All Roll Calls
Yes: 164 • No: 3
TennesseeSB 0343114th General Assembly (2025-2026)SenateWALLET
AN ACT to amend Tennessee Code Annotated, Title 4; Title 29; Title 33; Title 56; Title 63; Title 68 and Title 71, relative to health.
Sponsored By: Paul Bailey, Paul (Republican)
Became Law
Death
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Paramedics can pronounce death outside hospitals
Beginning January 1, 2027, trained Tennessee-licensed paramedics can determine and pronounce death outside hospitals. Before doing so, they must complete a death‑determination course and attempt resuscitation under Emergency Medical Services Board standards. They must keep proof of course completion and show it to the Board if asked. A licensed physician can tell a paramedic to stop resuscitation. Paramedics cannot pronounce death for someone who dies in a hospital. The Board can discipline paramedics who do not follow these rules. The EMS Board can start writing rules now; the rest starts January 1, 2027.
Sponsors & Cosponsors
Sponsor
Paul Bailey, Paul
Republican • Senate
Cosponsors
Janice Bowling, Janice
Republican • Senate
Jessie Seal, Jessie
Republican • Senate
Roll Call Votes
Senate vote • 4/20/2026
FLOOR VOTE: Motion to Concur House Amendment # 1 4/20/2026
Yes: 32 • No: 0
House vote • 4/16/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2026
Yes: 92 • No: 2
Senate vote • 3/30/2026
FLOOR VOTE: as Amended Third Consideration 3/30/2026
Yes: 33 • No: 0
Senate vote • 3/18/2026
SENATE HEALTH AND WELFARE COMMITTEE
Yes: 7 • No: 1
Actions Timeline
Pub. Ch. 965
5/18/2026Effective date(s) 05/13/2026, 01/01/2027
5/18/2026Signed by Governor.
5/13/2026SenateTransmitted to Governor for action.
5/5/2026SenateSigned by H. Speaker
5/1/2026HouseSigned by Senate Speaker
4/23/2026SenateEnrolled and ready for signatures
4/23/2026SenateConcurred, Ayes 32, Nays 0 (Amendment 1 - HA0803)
4/20/2026SenatePlaced on Senate Message Calendar for 4/20/2026
4/17/2026SenateSubst. for comp. HB.
4/16/2026HouseH. adopted am. (Amendment 1 - HA0803)
4/16/2026HousePassed H., as am., Ayes 92, Nays 2, PNV 0
4/16/2026HouseRcvd. from S., held on H. desk.
4/2/2026HouseSenate adopted Amendment (Amendment 1 - SA0783)
3/30/2026SenatePassed Senate as amended, Ayes 33, Nays 0
3/30/2026SenateSponsor(s) Added.
3/30/2026SenateEngrossed; ready for transmission to House
3/30/2026SenatePlaced on Senate Regular Calendar for 3/30/2026
3/27/2026SenateRecommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 7, Nays 1 PNV 0
3/18/2026SenateAction deferred in Senate Health and Welfare Committee to 3/18/2026
3/17/2026SenatePlaced on Senate Health and Welfare Committee calendar for 3/18/2026
3/17/2026SenateAction deferred in Senate Health and Welfare Committee to 3/18/2026
3/11/2026SenatePlaced on Senate Health and Welfare Committee calendar for 3/17/2026
3/11/2026SenatePlaced on Senate Health and Welfare Committee calendar for 3/11/2026
3/4/2026SenateRecalled from Senate Commerce & Labor Committee
3/2/2026Senate
Bill Text
HA0803 (Substitute)
4/16/2026
Enrolled / Public Chapter
Fiscal Note
Introduced
SA0783
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