TennesseeHB 1239114th General Assembly (2025-2026)House

AN ACT to amend Tennessee Code Annotated, Title 33; Title 41; Title 53 and Title 63, relative to healthcare prescribers.

Sponsored By: Sponsor information unavailable

Signed by Governor

Opioids

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Bill Overview

Analyzed Economic Effects

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

Tennessee limits who prescribes opioid treatment medicine

Beginning July 1, 2025, Tennessee limits prescribing buprenorphine for FDA-approved recovery or medication-assisted treatment to licensed physicians, with a narrow exception. Other providers authorized to prescribe Schedule II or III drugs face strict requirements when prescribing it for opioid use disorder. They must work for or contract with a state correctional facility, county jail, or municipal jail. They may prescribe only to patients treated through the facility that employs them. They need active federal Drug Enforcement Administration registration and treatment protocols for people incarcerated in or leaving the facility. Each provider may prescribe for no more than 50 patients at once, with a maximum 16-milligram daily equivalent. A collaborating physician must review every patient's chart. A supervising or collaborating physician may oversee no more than five licensed nurse practitioners or physician assistants. Providers must have had no license limits or conditions imposed within the previous three years.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Rebecca K. Alexander

    Republican • House

  • Antonio Parkinson

    Democrat • House

Roll Call Votes

All Roll Calls

Yes: 149 • No: 5

House vote • 4/7/2025

Haynes - HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

House vote • 4/7/2025

Haynes - FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/7/2025

Yes: 92 • No: 1

Senate vote • 4/7/2025

Haynes - FLOOR VOTE: Third Consideration 4/7/2025

Yes: 27 • No: 4

House vote • 4/1/2025

Haynes - HOUSE HEALTH COMMITTEE

Yes: 23 • No: 0

House vote • 3/19/2025

Haynes - HOUSE HEALTH SUBCOMMITTEE

Yes: 7 • No: 0

Actions Timeline

  1. Effective date(s) 07/01/2025

    4/28/2025
  2. Pub. Ch. 295

    4/28/2025
  3. Signed by Governor.

    4/24/2025
  4. Transmitted to Governor for his action.

    4/16/2025House
  5. Signed by Senate Speaker

    4/14/2025Senate
  6. Signed by H. Speaker

    4/10/2025House
  7. Enrolled; ready for sig. of H. Speaker.

    4/8/2025House
  8. Passed Senate, Ayes 27, Nays 4

    4/7/2025Senate
  9. Amendment withdrawn. (Amendment 1 - SA0095)

    4/7/2025Senate
  10. Senate substituted House Bill for companion Senate Bill.

    4/7/2025Senate
  11. Received from House, Passed on First Consideration

    4/7/2025Senate
  12. Engrossed; ready for transmission to Sen.

    4/7/2025House
  13. Passed H., as am., Ayes 92, Nays 1, PNV 0

    4/7/2025House
  14. Sponsor(s) Added.

    4/7/2025House
  15. H. adopted am. (Amendment 1 - HA0252)

    4/7/2025House
  16. H. Placed on Regular Calendar for 4/7/2025

    4/3/2025House
  17. Placed on cal. Calendar & Rules Committee for 4/3/2025

    4/2/2025House
  18. Rec. for pass. if am., ref. to Calendar & Rules Committee

    4/1/2025House
  19. Placed on cal. Health Committee for 4/1/2025

    3/26/2025House
  20. Action def. in Health Committee to 4/1/2025

    3/25/2025House
  21. Placed on cal. Health Committee for 3/25/2025

    3/19/2025House
  22. Rec for pass if am by s/c ref. to Health Committee

    3/19/2025House
  23. Placed on s/c cal Health Subcommittee for 3/19/2025

    3/12/2025House
  24. Assigned to s/c Health Subcommittee

    2/12/2025House
  25. P2C, ref. to Health Committee

    2/12/2025House

Bill Text

  • HA0252 (Substitute)

    4/7/2025

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0095

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