TBA Law Blog


Posted by: Stacey Shrader Joslin on Apr 20, 2026

Gov. Bill Lee last week signed into law a measure (SB2118/HB2498) that bars TennCare from covering any gender transition treatments, surgeries or hormone therapies. Those already undergoing gender transitions may continue to receive care covered through TennCare through March 31, 2027, if a physician deems that stopping the treatment would be harmful. And TennCare will continue to cover treatments for congenital conditions, early puberty, disease and physical injuries. A 2024 law banned the Tennessee Department of Correction from using state funds to offer hormone replacement therapy and sex reassignment surgeries for inmates. Lawmakers banned gender transition treatments for minors in 2023, a law that was upheld by the U.S. Supreme Court in 2025 after a yearslong legal challenge. The Tennessean has more on the new law.