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TennesseeHB 0104114th General Assembly (2025-2026)HouseWALLET

AN ACT to amend Tennessee Code Annotated, Title 4; Title 12; Title 33; Title 34; Title 36; Title 39; Title 49; Title 52; Title 68; Title 71 and Chapter 688 of the Public Acts of 2024, relative to the department of disability and aging.

Sponsored By: William Lamberth (Republican)

Became Law

Intellectual & Developmental Disabilities

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 3 benefits, 1 costs, 1 mixed.

Clearer rules on who can share records

The law clarifies who can share a supported person’s private records. An emancipated minor can share their own records. A conservator may share records only if a court granted that power or the power to make health-care decisions. A conservator over money or property alone cannot share private health records.

Longer record-keeping for disability services

Beginning July 1, 2025, the department and its contractors must keep key service records longer. Facility and support plan records stay at least 10 years after services end. Minor clients’ facility records stay at least 10 years after they turn 18. All other department and contractor records stay at least 6 years. Records can be kept in any medium, and true copies count as originals.

Some public disability-care beds skip review

Certain public disability-care beds set up under two federal court cases are exempt from state certificate-of-need review. The exemption applies only to those public non-facility ICF/ID beds. Private ICF/ID non-facility beds still must go through the certificate process.

Some disability laws drop condition labels

The law removes the phrases “, or intellectual disability” and “, or developmental disability” from certain sections. This shortens the list of named conditions in those rules. It may narrow who is named, but it does not change funding.

State renames disability agency and terms

The state now uses “disability and aging” instead of “intellectual and developmental disabilities” in several laws. It also changes the agency name to the Department of Disability and Aging. These are wording updates and do not change program eligibility or funding.

Sponsors & Cosponsors

Sponsor

  • William Lamberth

    Republican • House

Cosponsors

  • Mark Cochran

    Republican • House

  • Kevin D. Raper

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 119 • No: 0

House vote • 3/3/2025

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 3/3/2025

FLOOR VOTE: CONSENT CALENDAR PASSAGE ON THIRD CONSIDERATION 3/3/2025

Yes: 90 • No: 0

House vote • 2/25/2025

HOUSE HEALTH COMMITTEE

Yes: 21 • No: 0

House vote • 2/18/2025

POPULATION HEALTH SUBCOMMITTEE

Yes: 8 • No: 0

Actions Timeline

  1. Pub. Ch. 47

    3/31/2025

  2. Effective date(s) 03/26/2025, 07/01/2025

    3/31/2025

  3. Signed by Governor.

    3/26/2025

  4. Transmitted to Governor for his action.

    3/19/2025House

  5. Signed by Senate Speaker

    3/18/2025Senate

  6. Signed by H. Speaker

    3/17/2025House

  7. Enrolled; ready for sig. of H. Speaker.

    3/4/2025House

  8. Received from House, Passed on First Consideration

    3/3/2025Senate

  9. Passed H., Ayes 90, Nays 0, PNV 0

    3/3/2025House

  10. Engrossed; ready for transmission to Sen.

    3/3/2025House

  11. Senate substituted House Bill for companion Senate Bill.

    3/3/2025Senate

  12. Passed Senate, Ayes 32, Nays 0

    3/3/2025Senate

  13. H. Placed on Consent Calendar for 3/3/2025

    2/27/2025House

  14. Placed on cal. Calendar & Rules Committee for 2/27/2025

    2/26/2025House

  15. Rec. for pass; ref to Calendar & Rules Committee

    2/25/2025House

  16. Placed on cal. Health Committee for 2/25/2025

    2/19/2025House

  17. Rec. for pass by s/c ref. to Health Committee

    2/18/2025House

  18. Sponsor(s) Added.

    2/13/2025House

  19. Placed on s/c cal Population Health Subcommittee for 2/18/2025

    2/12/2025House

  20. Assigned to s/c Population Health Subcommittee

    1/28/2025House

  21. Ref. to Health Committee

    1/16/2025House

  22. P2C held on desk, pending appointment of Standing Committees

    1/15/2025House

  23. Intro., P1C.

    1/14/2025House

  24. Filed for introduction

    1/13/2025House

Bill Text

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

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