TennesseeHB 0760114th General Assembly (2025-2026)House

AN ACT to amend Tennessee Code Annotated, Title 49; Title 53; Title 63 and Title 68, relative to bronchodilator rescue inhalers.

Sponsored By: Sponsor information unavailable

Signed by Governor

Drugs, Prescription

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 2 costs, 0 mixed.

Community sites can stock rescue inhalers

Beginning July 1, 2026, eligible Tennessee sites can keep prescribed rescue inhalers, including needed devices such as disposable spacers. Eligible sites may have allergens that cause severe allergic reactions, including child care centers, restaurants, camps, and sports arenas. A prescriber can prescribe the inhaler in the site's name, and a pharmacist can dispense it. Participating sites must name an employee to keep it secure, unlocked, and accessible. That employee can give it during an asthma or breathing emergency when a physician is not immediately available. Use must follow a written plan approved by the prescriber. The Board of Pharmacy can issue implementing rules through Tennessee's administrative rulemaking process; this authority began upon enactment.

Public schools encouraged to stock rescue inhalers

Beginning July 1, 2026, Tennessee public schools, including charter schools, are encouraged—not required—to stock rescue inhalers. The law encourages keeping them in at least two places within each school. Schools that stock them must keep them secure, unlocked, and accessible. A nurse or trained staff member can give an inhaler to a student believed to have asthma symptoms or breathing distress. Use must follow a written plan from a prescribing healthcare practitioner. The State Board of Education must develop clinical rules with the Department of Health through Tennessee's administrative rulemaking process. That rulemaking requirement took effect upon enactment.

Families face limits on school inhaler claims

Beginning July 1, 2026, Tennessee families face limits on civil claims for ordinary negligence during school rescue inhaler use. The protection covers authorized school nurses, trained staff, and the school or district that employs or contracts with them. It applies to actions or failures to act resulting from giving a student an inhaler. Staff must believe in good faith that the student has life-threatening asthma symptoms or breathing distress.

Limits on claims against inhaler providers

Beginning July 1, 2026, the law limits liability for harm from emergency inhaler use at authorized Tennessee sites. It protects the site and its designated employee when the employee administers the inhaler under the law. That protection does not apply when the employee intentionally disregards the person's safety. Prescribers and dispensing pharmacists also receive protection unless they intentionally disregard safety when prescribing, approving the plan, or dispensing.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Rebecca K. Alexander

    Republican • House

  • Aftyn Behn

    Democrat • House

  • Kip Capley

    Republican • House

  • Elaine Davis

    Republican • House

  • Ronnie Glynn

    Democrat • House

  • Yusuf Hakeem

    Democrat • House

  • T.J. Hardaway

    Democrat • House

  • Esther Helton-Haynes

    Republican • House

  • Mary Littleton

    Republican • House

  • Susan M. Lynn

    Republican • House

  • Larry J. Miller

    Democrat • House

  • Bryan Terry

    Republican • House

  • Towns

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 307 • No: 0

House vote • 4/14/2025

FLOOR VOTE: MESSAGE CALENDAR CONCUR IN SENATE AMENDMENTS 4/14/2025

Yes: 92 • No: 0

Senate vote • 4/9/2025

FLOOR VOTE: as Amended Third Consideration 4/9/2025

Yes: 28 • No: 0

House vote • 3/31/2025

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/31/2025

Yes: 93 • No: 0

House vote • 3/31/2025

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 3/25/2025

HOUSE FINANCE, WAYS, AND MEANS COMMITTEE

Yes: 22 • No: 0

House vote • 3/19/2025

HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE

Yes: 12 • No: 0

House vote • 3/10/2025

HOUSE GOVERNMENT OPERATIONS COMMITTEE

Yes: 13 • No: 0

House vote • 3/4/2025

HOUSE EDUCATION COMMITTEE

Yes: 16 • No: 0

House vote • 2/25/2025

HOUSE HEALTH COMMITTEE

Yes: 22 • No: 0

House vote • 2/19/2025

HOUSE HEALTH SUBCOMMITTEE

Yes: 9 • No: 0

Actions Timeline

  1. Effective date(s) 05/02/2025, 07/01/2026

    5/8/2025
  2. Pub. Ch. 346

    5/8/2025
  3. Signed by Governor.

    5/2/2025
  4. Transmitted to Governor for his action.

    4/21/2025House
  5. Signed by Senate Speaker

    4/17/2025Senate
  6. Signed by H. Speaker

    4/15/2025House
  7. Enrolled; ready for sig. of H. Speaker.

    4/15/2025House
  8. H. concurred in S. am. no. 1 & 2 Ayes 92, Nays 0 PNV 0 HB0760

    4/14/2025House
  9. H. Placed on Message Calendar 4/14/2025

    4/10/2025House
  10. Passed Senate as amended, Ayes 28, Nays 0

    4/9/2025Senate
  11. Senate adopted Amendment (Amendment 2 - SA0062)

    4/9/2025Senate
  12. Senate adopted Amendment (Amendment 1 - SA0061)

    4/9/2025Senate
  13. Senate substituted House Bill for companion Senate Bill.

    4/9/2025Senate
  14. Received from House, Passed on First Consideration

    4/3/2025Senate
  15. Engrossed; ready for transmission to Sen.

    4/1/2025House
  16. Passed H., as am., Ayes 93, Nays 0, PNV 1

    3/31/2025House
  17. H. adopted am. (Amendment 1 - HA0013)

    3/31/2025House
  18. Sponsor(s) Added.

    3/31/2025House
  19. H. Placed on Regular Calendar for 3/31/2025

    3/27/2025House
  20. Placed on cal. Calendar & Rules Committee for 3/27/2025

    3/26/2025House
  21. Rec. for pass; ref to Calendar & Rules Committee

    3/25/2025House
  22. Placed on cal. Finance, Ways, and Means Committee for 3/25/2025

    3/19/2025House
  23. Rec. for pass by s/c ref. to Finance, Ways, and Means Committee

    3/19/2025House
  24. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/19/2025

    3/12/2025House
  25. Assigned to s/c Finance, Ways, and Means Subcommittee

    3/12/2025House

Bill Text

  • HA0013 (Substitute)

    3/31/2025

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0061

  • SA0062

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