TennesseeSB 0343114th General Assembly (2025-2026)Senate

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: Sponsor information unavailable

Signed by Governor

Death

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Bill Overview

Analyzed Economic Effects

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

Trained paramedics gain authority to pronounce death

Beginning January 1, 2027, Tennessee-licensed paramedics can determine and pronounce death after completing required training. They must first attempt resuscitation under Emergency Medical Services Board standards. This authority excludes patients whose apparent death occurs while they are in a hospital. A Tennessee-licensed physician can still direct a paramedic to stop resuscitation. Paramedics must keep proof of training and show it to the board or its designee on request. Failure to follow required standards can lead to board discipline. Rulemaking authority takes effect when the law becomes law.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Janice Bowling

    Republican • Senate

  • Jessie Seal

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 164 • No: 3

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

  1. Effective date(s) 05/13/2026, 01/01/2027

    5/18/2026
  2. Pub. Ch. 965

    5/18/2026
  3. Signed by Governor.

    5/13/2026Senate
  4. Transmitted to Governor for action.

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

    5/1/2026House
  6. Enrolled and ready for signatures

    4/23/2026Senate
  7. Signed by Senate Speaker

    4/23/2026Senate
  8. Concurred, Ayes 32, Nays 0 (Amendment 1 - HA0803)

    4/20/2026Senate
  9. Placed on Senate Message Calendar for 4/20/2026

    4/17/2026Senate
  10. Passed H., as am., Ayes 92, Nays 2, PNV 0

    4/16/2026House
  11. H. adopted am. (Amendment 1 - HA0803)

    4/16/2026House
  12. Subst. for comp. HB.

    4/16/2026House
  13. Rcvd. from S., held on H. desk.

    4/2/2026House
  14. Engrossed; ready for transmission to House

    3/30/2026Senate
  15. Sponsor(s) Added.

    3/30/2026Senate
  16. Passed Senate as amended, Ayes 33, Nays 0

    3/30/2026Senate
  17. Senate adopted Amendment (Amendment 1 - SA0783)

    3/30/2026Senate
  18. Placed on Senate Regular Calendar for 3/30/2026

    3/27/2026Senate
  19. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 7, Nays 1 PNV 0

    3/18/2026Senate
  20. Placed on Senate Health and Welfare Committee calendar for 3/18/2026

    3/17/2026Senate
  21. Action deferred in Senate Health and Welfare Committee to 3/18/2026

    3/17/2026Senate
  22. Placed on Senate Health and Welfare Committee calendar for 3/17/2026

    3/11/2026Senate
  23. Action deferred in Senate Health and Welfare Committee to 3/18/2026

    3/11/2026Senate
  24. Placed on Senate Health and Welfare Committee calendar for 3/11/2026

    3/4/2026Senate
  25. Refer to Senate Health & Welfare Committee

    3/2/2026Senate

Bill Text

  • HA0803 (Substitute)

    4/16/2026

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0783

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