All Roll Calls
Yes: 144 • No: 0
TennesseeHB 0395114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 56 and Title 68, relative to the Tennessee Genomic Security and End Organ Harvesting Act.
Sponsored By: Sponsor information unavailable
Signed by Governor
Anatomical Gifts
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 1 benefits, 2 costs, 2 mixed.
Cash damages if your DNA is misused
Starting January 1, 2026, if you were a patient or research subject and your genetic data was used, stored, or accessed in violation of this law, you can recover at least $5,000 for each unique unauthorized use. You must show the entity was found guilty of violating the banned-equipment rule (§68-30-204) or the storage and access rule (§68-30-205), and that your genetic information was used.
Hospitals must replace banned DNA sequencers
Starting January 1, 2026, hospitals and labs cannot use genetic sequencers or sequencing software made by or tied to a foreign adversary. If the banned gear still works, they must remove and replace it within 180 days after January 1, 2026. They do not have to inspect every single part to comply. Using banned gear to sequence or analyze a genome triggers a $10,000 fine for each instance.
Limits foreign access to DNA data
Starting January 1, 2026, hospitals, labs, and companies cannot store genetic sequencing data within a foreign adversary. They cannot let a foreign adversary access that data remotely unless the health commissioner approves in writing. Open public data is excluded. They must use strong security, including encryption and access limits, for genetic data they hold or store with vendors. Entities that knowingly store genetic data outside the United States in violation of the law face a $10,000 fine for each violation.
No insurance for China organ transplants
Health insurers in Tennessee cannot knowingly pay for a human organ transplant done in the People’s Republic of China. They also cannot cover a transplant if the organ was bought or donated from China. This applies to plans offered, issued, delivered, amended, or renewed to take effect on or after January 1, 2026. A plan that knowingly pays for a banned transplant faces a $100,000 fine for each violation.
Annual compliance checks and whistleblower rights
Beginning January 1, 2026, the Health Facilities Commission can investigate alleged violations, and anyone may report a possible violation. If federal CMS denies the commission entry to a facility, the commission must take no further action on that complaint. By July 1 each year, hospitals, labs, research institutions, and licensed health facilities must certify under penalty of perjury that they follow this law. Employees who report a violation to the commission get whistleblower protections under Tennessee Code §50-1-304. The health commissioner may also add countries that support forced organ harvesting to a public list, must notify the governor, and the department posts the list online.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
Ed Butler
Republican • House
David B. Hawk
Republican • House
Esther Helton-Haynes
Republican • House
Timothy Hill
Republican • House
Tom Leatherwood
Republican • House
Greg Martin
Republican • House
Jay D. Reedy
Republican • House
Roll Call Votes
Senate vote • 3/17/2025
FLOOR VOTE: Third Consideration 3/17/2025
Yes: 27 • No: 0
House vote • 3/10/2025
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/10/2025
Yes: 90 • No: 0
House vote • 3/10/2025
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 3/4/2025
HOUSE HEALTH COMMITTEE
Yes: 18 • No: 0
House vote • 2/19/2025
HOUSE HEALTH SUBCOMMITTEE
Yes: 9 • No: 0
Actions Timeline
Effective date(s) 01/01/2026
4/4/2025Pub. Ch. 96
4/4/2025Signed by Governor.
3/28/2025Transmitted to Governor for his action.
3/20/2025HouseSigned by Senate Speaker
3/19/2025SenateSigned by H. Speaker
3/19/2025HouseEnrolled; ready for sig. of H. Speaker.
3/19/2025HousePassed Senate, Ayes 27, Nays 0, PNV 3
3/17/2025SenateSenate substituted House Bill for companion Senate Bill.
3/17/2025SenateReceived from House, Passed on First Consideration
3/10/2025SenateEngrossed; ready for transmission to Sen.
3/10/2025HousePassed H., as am., Ayes 90, Nays 0, PNV 3
3/10/2025HouseH. adopted am. (Amendment 1 - HA0033)
3/10/2025HouseSponsor(s) Added.
3/10/2025HouseH. Placed on Regular Calendar for 3/10/2025
3/6/2025HousePlaced on cal. Calendar & Rules Committee for 3/6/2025
3/5/2025HouseRec. for pass. if am., ref. to Calendar & Rules Committee
3/4/2025HousePlaced on cal. Health Committee for 3/4/2025
2/26/2025HouseAction def. in Health Committee to 3/4/25
2/25/2025HousePlaced on cal. Health Committee for 2/25/2025
2/19/2025HouseRec for pass if am by s/c ref. to Health Committee
2/19/2025HousePlaced on s/c cal Health Subcommittee for 2/19/2025
2/12/2025HouseAssigned to s/c Health Subcommittee
2/5/2025HouseP2C, ref. to Health Committee
2/5/2025HouseIntro., P1C.
2/3/2025House
Bill Text
HA0033
3/10/2025
Enrolled / Public Chapter
Fiscal Note
Introduced
SA0031
SA0075
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