''Health insurance carrier'' means an entity subject to the insurance
7372 laws of this state, or subject to the jurisdiction of the commissioner of the
7473 department of commerce and insurance, that contracts or offers to contract to
7574 provide, deliver, arrange for, pay for, or reimburse the costs of healthcare
7675 services, including an insurance company, a health maintenance organization, a
7776 health service corporation, a nonprofit hospital, or another entity providing a plan
7877 of health insurance, health benefits, or health services;
7978 (6) ''Political subdivision'' means a local governmental entity, including a
8079 city, town, municipality, metropolitan government, county, utility district, school
8180 district, public building authority, housing authority, emergency communications
8281 district, county board of health, and development district created and existing
8382 pursuant to the laws of this state, or an instrumentality of government created by
8483 one (1) or more local governmental entities; and
8584 (7) ''Public health agency'':
8685 (A) Means any public provider of local health services under
8786 chapter 2 of this title; and
8887 (B) Includes the department of health, a county health
8988 department, and a district health department.
9089 68-1-2503. Permitted services.
9190 (a) Every individual has a fundamental right to make decisions about the
9291 individual's reproductive health care, including the fundamental right to use or refuse
9392 contraceptives or contraceptive supplies as defined in § 68-34-102.
9493 (b) A healthcare provider shall:
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9998 (1) Provide contraceptives, contraception, and information related to
10099 contraception and family planning to consenting patients; or
101100 (2) Refer consenting patients to a healthcare provider that can provide
102101 contraceptives, contraception, and information related to contraception and
103102 family planning.
104103 (c) The rights set forth in subsection (a) must not be limited or otherwise
105104 infringed through a limitation or requirement that:
106105 (1) Expressly, effectively, implicitly, or as implemented singles out the
107106 provision of contraceptives, contraception, or contraception-related information;
108107 healthcare providers who provide contraceptives, contraception, or
109108 contraception-related information; or facilities in which contraceptives,
110109 contraception, or contraception-related information is provided; or
111110 (2) Impedes access to contraceptives, contraception, or contraception-
112111 related information.
113112 (d) To defend against a claim that a limitation or requirement infringes on a
114113 healthcare provider's or patient's rights in violation of subsection (c), a party must
115114 establish, by clear and convincing evidence, that:
116115 (1) The limitation or requirement significantly advances the safety of
117116 contraceptives, contraception, and contraception-related information; and
118117 (2) The safety of contraceptives, contraception, and contraception-
119118 related information or the health of patients cannot be advanced by a less
120119 restrictive alternative.
121120 68-1-2504. Access.
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126125 (a) On or after July 1, 2025, health insurance carriers and public health agencies
127126 shall ensure affordable access to a wide range of contraceptive methods for all
128127 consenting individuals.
129128 (b) Affordable access must include:
130129 (1) For a health insurance carrier that issues or renews a health
131130 insurance policy, plan, or contract of accident or health insurance providing
132131 benefits for medical or hospital expenses, providing full coverage for the
133132 expenses of the contraceptive method of choice for an individual covered by the
134133 health insurance carrier; and
135134 (2) For a public health agency that serves the people of a municipality,
136135 providing full coverage for the expenses of the contraceptive method of choice
137136 for an uninsured individual residing in this state.
138137 (c) Access to contraceptives shall not be limited by an individual's sex, race,
139138 age, gender, income, ability to pay, number of children, marital status, citizenship, or
140139 motive.
141140 68-1-2505. Applicability.
142141 (a) This state, and any political subdivision of this state, shall not administer,
143142 implement, or enforce any law, rule, or other provision having the force and effect of law
144143 that:
145144 (1) Prohibits or restricts the sale, provision, or use of any contraceptives
146145 that have been approved by the federal food and drug administration for
147146 contraceptive purposes;
148147 (2) Prohibits or restricts an individual from aiding another individual in
149148 obtaining any contraceptives approved by the federal food and drug
150149 administration or other contraceptive methods; or
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155154 (3) Exempts any contraceptives approved by the federal food and drug
156155 administration from any other generally applicable law in a way that would make
157156 it more difficult to sell, provide, obtain, or use those contraceptives or
158157 contraceptive methods.
159158 (b) An individual or entity that is subject to a limitation or requirement that
160159 violates this section may raise this section as a defense to any cause of action against
161160 the individual or entity.
162161 68-1-2506. Construction.
163162 (a) This part must be liberally construed to effectuate its purposes.
164163 (b) This part does not:
165164 (1) Authorize a government or political subdivision to interfere with a
166165 healthcare provider's ability to provide contraceptives or contraception-related
167166 information or an individual's freedom to obtain contraceptives or to engage in
168167 contraception;
169168 (2) Authorize a healthcare provider, women's resource center, or
170169 pregnancy care center to interfere with an individual's freedom to obtain
171170 contraceptives, to engage in contraception, or to obtain medically supported
172171 information related to contraception and family planning to consenting patients;
173172 (3) Permit or sanction the conduct of any sterilization procedure or
174173 contraception use without the patient's voluntary and informed consent; or
175174 (4) Violate title 39, chapter 15, part 2.
176175 SECTION 2. The headings in this act are for reference purposes only and do not
177176 constitute a part of the law enacted by this act. However, the Tennessee Code Commission is
178177 requested to include the headings in any compilation or publication containing this act.
179178 SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it.