All Roll Calls
Yes: 280 • No: 1
TennesseeSB 0502114th General Assembly (2025-2026)Senate
AN ACT to amend Tennessee Code Annotated, Title 63, Chapter 24 relative to athletic trainers.
Sponsored By: Sponsor information unavailable
Signed by Governor
Athletic Trainers
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 2 benefits, 2 costs, 0 mixed.
Athletic trainers can provide more care
Beginning July 1, 2026, Tennessee-licensed athletic trainers can provide more listed procedures during athletic training services. Care requires a physician’s advice, consent, and oral or written prescription or referral. Athletic injuries include injuries from exercise, sports, games, or physical recreation that prevent participation. Trainers can check blood sugar and measure rectal core temperature in emergencies. They can close shallow cuts with skin glue under a physician’s standing order. Listed shots include epinephrine 1:1000 for severe allergic reactions, naloxone for overdose, and glucagon for diabetic emergencies. Trainers can also give flu shots to people age nine or older. Obtaining, transporting, providing, or giving these medicines requires supervising physician approval and guidelines during athletic training services. With added training, trainers can give 50% or 25% dextrose through an IV for diabetic emergencies. They can also give saline or lactated Ringer’s solution through an IV for fluids. IV care requires physician approval and guidelines, plus at least four continuing-education hours or qualifying degree-program coursework.
More out-of-state trainers can take exams
Beginning July 1, 2026, more out-of-state athletic trainer applicants can take Tennessee’s state law exam. Eligible applicants come from states without a current licensing or certification law. Applicants also qualify when an expired license or certificate was in good standing at expiration. They must hold Board of Certification certification and receive Tennessee board approval. Access to the exam does not itself grant a Tennessee license.
Athletic trainer licenses retain care limits
Beginning July 1, 2026, the law restates the limits of an athletic trainer license. The athletic trainer chapter does not authorize medicine, osteopathic medicine, podiatry, chiropractic, physical therapy, or nursing practice. Athletic trainer credentials alone do not grant authority to practice those professions.
Athletic trainers must meet licensing rules
Beginning July 1, 2026, people need a Tennessee license to call themselves athletic trainers or perform athletic trainer activities. Applicants must meet the chapter’s qualifications, hold Board of Certification certification in good standing, and receive Tennessee board approval. They must pass the certification requirements and exam, or a board-approved equivalent, plus the board’s state law exam. Applicants must pay the required license fee and have no acts that are grounds for license denial. Students and similar trainees have a limited exception when their service is not mainly for pay. A licensed athletic trainer and Tennessee-licensed physician must supervise them using Board of Certification guidelines approved by the Tennessee board.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
Paul Bailey
Republican • Senate
Janice Bowling
Republican • Senate
Tom Hatcher
Republican • Senate
Reeves
Affiliation unavailable
Jessie Seal
Republican • Senate
Roll Call Votes
Senate vote • 4/16/2026
FLOOR VOTE: Motion to Concur House Amendment # 3 4/16/2026
Yes: 28 • No: 0
Senate vote • 4/16/2026
FLOOR VOTE: Motion to Concur House Amendment # 1 4/16/2026
Yes: 28 • No: 0
House vote • 4/13/2026
FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 3 BY HICKS T PASSAGE ON THIRD CONSIDERATION 4/13/2026
Yes: 93 • No: 0
House vote • 4/13/2026
FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/13/2026
Yes: 92 • No: 0
Senate vote • 3/26/2026
FLOOR VOTE: as Amended Third Consideration 3/26/2026
Yes: 31 • No: 0
Senate vote • 3/18/2026
SENATE HEALTH AND WELFARE COMMITTEE
Yes: 8 • No: 1
Actions Timeline
Effective date(s) 07/01/2026
5/18/2026Pub. Ch. 884
5/18/2026Signed by Governor.
5/5/2026SenateTransmitted to Governor for action.
4/23/2026SenateSigned by H. Speaker
4/21/2026HouseSigned by Senate Speaker
4/21/2026SenateEnrolled and ready for signatures
4/20/2026SenateSponsor(s) Added.
4/17/2026SenateConcurred, Ayes 28, Nays 0 (Amendment 3 - HA1124)
4/16/2026SenateConcurred, Ayes 28, Nays 0 (Amendment 1 - HA0937)
4/16/2026SenatePlaced on Senate Message Calendar for 4/16/2026
4/15/2026SenatePlaced on Senate Message Calendar for 4/16/2026
4/14/2026SenatePassed H., as am., Ayes 92, Nays 0, PNV 0
4/13/2026HouseH. adopted am. (Amendment 3 - HA1124)
4/13/2026HouseAm. withdrawn. (Amendment 2 - HA1051)
4/13/2026HouseH. adopted am. (Amendment 1 - HA0937)
4/13/2026HouseSubst. for comp. HB.
4/13/2026HouseRcvd. from S., held on H. desk.
3/30/2026HouseEngrossed; ready for transmission to House
3/26/2026SenateSponsor(s) Added.
3/26/2026SenatePassed Senate as amended, Ayes 31, Nays 0
3/26/2026SenateSenate adopted Amendment (Amendment 1 - SA0778)
3/26/2026SenatePlaced on Senate Regular Calendar for 3/26/2026
3/24/2026SenateRecommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0
3/18/2026SenatePlaced on Senate Health and Welfare Committee calendar for 3/18/2026
3/17/2026Senate
Bill Text
HA0937 (Substitute)
4/13/2026
HA1124
4/13/2026
Enrolled / Public Chapter
Fiscal Note
HA1051
Introduced
SA0778
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