TennesseeHB 0760114th General Assembly (2025-2026)HouseWALLET

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

Sponsored By: Tandy Darby (Republican)

Became Law

Drugs, Prescription

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Schools can stock rescue inhalers

Schools are encouraged to keep bronchodilator rescue inhalers in at least two places. If a school chooses to stock them, they must be kept secure, unlocked, easy to reach, and used under a prescriber’s standing protocol. A school nurse or trained staff may give the inhaler to a student in distress under the protocol. Nurses, trained staff, and districts are protected from civil damages for ordinary negligence when they act in good faith during a life‑threatening event. The State Board of Education, with the Health Department, must set clinical protocols by rule. Rulemaking takes effect upon becoming law; all other parts take effect July 1, 2026.

Emergency inhalers at child care and venues

Beginning July 1, 2026, licensed prescribers can write bronchodilator inhaler prescriptions to an authorized entity. Pharmacists can dispense the inhaler to the entity. A designated employee may give the inhaler in an emergency when a doctor is not available, following the standing protocol. If an entity chooses to stock an inhaler, it must name a responsible employee and keep it in an unlocked, secure, and accessible spot. Examples include child care centers, camps, restaurants, and sports venues. Employees, entities, prescribers, and pharmacists who follow the law are protected from civil liability unless they act with intentional disregard for safety. The Board of Pharmacy may set rules, and that rulemaking authority takes effect upon becoming law.

Sponsors & Cosponsors

Sponsor

  • Tandy Darby

    Republican • House

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

  • G.A. 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

  • Jr. Towns, Jr.

    Democrat • House

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

HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • 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 3/25/2025

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. Pub. Ch. 346

    5/8/2025
  2. Effective date(s) 05/02/2025, 07/01/2026

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

    4/15/2025House
  7. Signed by 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. Senate substituted House Bill for companion Senate Bill.

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

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

    4/9/2025Senate
  13. Passed Senate as amended, Ayes 28, Nays 0

    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. Sponsor(s) Added.

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

    3/31/2025House
  18. Passed H., as am., Ayes 93, Nays 0, PNV 1

    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. Rec. for pass by s/c ref. to Finance, Ways, and Means Committee

    3/19/2025House
  23. Placed on cal. Finance, Ways, and Means Committee for 3/25/2025

    3/19/2025House
  24. Assigned to s/c Finance, Ways, and Means Subcommittee

    3/12/2025House
  25. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/19/2025

    3/12/2025House

Bill Text

  • HA0013 (Substitute)

    3/31/2025

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0061

  • SA0062

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