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: Sponsor information unavailable

Signed by Governor

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

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Rebecca K. Alexander

    Republican • House

  • Fred Atchley

    Republican • House

  • Jody Barrett

    Republican • House

  • Charlie Baum

    Republican • House

  • Aftyn Behn

    Democrat • House

  • Clark Boyd

    Republican • House

  • Rush Bricken

    Republican • House

  • Ed Butler

    Republican • House

  • Karen D. Camper

    Democrat • House

  • Kip Capley

    Republican • House

  • Michele Carringer

    Republican • House

  • John Ray Clemmons

    Democrat • House

  • Elaine Davis

    Republican • House

  • Vincent Dixie

    Democrat • House

  • Clay Doggett

    Republican • House

  • Rick Eldridge

    Republican • House

  • Jeremy Faison

    Republican • House

  • Andrew Farmer

    Republican • House

  • Ron M. Gant

    Republican • House

  • Johnny Garrett

    Republican • House

  • John Gillespie

    Republican • House

  • Ronnie Glynn

    Democrat • House

  • Michael Hale

    Republican • House

  • Kirk Haston

    Republican • House

  • David B. Hawk

    Republican • House

  • Esther Helton-Haynes

    Republican • House

  • Caleb Hemmer

    Democrat • House

  • Gary Hicks

    Republican • House

  • Tim Hicks

    Republican • House

  • Timothy Hill

    Republican • House

  • Dan Howell

    Republican • House

  • Chris Hurt

    Republican • House

  • Johnson

    Affiliation unavailable

  • Kelly Keisling

    Republican • House

  • Mary Littleton

    Republican • House

  • Harold Love, Jr.

    Democrat • House

  • Pat Marsh

    Republican • House

  • Brock Martin

    Republican • House

  • Greg Martin

    Republican • House

  • Jake McCalmon

    Republican • House

  • Sam McKenzie

    Democrat • House

  • Larry J. Miller

    Democrat • House

  • Debra Moody

    Republican • House

  • Jerome Moon

    Republican • House

  • Justin J. Pearson

    Democrat • House

  • Jason Powell

    Democrat • House

  • Jay D. Reedy

    Republican • House

  • Reeves

    Affiliation unavailable

  • Michele Reneau

    Republican • House

  • Tim Rudd

    Republican • House

  • Iris Rudder

    Republican • House

  • Johnny Shaw

    Democrat • House

  • Paul Sherrell

    Republican • House

  • Mike Sparks

    Republican • House

  • Bryan Terry

    Republican • House

  • Greg Vital

    Republican • House

  • White

    Affiliation unavailable

  • Ryan Williams

    Republican • House

  • Dave Wright

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 200 • No: 4

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 SUBCOMMITTEE

Yes: 13 • No: 0

House vote • 4/15/2026

HOUSE FINANCE, WAYS, AND MEANS COMMITTEE

Yes: 25 • 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

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

    5/18/2026
  2. Pub. Ch. 940

    5/18/2026
  3. Signed by Governor.

    5/7/2026
  4. Transmitted to Governor for his action.

    5/6/2026House
  5. Signed by Senate Speaker

    5/5/2026Senate
  6. Signed by H. Speaker

    4/30/2026House
  7. Enrolled; ready for sig. of H. Speaker.

    4/28/2026House
  8. Passed Senate, Ayes 30, Nays 0

    4/22/2026Senate
  9. Amendment withdrawn. (Amendment 2 - SA1083)

    4/22/2026Senate
  10. Amendment withdrawn. (Amendment 1 - SA0725)

    4/22/2026Senate
  11. Senate substituted House Bill for companion Senate Bill.

    4/22/2026Senate
  12. Received from House, Passed on First Consideration

    4/22/2026Senate
  13. Engrossed; ready for transmission to Sen.

    4/21/2026House
  14. Sponsor(s) Added.

    4/21/2026House
  15. Passed H., as am., Ayes 92, Nays 3, PNV 0

    4/21/2026House
  16. H. adopted am. (Amendment 2 - HA1194)

    4/21/2026House
  17. H. adopted am. (Amendment 1 - HA0567)

    4/21/2026House
  18. H. Placed on Regular Calendar for 4/20/2026

    4/16/2026House
  19. Placed on cal. Calendar & Rules Committee for 4/16/2026

    4/15/2026House
  20. Rec. for pass. if am., ref. to Calendar & Rules Committee

    4/15/2026House
  21. Placed on cal. Finance, Ways, and Means Committee for 4/15/2026

    4/15/2026House
  22. Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee

    4/15/2026House
  23. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/15/2026

    4/15/2026House
  24. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/14/2026

    4/8/2026House
  25. Sponsor(s) Added.

    3/24/2026House

Bill Text

  • HA0567

    4/21/2026

  • HA1194

    4/21/2026

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0725

  • SA1083

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