All Roll Calls
Yes: 200 • No: 4
TennesseeHB 1443114th General Assembly (2025-2026)HouseWALLET
AN ACT to amend Tennessee Code Annotated, Title 9; Title 33; Title 52; Title 67 and Title 68, relative to relief for caregivers of individuals with Alzheimer's disease or related dementia.
Sponsored By: Renea Jones, Renea (Republican)
Became Law
Health Care
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 3 benefits, 0 costs, 2 mixed.
Grant amounts and covered care costs
Each caregiver can get up to $6,000 per fiscal year. Very low income households get first priority, then low income households. Covered costs include home safety changes, care equipment and technology, respite care, and needed medical supplies. Normal home repairs, like painting or plumbing, do not qualify.
Pilot caregiver grants for dementia care
The state runs a caregiver grant pilot from July 1, 2026 to December 31, 2027. One program serves all three grand divisions. The department gives grants to family caregivers of people with Alzheimer’s or related dementia to help pay eligible care costs.
Who can qualify for caregiver grants
The person you care for must need help with at least two daily tasks and live in a private home. They must have Alzheimer’s or related dementia, or a doctor’s written note of similar symptoms, and be your close relative. You must provide care and have unpaid eligible costs. For 2027, your adjusted income equals household income minus 50% of eligible care costs. You qualify if that number is at or below the larger of your area or the state median income for your family size; your spouse’s income counts. On July 1, 2027 the income limit updates for the Social Security cost-of-living raise. You stay eligible during a short hospital or skilled-care stay if your relative plans to return home.
How the caregiver grant is funded
The law creates a special fund for the grants. Money can come from the legislature and from gifts or donations. The treasurer invests the fund; interest stays in the fund and unused money rolls forward. Lawmakers state an intent to provide a one-time $200,000 in FY 2026–2027. Agencies cannot spend any grant money unless the legislature puts it in the budget.
Rules and reporting for the program
The commissioner may set rules to run the caregiver grant program. The rules cover who can apply, how to apply, and how grants are paid. By January 15, 2028, the department must report to the legislature on program status, money received, and grants paid.
Sponsors & Cosponsors
Sponsor
Renea Jones, Renea
Republican • House
Cosponsors
Rebecca K. Alexander, Rebecca K.
Republican • House
Fred Atchley, Fred
Republican • House
Jody Barrett, Jody
Republican • House
Charlie Baum, Charlie
Republican • House
Aftyn Behn, Aftyn
Democrat • House
Clark Boyd, Clark
Republican • House
Rush Bricken, Rush
Republican • House
Ed Butler, Ed
Republican • House
Karen D. Camper, Karen D.
Democrat • House
Kip Capley, Kip
Republican • House
Michele Carringer, Michele
Republican • House
John Ray Clemmons, John Ray
Democrat • House
Elaine Davis, Elaine
Republican • House
Vincent Dixie, Vincent
Democrat • House
Clay Doggett, Clay
Republican • House
Rick Eldridge, Rick
Republican • House
Jeremy Faison, Jeremy
Republican • House
Andrew Farmer, Andrew
Republican • House
Ron M. Gant, Ron M.
Republican • House
Johnny Garrett, Johnny
Republican • House
John Gillespie, John
Republican • House
Ronnie Glynn, Ronnie
Democrat • House
Michael Hale, Michael
Republican • House
Kirk Haston, Kirk
Republican • House
David B. Hawk, David B.
Republican • House
Esther Helton-Haynes, Esther
Republican • House
Caleb Hemmer, Caleb
Democrat • House
Gary Hicks, Gary
Republican • House
Gary Hicks, Gary
Republican • House
Timothy Hill, Timothy
Republican • House
Dan Howell, Dan
Republican • House
Chris Hurt, Chris
Republican • House
Jack Johnson, Jack
Republican • Senate
Kelly Keisling, Kelly
Republican • House
Mary Littleton, Mary
Republican • House
Jr., Harold Love, Jr., Harold
Democrat • House
Pat Marsh, Pat
Republican • House
Brock Martin, Brock
Republican • House
Brock Martin, Brock
Republican • House
Jake McCalmon, Jake
Republican • House
Sam McKenzie, Sam
Democrat • House
Larry J. Miller, Larry J.
Democrat • House
Debra Moody, Debra
Republican • House
Jerome Moon, Jerome
Republican • House
Justin J. Pearson, Justin J.
Democrat • House
Jason Powell, Jason
Democrat • House
Jay D. Reedy, Jay D.
Republican • House
Shane Reeves, Shane
Republican • Senate
Michele Reneau, Michele
Republican • House
Tim Rudd, Tim
Republican • House
Iris Rudder, Iris
Republican • House
Johnny Shaw, Johnny
Democrat • House
Paul Sherrell, Paul
Republican • House
Mike Sparks, Mike
Republican • House
Bryan Terry, Bryan
Republican • House
Greg Vital, Greg
Republican • House
Dawn White, Dawn
Republican • Senate
Ryan Williams, Ryan
Republican • House
Dave Wright, Dave
Republican • House
Roll Call Votes
Senate vote • 4/22/2026
FLOOR VOTE: Third Consideration 4/22/2026
Yes: 30 • No: 0
House vote • 4/21/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/21/2026
Yes: 92 • No: 3
House vote • 4/20/2026
HOUSE CALENDAR & RULES COMMITTEE
Yes: 0 • No: 0
House vote • 4/15/2026
HOUSE FINANCE, WAYS, AND MEANS COMMITTEE
Yes: 25 • No: 0
House vote • 4/15/2026
HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE
Yes: 13 • No: 0
House vote • 3/9/2026
HOUSE GOVERNMENT OPERATIONS COMMITTEE
Yes: 12 • No: 1
House vote • 2/17/2026
HOUSE HEALTH COMMITTEE
Yes: 20 • No: 0
House vote • 2/11/2026
HOUSE HEALTH SUBCOMMITTEE
Yes: 8 • No: 0
Actions Timeline
Pub. Ch. 940
5/18/2026Effective date(s) 05/07/2026, 07/01/2026
5/18/2026Signed by Governor.
5/7/2026Transmitted to Governor for his action.
5/6/2026HouseSigned by Senate Speaker
5/5/2026SenateSigned by H. Speaker
4/30/2026HouseEnrolled; ready for sig. of H. Speaker.
4/28/2026HouseReceived from House, Passed on First Consideration
4/22/2026SenateSenate substituted House Bill for companion Senate Bill.
4/22/2026SenateAmendment withdrawn. (Amendment 1 - SA0725)
4/22/2026SenateAmendment withdrawn. (Amendment 2 - SA1083)
4/22/2026SenatePassed Senate, Ayes 30, Nays 0
4/22/2026SenateH. adopted am. (Amendment 1 - HA0567)
4/21/2026HouseH. adopted am. (Amendment 2 - HA1194)
4/21/2026HousePassed H., as am., Ayes 92, Nays 3, PNV 0
4/21/2026HouseSponsor(s) Added.
4/21/2026HouseEngrossed; ready for transmission to Sen.
4/21/2026HouseH. Placed on Regular Calendar for 4/20/2026
4/16/2026HousePlaced on s/c cal Finance, Ways, and Means Subcommittee for 4/15/2026
4/15/2026HouseRec for pass if am by s/c ref. to Finance, Ways, and Means Committee
4/15/2026HousePlaced on cal. Finance, Ways, and Means Committee for 4/15/2026
4/15/2026HouseRec. for pass. if am., ref. to Calendar & Rules Committee
4/15/2026HousePlaced on cal. Calendar & Rules Committee for 4/16/2026
4/15/2026HousePlaced on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026
4/8/2026HouseSponsor(s) Added.
3/24/2026House
Bill Text
Enrolled / Public Chapter
Fiscal Note
HA0567
HA1194
Introduced
SA0725
SA1083
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