Tennessee Pharmacists Association

April 25, 2023

Last Friday, the 1st session of the 113th Tennessee General Assembly concluded. Upon adjournment, Governor Lee released a statement announcing that he will call for a special session to pass constitutional public safety legislation. TPA’s advocacy will be providing a broad legislative recap communication as well as a continuing education webinar for members in the coming weeks.  

TPA Priorities: Drug Donation Program 

SB 675 (Reeves) / HB 667 (Hicks, T.) was sent to the Governor’s office for action on April 12. TPA expects the Governor to sign this bill. Thank you to all TPA members that engaged their legislators in making this bill successfully move through the legislative process! You may contact your legislators to thank them for their support of this legislation. TPA will be providing an additional summary of this legislation in the coming weeks.  

TPA Priorities: Technician Representation on Board of Pharmacy 

Last Thursday, SB 753 (Haile) / HB 1317 (Kumar) with Senator Haile’s amendments passed the full House (86-0), and now moves to the Governor for signature. TPA worked closely with Senator Haile to address concerns in his proposed bill. The approved amended bill will: 

  • Not vacate the current board, 
  • Increase the board size to 9 members – adding an additional pharmacist and a pharmacy technician, and 
  • Provide the Board with the ability to provide written opinion advisory notices. 

 TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members. 


April 18, 2023

 The legislature is moving quickly to adjourn before the end of the month with several full House and full Senate sessions occurring this week.  

TPA Priorities: Drug Donation Program 

SB 675 (Reeves) / HB 667 (Hicks, T.) was sent to the Governor’s office for action on April 12. TPA expects the Governor to sign this bill. Thank you to all TPA members that engaged their legislators in making this bill successfully move through the legislative process! You may contact your legislators to thank them for their support of this legislation. TPA will be providing an additional summary of this legislation in the coming weeks.  

TPA Priorities: Technician Representation on Board of Pharmacy 

While SB 753 (Haile) / HB 1317 (Kumar) with Senator Haile’s amendments passed the full Senate (30-0) already, it will be heard by the House Finance, Ways, and Means Subcommittee today/Tuesday, April 18. If approved, it will move the full House Finance, Ways, and Means Committee, which meets immediately following the subcommittee.  

 TPA worked closely with Senator Haile to address concerns in his proposed bill. The current amended language will: 

  • Not vacate the current board, 
  • Increase the board size to 9 members – adding an additional pharmacist and a pharmacy technician, and 
  • Provide the Board with the ability to provide written opinion advisory notices. 

 TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members. 


April 11, 2023

The legislature is awaiting the much-anticipated passage of the state budget. With that, it is possible the legislature will adjourn by the close of April. All Senate committees have closed for this session, except for Finance, Ways, and Means. All House committees, except for Finance, Ways, and Means and Calendar & Rules, are expected to close this week.  

TPA Priorities: Drug Donation Program 

Last Thursday, SB 675 (Reeves) / HB 667 (Hicks, T.) passed unanimously (96-0) in the House. Given the bill passed in the Senate last month, the bill moves to the Governor’s office for signature. Thank you to all TPA members that engaged their legislators in making this bill successfully move through the legislative process! You may contact your legislators to thank them for their support of this legislation. TPA will be providing an additional summary of this legislation in the coming weeks.  

TPA Priorities: Technician Representation on Board of Pharmacy 

Last Wednesday, SB 753 (Haile) / HB 1317 (Kumar) with Senator Haile’s amendments passed the full Senate (30-0). Also last Wednesday, the House Health Committee approved the House version of the bill. It will be heard by the House Government Operations Committee on Monday, April 10.  

 TPA worked closely with Senator Haile to address concerns in his proposed bill. The current amended language will: 

  • Not vacate the current board, 
  • Increase the board size to 9 members – adding an additional pharmacist and a pharmacy technician, and 
  • Provide the Board with the ability to provide written opinion advisory notices. 

 TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members. 


April 4, 2023

TPA Priorities: Drug Donation Program 

This Thursday, SB 675 (Reeves) / HB 667 (Hicks, T.) will be heard by the full House for consideration. Contact your Representative today to seek their support of this bill supported by TPA. This bill updates the drug donation program in the state to provide more patient access to medications. To read more, please see this policy brief. 

TPA Priorities: Technician Representation on Board of Pharmacy 

SB 753 (Haile) / HB 1317 (Kumar) with Senator Haile’s amendments will be heard by the full Senate on tomorrow/Wednesday, April 5. It will be heard by the House Health Committee on April 5 as well. TPA worked closely with Senator Haile to address concerns in his proposed bill. The current amended language will: 

  • Not vacate the current board, 
  • Increase the board size to 9 members – adding an additional pharmacist and a pharmacy technician, and 
  • Provide the Board with the ability to provide written opinion advisory notices. 

Other Bills/Topics of Concern: 

DEI, Cultural Competence: SB 102 (Gardenhire) / HB 158 (Zachary) will be heard by House Education Administration Committee on Wednesday, April 5. This bill prevents requirements on implicit bias training in school and places of higher education. This language could impact the accreditation of colleges/schools of pharmacy and pharmacy technician training programs due to standards on health disparities, inequities, and cultural competence. 

School Safety: Following the tragic shooting at The Covenant School in Nashville, legislative leadership announced their plan for stronger school safety in the state. The Governor’s amended legislation, SB 274 (Johnson) /HB 322 (Lamberth), will reflect the updated proposed actions. 

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.


March 28, 2023

TPA Priorities: Drug Donation Program 

Last Wednesday, SB 675 (Reeves) / HB 667 (Hicks, T.) was heard and approved by the House Health Committee. Upon review by the Calendar & Rules Committee, it will move to the full House for consideration. At this point, the exact date is unknown. This bill updates the drug donation program in the state to provide more patient access to medications. To read more, please see this policy brief. 

TPA Priorities: Technician Representation on Board of Pharmacy 

SB 753 (Haile) / HB 1317 (Kumar) with Senator Haile’s amendments will be heard again by Senate Health and Welfare Committee (on Tuesday, March 28) and House Health Subcommittee (on Tuesday, March 28). TPA worked closely with Senator Haile to address concerns in his proposed bill. The current amended language will: 

  • Not vacate the current board, 
  • Increase the board size to 9 members – adding an additional pharmacist and a pharmacy technician, and 
  • Provide the Board with the ability to provide written opinion advisory notices. 

TPA Positions:  Life of the Mother Bill  

During recent amendments to find compromise between all parties, SB 745 (Briggs) / HB 883 (Helton-Haynes), which focuses on reforming and clarifying Tennessee’s trigger law, does not include pharmacy provisions that were advocated for by the association. TPA continues to evaluate opportunities to address the concerns of the profession, such as providing immunity for pharmacists when dispensing drugs that can be used to induce abortion but have other recognized non-abortion indications such as cancer and lupus. 

Other Bills/Topics of Concern: 

DEI, Cultural Competence: SB 102 (Gardenhire) / HB 158 (Zachary) will be heard by House Education Administration Committee on Wednesday, March 29. This bill prevents requirements on implicit bias training in school and places of higher education. This language could impact the accreditation of colleges/schools of pharmacy and pharmacy technician training programs due to standards on health disparities, inequities, and cultural competence. 

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.


March 21, 2023

TPA Priorities: Drug Donation Program

On Wednesday, March 22, SB 675 (Reeves) / HB 667 (Hicks, T.) will be heard by the House Health Committee. If approved, it will move to the full House for consideration. This bill updates the drug donation program in the state to provide more patient access to medications. To read more, please see this policy brief.

TPA Priorities: Technician Representation on Board of Pharmacy

After passing the Senate Government Operations Committee last week, SB 753 (Haile) / HB 1317 (Kumar) with Senator Haile’s amendment, which addressed many of TPA’s concerns, will be heard by the Senate Health and Welfare Committee on Wednesday, March 22. TPA will continue to closely monitor.

TPA Positions:  Life of the Mother Bill

During recent amendments to find compromise between all parties, SB 745 (Briggs) / HB 883 (Helton-Haynes), which focuses on reforming and clarifying Tennessee’s trigger law, does not include some key pharmacy provisions that were advocated for by the association. TPA continues to evaluate opportunities to address the concerns of the profession, such as providing immunity for pharmacists when dispensing drugs that can be used to induce abortion but have other recognized non-abortion indications such as cancer and lupus.

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.


March 14, 2023

TPA Priorities: Drug Donation Program 

On Monday, March 13, SB 675 (Reeves) / HB 667 (Hicks, T.) passed the Senate with unanimous support (33-0). It will be heard by the House Health Subcommittee on Tuesday, March 14, then to House Calendar & Rules before being heard on the House floor. This bill updates the drug donation program in the state to provide more patient access to medications. If you haven’t already, thank your Senator for their support of this bill. To read more, please see this policy brief. 

TPA Priorities: Technician Representation on Board of Pharmacy 

TPA met with Senator Haile to identify language for an amendment to his bill, while creating a mechanism to have pharmacy technician representation on the Board of Pharmacy. On Wednesday, March 15, SB 753 (Haile) / HB 1317 (Kumar) with Senator Haile’s amendment will be heard by the Senate Government Operations Committee. TPA will continue to closely monitor. 

TPA Positions:  Life of the Mother Bill  

As part of a coalition of healthcare professional associations, TPA will continue to work to include language in this bill to provide immunity for pharmacists when dispensing drugs that can be used to induce abortion but have other recognized non-abortion indications such as cancer and lupus. SB 745 (Briggs) / HB 883 (Helton-Haynes) – focused on reforming and clarifying Tennessee’s Trigger Law – will be heard by the House Health Committee on Wednesday, March 15th. Updated talking points are available in this Policy Brief. 

Other Bills/Topics of Concern: 

DEI Trainings in Health-Professional Programs: SB 603 (Hensley) / HB 571 (Carringer) was heard in the House Higher Education Subcommittee on Monday, March 13. TPA expressed strong concern to the bill sponsor as it may impact the accreditation of colleges of pharmacy and pharmacy technician training programs in the state. The bill heard similar concerns from other healthcare organizations, and currently the bill was taken off notice. TPA will continue to monitor. 

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members. 


March 7, 2023

Thank you to over 200 attendees at the 2023 Pharmacy Day on the Hill!! Your outreach and education

TPA Priorities: Drug Donation Program

Today/Tuesday, March 6, SB 675 (Reeves) / HB 667 (Hicks, T.) will be heard by the Senate Commerce & Labor Committee as well as the House Health Subcommittee with amendments in collaboration with the Department of Health. This bill would update areas of the drug donation program in the state to provide more patients with access to medications. To read more, please see this policy brief.

TPA Priorities: Technician Representation on Board of Pharmacy

On Monday, TPA met with Senator Haile to further discuss his bill related to the Board of Pharmacy. During this meeting, new language for an amendment was identified and agreed upon that can address the Senator’s concerns and meet the needs of the profession while addressing TPA’s concerns of the original bill language. SB 753 (Haile) / HB 1317 (Kumar) with its latest amendment could still be heard this week by the Senate Government Operations Committee. If not, the bill will be heard next week. Given the latest agreed upon language, TPA is crafting talking points to show support of the newest amendment.

TPA Positions:  Life of the Mother Bill

As part of a coalition of healthcare professional associations, TPA worked to include language in this bill to provide immunity for pharmacists when dispensing drugs that can be used to induce abortion but have other recognized non-abortion indications such as cancer and lupus. SB 745 (Briggs) / HB 883 (Helton-Haynes) – focused on reforming and clarifying Tennessee’s Trigger Law – was deferred by the Senate Judiciary Committee to Tuesday, March 14th and was deferred by the House Health Committee to Wednesday, March 22nd. Here are updated talking points in this Policy Brief

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.


February 28, 2023

Over 200 White Coats are in Nashville for the 2023 Pharmacy Day on the Hill. If you are not able to join, watch for additional tips and messaging to participate in Virtual Pharmacy Day on the Hill. Contact your legislators today and help amplify the voice of the profession together as one. 

TPA Priorities: Drug Donation Program 

Today/Tuesday, February 28, SB 675 (Reeves) / HB 667 (Hicks, T.) will be heard by the Senate Commerce & Labor Committee as well as the House Health Subcommittee. This bill would update areas of the drug donation program in the state to provide more patient access to medications. If your Senator serves on this committee, please utilize the Advocacy Alert talking points to make outreach and seek their support of the bill. To read more, please see this policy brief. 

TPA Priorities: Technician Representation on Board of Pharmacy 

TPA continues to look at methods to have pharmacy technician representation on the Board of Pharmacy. One avenue may be to utilize SB 753 (Haile) / HB 1317 (Kumar) as a vehicle for this to happen. TPA continues to work with Senator Haile to work through our concerns with this current version of the bill before this bill is heard by any committee. 

TPA Positions:  Life of the Mother Bill  

As part of a coalition of healthcare professional associations, TPA worked to include language in this bill to provide immunity for pharmacists when dispensing drugs that can be used to induce abortion but have other recognized non-abortion indications such as cancer and lupus. SB 745 (Briggs) / HB 883 (Helton-Haynes) – focused on reforming and clarifying Tennessee’s Trigger Law – will be heard by the Senate Judiciary Committee today/Tuesday, February 28th. Updated talking points are available in this Policy Brief. 

Other Bills/Topics of Concern: 

Weight Management CPA: SB 674 (Reeves) / HB 1315 (Kumar) will be heard in the House Health Subcommittee today/Tuesday, February 28th. This bill clarifies that a collaborative practice agreement may include weight management services.  

Home Medical Equipment: SB 925 (Lundberg) / HB 1429 (Hicks, G.) was introduced and would exempt an out-of-state provider of home medical equipment services from maintaining an office or place of business in the state. TPA has been working with stakeholders to evaluate the impact of this bill. This bill will be heard in Senate and House committees on March 1st 

Prior Authorization: The Tennessee Medical Association recently made a presentation to the Home Insurance Committee regarding concerns over the prior authorization (PA) process and offer recommendations to improve the process in our healthcare system. In theory, there are many concepts that pharmacists would support in their messaging. One area of concern is a recommendation that only licensed physicians or a provider in the same profession who is requesting a PA should be allowed to review the PA. This would limit the scope of practice for many pharmacists that practice in managed care roles. TPA is working with TMA to address our concerns. 

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.  


February 21, 2023

The Tennessee General Assembly continues to work through multiple bills in this session, and TPA’s advocacy team is hard at work advocating and monitoring bills on behalf of the profession. 

TPA Priorities: Drug Donation Program 

Today/Tuesday, February 21, SB 675 (Reeves) / HB 667 (Hicks, T.) will be heard by the Senate Commerce & Labor Committee. This bill would update areas of the drug donation program in the state to provide more patient access to medications. If your Senator serves on this committee, please utilize the Advocacy Alert talking points to make outreach and seek their support of the bill. To read more, please see this policy brief. 

TPA Priorities: Technician Representation on Board of Pharmacy 

TPA continues to look at methods to have pharmacy technician representation on the Board of Pharmacy. One avenue may be to utilize SB 753 (Haile) / HB 1317 (Kumar) as a vehicle for this to happen. TPA continues to work with Senator Haile to work through our concerns with this current version of the bill before this bill is heard by any committee. 

TPA Positions:  Life of the Mother Bill  

As part of a coalition of healthcare professional associations, TPA worked to include language in this bill to provide immunity for pharmacists when dispensing drugs that can be used to induce abortion but have other recognized non-abortion indications such as cancer and lupus. SB 745 (Briggs) / HB 883 (Helton-Haynes) – focused on reforming and clarifying Tennessee’s Trigger Law – will be heard in the next 1-2 weeks by the Senate Judiciary Committee and the House Health Committee. An Advocacy Alert has been sent to members that live or work in a representative’s district that serves on these committees. Updated talking points are available in this Policy Brief. 

TPA Positions:  Cannabis 

While there are many various cannabis bills being monitored this year, SB 859 (Reeves) / HB 982 (Terry) is plan to be amended and would permit any communication from a patient to a pharmacist, physician, nurse, or nurse practitioner regarding their use of marijuana for personal use cannot be used as evidence in any criminal trial, hearing, or proceeding. 

Other Bills/Topics of Concern: 

Home Medical Equipment: SB 925 (Lundberg) / HB 1429 (Hicks, G.) was introduced and would exempt an out-of-state provider of home medical equipment services from maintaining an office or place of business in the state. TPA has been working with stakeholders to evaluate the impact of this bill. 

Prior Authorization: The Tennessee Medical Association recently made a presentation to the Home Insurance Committee regarding concerns over the prior authorization (PA) process and offer recommendations to improve the process in our healthcare system. In theory, there are many concepts that pharmacists would support in their messaging. One area of concern is a recommendation that only licensed physicians or a provider in the same profession who is requesting a PA should be allowed to review the PA. This would limit the scope of practice for many pharmacists that practice in managed care roles. TPA is working with TMA to address our concerns. 

Pharmacy Day on the Hill: 

This is final call for you to join us at TPA’s Pharmacy Day on the Hill (February 28), which is held in tandem with the TPA Winter Meeting. This is a great opportunity to speak with your legislators and experts on the issues impacting pharmacy. You, and your relationship with your legislators, are the profession’s most important advocacy asset – at this point, you must register on-site to attend the program! If you cannot attend in-person, please watch for ways to engage virtually next Tuesday. 

 TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.  


February 14, 2023

This past week, TPA continued to focus on reviewing over 80 bills that have healthcare implications. TPA has focused on meeting with legislators and other stakeholder groups to better understand the intent of various bills and offer the profession’s perspective on the issue.

TPA Priorities: Drug Donation Program

Over the past week, SB 675 (Reeves) / HB 667 (Hicks) was stable while TPA prepares final talking points as the bill will seek committee discussion in the next week. Be prepared for advocacy alerts from TPA in the upcoming week.

TPA Priorities: Technician Representation on Board of Pharmacy

TPA continues to look at methods to have pharmacy technician representation on the Board of Pharmacy. One avenue may be to utilize SB 753 (Haile) / HB 1317 (Kumar) as a vehicle for this to happen. TPA continues to work with Senator Haile to work through our concerns with this current version of the bill.

TPA Positions:  Clarity in TN’s Trigger Law

As part of a coalition of healthcare professional associations, TPA worked to include language in this bill to provide immunity for pharmacists when dispensing drugs that can be used to induce abortion but have other recognized non-abortion indications such as cancer and lupus. Senate Bill 745 (Briggs) / House Bill 883 (Helton-Haynes) – focused on reforming and clarifying Tennessee’s Trigger Law – will be heard by the House Population Health Subcommittee on Tuesday, February 14. An Advocacy Alert has been sent to members that live or work in a representative’s district that serves on this committee. Additional talking points are available in this Policy Brief

This is final call for you to join us at TPA’s Pharmacy Day on the Hill (February 28), which is held in tandem with the TPA Winter Meeting. This is a great opportunity to speak with your legislators and experts on the issues impacting pharmacy. You, and your relationship with your legislators, are the profession’s most important advocacy asset – so register today!

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.


February 7, 2023

This past week, TPA focused on reviewing and getting into the details of over 80 bills that have healthcare implications. TPA is focused on meeting with legislators and other stakeholder groups to better understand the intent of various bills and offer the profession’s perspective on the issue.

TPA Priorities: Drug Donation Program

In collaboration with our members close to the drug donation program in the state, this bill will modernize aspects to the current program in the state, including expanding access to medications in the program and broader patient definition in order for more patients to qualify for the medications. TPA is finalizing additional talking points as SB 675 (Reeves) / HB 667 (Hicks) will be heard by committee in the next week.

TPA Priorities: Technician Representation on Board of Pharmacy

TPA continues to look at methods to have pharmacy technician representation on the Board of Pharmacy. One avenue may be to utilize SB 753 (Haile) / HB 1317 (Kumar) as a vehicle for this to happen. TPA continues to work with Senator Haile to work through our concerns with this current version of the bill.

Miscellaneous Bills

Through efforts in the 2022 legislative session, a caption bill, SB 869 (Reeves) / HB 282 (Baum), was filed to look expansion of scope of practice of a pharmacist. TPA is currently working through other mechanisms to expand collaborative practice authority through a regulatory pathway, yet this caption bill may serve useful in this two-year legislative cycle.

TPA Priorities:  Enforceable PBM Reform

Last Friday, TPA provided comments to the Tennessee Department of Commerce and Insurance (TDCI) as they look to review the current emergency rules for enforcing Public Chapter 1070. TPA focused its comments on language needed on patient steerage as well as improvements to the enhanced dispensing fee process. TPA looks forward to working with the new PBM enforcement staff at TDCI as we educate and inform members on the rollout of all pieces to Public Chapter 1070.

This Tuesday, the House Insurance Committee scheduled an open hearing to hear directly from TDCI staff on their efforts thus far to enforce Public Chapter 1070.

As a reminder, TPA’s Pharmacy Day on the Hill (February 28), which is held in tandem with the TPA Winter Meeting, is also a great opportunity to speak with your legislators and experts on the issues impacting pharmacy. You, and your relationship with your legislators, are the profession’s most important advocacy asset – so register today!

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.


January 31, 2023

Over the past week, TPA and others in the legislature saw a flurry of bills and captions filed as the House bill filing deadline was January 31st and the Senator’s bill filing deadline is February 2nd. In addition, next Monday, February 6 is Governor Lee’s State of the State address. This will offer additional insight into the Governor’s priorities for this year. The address can be found on Lee’s Facebook and YouTube channels and will be aired statewide. 

TPA Priorities: Technician Representation on Board of Pharmacy 

Since TPA’s advocacy team met with Senator Haile, we have seen an updated bill from Senator Haile further focused on the Board of Pharmacy composition. TPA will continue to express our deep concern over components of the bill, including:  how board members would be appointed, actions to the current board members, and equal representation on the board. At the same time, there is a mechanism through this bill to add pharmacy technician representation onto the Board of Pharmacy.  

TPA Priorities:  Enforceable PBM Reform 

TPA has been working closely with members across the spectrum of care to understand how the current emergency rules of the Tennessee Department of Commerce and Insurance (TDCI) have been working since the rules took effect on January 1, 2023. On Friday, February 3, TDCI will be hosting an open hearing to hear from all stakeholders on areas of improvement for enforcing Public Chapter 1070. TPA will be presenting comments on behalf of its members at this hearing. 

TPA still encourages you to share concerns and comments of PBM violations to offer additional insight for us to share with TDCI ongoing. Use this form to share your thoughts. 

Positions & Other Issues: 

This past week, TPA has worked with Senator Reeves for a caption bill to address state level changes to align with federal guidance that lifted requirements on DEA X-waivers for prescribers of medication-assisted treatment. TPA’s legislative and regulatory committee will be discussing this issue further and reviewing guidance provided by our national association partners on this topic. 

As a reminder, TPA’s Pharmacy Day on the Hill (February 28), which is held in tandem with the TPA Winter Meeting, is also a great opportunity to speak with your legislators and experts on the issues impacting pharmacy. You, and your relationship with your legislators, are the profession’s most important advocacy asset – so register today! 

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all bills that TPA is following on behalf of our members.  


January 24, 2023

Over the past week, the Tennessee House of Representatives Speaker Cameron Sexton announced the committee assignments for the 113th General Assembly. You can find the House committee assignments here. It is important to note that there are two House Health subcommittees – Health and Population Health. The Population Health subcommittee will plan to review all abortion-related bills. In addition, Speaker of the Senate Randy McNally announced the Senate committee assignments for the year, which can be found here.

TPA encourages you to identify the committees in which your elected officials will be serving. Key House committees for pharmacy-related issues, include:  commerce and labor; finance, ways, and means; government operations; and health and welfare. Key Senate committees for pharmacy-related issues, include: commerce; finance, ways, and means; government operations; health; and insurance.

As you begin to contact your legislators this session, TPA encourages you to register for our upcoming Insight into Advocacy webinar that will provide additional insight into TPA’s legislative priorities. The webinar is scheduled for Wednesday, January 25th from 11:00 am – 12:00 pm CT, and is free for members (small fee for non-members). Register today! TPA’s Pharmacy Day on the Hill (February 28), which is held in tandem with the TPA Winter Meeting, is also a great opportunity to speak with your legislators and experts on the issues impacting pharmacy. You, and your relationship with your legislators, are the profession’s most important advocacy asset. 

TPA Priority: Technician Representation on Board of Pharmacy

TPA’s advocacy team met with Senator Haile this past week to discuss a drafted bill that he is planning to propose that has components to bring pharmacy technician representation onto the Board of Pharmacy. TPA expressed concern over other components within the drafted bill, including how board members would be appointed, actions to the current board members, and the importance of having representation of public members on the board. TPA will continue to work with Senator Haile as modifications are made to the drafted bill.

Positions & Other Issues:

TPA continues to educate legislators on recommendations from healthcare providers for clean-up to Tennessee’s trigger law. TPA will seek to provide pharmacists liability protection from prosecution for dispensing medication with multiple uses if the patient uses the medication to result in an abortion. Methotrexate, mifepristone and misoprostol are some of the medications that are contributing to pharmacists’ hesitancy or resistance to dispense them.

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Review this week’s general legislative summary from Harris Frazier and the current bill tracker, listing all that TPA is following on behalf of our members.


January 17, 2023

TPA’s legislative and regulatory committee along with the Board of Directors has identified several legislative and regulatory priorities in 2023. As the legislative session moves into its second week, TPA is focusing on building support for its priority bills and supporting efforts of broader coalitions. Next week on Wednesday, January 25th from 11:00 am – 12:00 pm CT, TPA will host a free webinar for members (small fee for non-members) to provide a deeper preview of the 2023 Legislative Session with TPA’s Advocacy Team. Register today!

Priorities:

One priority will focus on amending the law relative to the prescription drug donation repository program. This effort will look to broaden the definition of donors for such programs, redefine income qualifiers as less than 600% of the federal poverty level, and extend acceptable medications to include inhalers, patches, injectables, and over-the-counter medications. TPA is working closely with the leadership at the drug donation repository program to allow this program to continue to align with national standards for such programs around the country. TPA is working closely with Senator Reeves to serve as a lead sponsor of this bill.

A second priority will be to gain pharmacy technician representation on the Tennessee Board of Pharmacy. As pharmacy technician roles expand and evolve, the ability for the direct voice of pharmacy technicians on the Board of Pharmacy would ensure we are being inclusive to other pharmacy professionals regulated by the Board. TPA is scheduled to meet with Senator Haile this week to discuss this topic as it is addressed within a current bill he has proposed.

TPA continues to closely monitor two other topics that may need legislative action, but currently the focus is on effective regulation. The enforcement of PBM reform is critical to the success of Public Chapter 1070, 2022’s PBM legislation. TPA continues to work closely with members and the leadership of the Tennessee Department of Commerce and Insurance on this issue. Also, TPA is focused on expanding access to pharmacists services through modernizing the collaborative practice agreement regulations. TPA is working closely with the Tennessee Medical Association to build consensus amongst their members and then provide a unified message to the regulatory boards to update the CPA rules.

Positions & Other Issues:

TPA is working across a broad coalition of healthcare provider associations to recommend clean-up to Tennessee’s trigger law. TPA will seek further guidance on whether pharmacists can be prosecuted for dispensing medication with multiple uses if the patient uses the medication to result in an abortion. Pharmacists need clarification on protection to healthcare providers as they help their patients. Some medications contributing to pharmacists’ hesitancy or resistance to dispense them, include methotrexate, mifepristone, and misoprostol.

TPA has been approached by a small group to support legislation being sought by a previous Tennessee nurse that was criminally prosecuted for a medical error that led to patient harm. This criminal prosecution has made healthcare professionals, including pharmacists, concerned about just culture in our healthcare system and the criminalization of medical errors. TPA will look to support efforts to decriminalize medical errors in collaboration with other healthcare provider associations.

Other Issues:

This year’s legislature welcomed three Senate Freshman and nineteen House Freshman. While it is critical for all pharmacists and TPA members to have a solid working relationship with your elected officials, TPA will be working to conduct outreach to members in these districts with Freshman legislators to help with building a strong relationship throughout session and beyond. TPA will continue to identify those TPA members that can serve as Champion Advocates and be the close contact with an elected official in every district in the state.

If you do not know who your legislators are, use the legislator finder tool. TPA’s Pharmacy Day on the Hill (February 28), which is held in tandem with the TPA Winter Meeting, is also a great opportunity to speak with your legislators and experts on the issues impacting pharmacy. You, and your relationship with your legislators, are the profession’s most important advocacy asset. 

TPA continues to work with Meagan Frazier and Estie Harris to carry out our legislative priorities and response to the urgent issues impacting the profession at the state legislative level. Click here to review the current bill tracker, listing all bills that TPA is following on behalf of our members.


January 10, 2023

The 1st session of the 113th Tennessee General Assembly begins today as legislators return to the Tennessee State Capitol in Nashville. 

This week also begins TPA’s focused legislative advocacy efforts at the capitol. With the contract lobbyist team from Harris Frazier, TPA will continue to work on building consensus amongst key stakeholders for our 2023 legislative and regulatory priorities and positions. On Wednesday, January 25th from 11:00 am – 12:00 pm CT, TPA will host a free webinar for members (fee for non-members) to give a preview of the 2023 Legislative Session with TPA’s Advocacy Team. Register today!

At the same time, TPA continues to focus on ensuring the effective implementation of Public Chapter 1070. While emergency rules (link) have been effectively adopted, the Tennessee Department of Commerce and Insurance will be hosting a hearing for the regular rule-making process on Friday, February 3, 2023. TPA is looking for your ongoing feedback on how the emergency rules are effective or ineffective in enforcing PBM reform in Tennessee. Please submit your concerns and examples here.  

We strongly encourage all of our members to reach out to your elected officials and introduce yourself as a resource on pharmacy and healthcare issues. If you do not know who your legislators are, use the legislator finder tool. TPA’s Pharmacy Day on the Hill (February 28), which is held in tandem with the TPA Winter Meeting, is also a great opportunity to hear from legislators and experts on the issues impacting pharmacy. You, and your relationship with your legislators, are the profession’s most important advocacy asset. 

Each week throughout the session, TPA will provide updates through the 10 for Tenn e-newsletter as well as a general legislative summary from Harris Frazier. TPA will also provide a bill tracker, listing all bills TPA is following on behalf of our members.  In addition, watch your inbox for Advocacy Alerts from TPA asking you to take part in a grassroots effort on particular legislation, telling you who to contact and what you need to say. These grassroots efforts are critical to our advocacy efforts.