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TennesseeHB 1239114th General Assembly (2025-2026)HouseWALLET

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

Sponsored By: Esther Helton-Haynes (Republican)

Became Law

Opioids

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Bill Overview

Analyzed Economic Effects

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

Fewer providers can prescribe buprenorphine

Beginning July 1, 2025, only physicians (MDs or DOs) can prescribe buprenorphine for opioid use disorder. Nurse practitioners and physician assistants generally cannot. A narrow exception applies inside state prisons and local jails. In those settings, the non‑physician prescriber must have an active DEA registration and use treatment protocols for incarcerated or soon‑to‑be‑released people. They may treat no more than 50 buprenorphine patients at once, and a collaborating physician must review 100% of charts and supervise no more than five NPs or PAs. Prescriptions cannot exceed a 16 mg daily equivalent. The provider must have had no license limits in the past 3 years and may prescribe only to patients treated through that facility.

Sponsors & Cosponsors

Sponsor

  • Esther Helton-Haynes

    Republican • House

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

Yes: 92 • No: 1

House vote • 4/7/2025

Haynes - HOUSE CALENDAR & RULES COMMITTEE

Yes: 0 • No: 0

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. Pub. Ch. 295

    4/28/2025

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

    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. H. adopted am. (Amendment 1 - HA0252)

    4/7/2025House

  9. Sponsor(s) Added.

    4/7/2025House

  10. Passed H., as am., Ayes 92, Nays 1, PNV 0

    4/7/2025House

  11. Engrossed; ready for transmission to Sen.

    4/7/2025House

  12. Received from House, Passed on First Consideration

    4/7/2025Senate

  13. Senate substituted House Bill for companion Senate Bill.

    4/7/2025Senate

  14. Amendment withdrawn. (Amendment 1 - SA0095)

    4/7/2025Senate

  15. Passed Senate, Ayes 27, Nays 4

    4/7/2025Senate

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

    3/19/2025House

  22. Placed on cal. Health Committee for 3/25/2025

    3/19/2025House

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

    3/12/2025House

  24. P2C, ref. to Health Committee

    2/12/2025House

  25. Assigned to s/c Health Subcommittee

    2/12/2025House

Bill Text

  • HA0252 (Substitute)

    4/7/2025

    PDF

  • Enrolled / Public Chapter

    PDF

  • Fiscal Note

    PDF

  • Introduced

    PDF

  • SA0095

    PDF

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