TennesseeSB 1283114th General Assembly (2025-2026)SenateWALLET

AN ACT to amend Tennessee Code Annotated, Section 68-5-602, relative to maternal health screening.

Sponsored By: Jack Johnson (Republican)

Became Law

Public Health

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Standard tests at first prenatal visit

Beginning July 1, 2025, prenatal providers must take a blood sample at the first visit or within 10 days. If the first visit is at or after delivery, testing happens then. The sample must go to a department-approved lab. The lab must test for syphilis, rubella immunity, hepatitis B surface antigen, and hepatitis C antibody, with automatic HCV RNA if the antibody is reactive. If the attending person cannot draw blood, they must arrange a provider who can. Rubella immunity is not retested in later pregnancies if a prior positive result or a vaccination record exists.

Syphilis tests late pregnancy and delivery

Beginning July 1, 2025, providers must test pregnant patients for syphilis between the 28th and 32nd week. Providers must also test for syphilis at delivery. These tests help find infections close to birth so care can start right away.

Positive results reported to health department

Beginning July 1, 2025, providers and labs must report positive syphilis, hepatitis B, and hepatitis C results to the local health department. Reporting follows state communicable disease rules.

Sponsors & Cosponsors

Sponsor

  • Jack Johnson

    Republican • Senate

Cosponsors

  • Ed Jackson

    Republican • Senate

  • Becky Duncan Massey

    Republican • Senate

  • Shane Reeves

    Republican • Senate

  • Paul Rose

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 117 • No: 12

House vote 3/6/2025

FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/6/2025

Yes: 79 • No: 12

Senate vote 3/3/2025

FLOOR VOTE: Third Consideration 3/3/2025

Yes: 30 • No: 0

Senate vote 2/26/2025

SENATE HEALTH AND WELFARE COMMITTEE

Yes: 8 • No: 0

Actions Timeline

  1. Pub. Ch. 46

    3/28/2025
  2. Effective date(s) 07/01/2025

    3/28/2025
  3. Signed by Governor.

    3/20/2025Senate
  4. Transmitted to Governor for action.

    3/12/2025Senate
  5. Signed by H. Speaker

    3/11/2025House
  6. Signed by Senate Speaker

    3/10/2025Senate
  7. Enrolled and ready for signatures

    3/7/2025Senate
  8. Rcvd. from S., held on H. desk.

    3/6/2025House
  9. Subst. for comp. HB.

    3/6/2025House
  10. Passed H., Ayes 79, Nays 12, PNV 1

    3/6/2025House
  11. Passed Senate, Ayes 30, Nays 0

    3/3/2025Senate
  12. Engrossed; ready for transmission to House

    3/3/2025Senate
  13. Sponsor(s) Added.

    3/3/2025Senate
  14. Placed on Senate Regular Calendar for 3/3/2025

    2/27/2025Senate
  15. Recommended for passage, refer to Senate Calendar Committee

    2/26/2025Senate
  16. Sponsor(s) Added.

    2/25/2025Senate
  17. Placed on Senate Health and Welfare Committee calendar for 2/26/2025

    2/19/2025Senate
  18. Passed on Second Consideration, refer to Senate Health and Welfare Committee

    2/12/2025Senate
  19. Introduced, Passed on First Consideration

    2/10/2025Senate
  20. Filed for introduction

    2/6/2025Senate

Bill Text

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

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