By January 1, 2026, this bill requires the department of finance and administration, in collaboration with the department of health and the division of TennCare, to submit a request to the United States secretary of health and human services for approval of the ability to import safe and effective prescription drugs from Canada pursuant to federal law. The request must, at a minimum, meet the following requirements:  Demonstrate how the prescription drugs imported into this state will meet the applicable federal and state standards for safety and effectiveness.  Demonstrate how the drugs imported into this state will comply with federal law for the pharmaceutical distribution supply chain as described in the federal Drug Supply Chain Security Act.  Include a list of proposed prescription drugs that have the highest potential for cost savings to this state through importation at the time that the request is submitted.  Estimate this state's total annual cost savings from importation of prescription drugs from Canada.  Estimate this state's total annual cost of importation of prescription drugs from Canada.  Include a list of potential Canadian suppliers from which this state would import drugs and demonstrate that the suppliers are in full compliance with relevant Canadian federal and provincial laws and regulations, as well as all applicable federal and state laws and regulations. Upon receipt of federal approval, this bill requires the department of finance and administration to notify the governor, the speaker of the senate, and the speaker of the house of representatives of such federal approval. Within six months of receiving federal approval, the department of finance and administration, in collaboration with the department of health and the division of TennCare, must submit a proposal to the governor, the speaker of the senate, and the speaker of the house of representatives to implement a program for the importation of safe and effective prescription drugs from Canada that have the highest potential for cost savings to this state. RULEMAKING This bill authorizes the department of finance and administration, in collaboration with the department of health and the division of TennCare, to promulgate rules to effectuate this bill.