{"data":{"id":"us-tn/tenn.-code-ann.-56-7-2607","jurisdiction":"us-tn","citation":"Tenn. Code Ann. § 56-7-2607","heading":"Coverage for transplantation","body":"(a) As used in this section: (1) \"Covered person\" means a person on whose behalf a health insurance entity is obligated to pay benefits or provide services, and who has a disability; (2) \"Disability\" has the same meaning as defined in 42 U.S.C. § 12102 ; (3) \"Health insurance entity\" has the same meaning as defined in § 56-7-109 ; and (4) \"Transplantation\" means the transplantation or transfusion of a human body part into the body of another individual for the purpose of treating or curing a medical condition. (b) A health insurance entity that offers plans in this state that provide coverage for transplantation to individuals or groups on an expense-incurred basis shall not deny coverage for transplantation solely on the basis of the covered person's disability. (c) This section does not require a health insurance entity to provide coverage for transplantation if the transplantation is not medically necessary. (d) This section applies to a state or local insurance program, under title 8, chapter 27, and a managed care organization contracting with the state to provide insurance through the TennCare program. Added by 2021 Tenn. Acts, ch. 441, s 2, eff. 7/1/2021.\n(a) As used in this section: (1) \"Covered person\" means a person on whose behalf a health insurance entity is obligated to pay benefits or provide services, and who has a disability; (2) \"Disability\" has the same meaning as defined in 42 U.S.C. § 12102 ; (3) \"Health insurance entity\" has the same meaning as defined in § 56-7-109 ; and (4) \"Transplantation\" means the transplantation or transfusion of a human body part into the body of another individual for the purpose of treating or curing a medical condition.\n(1) \"Covered person\" means a person on whose behalf a health insurance entity is obligated to pay benefits or provide services, and who has a disability;\n(2) \"Disability\" has the same meaning as defined in 42 U.S.C. § 12102 ;\n(3) \"Health insurance entity\" has the same meaning as defined in § 56-7-109 ; and\n(4) \"Transplantation\" means the transplantation or transfusion of a human body part into the body of another individual for the purpose of treating or curing a medical condition.\n(b) A health insurance entity that offers plans in this state that provide coverage for transplantation to individuals or groups on an expense-incurred basis shall not deny coverage for transplantation solely on the basis of the covered person's disability.\n(c) This section does not require a health insurance entity to provide coverage for transplantation if the transplantation is not medically necessary.\n(d) This section applies to a state or local insurance program, under title 8, chapter 27, and a managed care organization contracting with the state to provide insurance through the TennCare program.","path":["TN Code","Title 56","Chapter 7"],"source_url":"https://oss-data-us.vaquill.ai/v2026.08/us_tn_statutes.parquet","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:26Z","sha256":"283f0c23f940dbe64d6b5d18000aebbc4eb69a39f7dbab80ed1f16ebc6422bb9","source_id":"us-tn","stale":false,"prev":"us-tn/tenn.-code-ann.-56-7-2606","next":"us-tn/tenn.-code-ann.-56-7-2701"},"notice":"GroundRules: Original legal text. Not legal advice."}
