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TennesseeSB 0882114th General Assembly (2025-2026)SenateWALLET

AN ACT to amend Tennessee Code Annotated, Title 68, relative to the health facilities commission.

Sponsored By: Shane Reeves (Republican)

Became Law

Health Care

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Faster nursing home inspections by 2027

By January 1, 2027, each licensed nursing home must have a recent inspection. The most recent inspection must be no more than 15 months before December 31, 2026. By June 1, 2025, the Commission must report to the legislature how it will meet this timeline. This aims to make checks more timely and improve resident safety.

Assisted-care living industry seat on commission

The Health Facilities Commission now includes one representative of the assisted-care living industry. That person is appointed from lists of qualified people sent by groups such as the Tennessee Center for Assisted Living, LeadingAge Tennessee, and Argentum. This gives operators a direct voice in oversight.

State seeks federal flexibility for health oversight

The Health Facilities Commission must negotiate with the federal Centers for Medicare and Medicaid Services for procedural flexibility. Talks must include seeking a block grant waiver amendment under 42 U.S.C. § 1395aa. The Commission must report progress by January 31, 2026 to the Speakers and health committee chairs. This does not change who gets benefits or money now.

Sponsors & Cosponsors

Sponsor

  • Shane Reeves

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 130 • No: 3

House vote • 4/10/2025

FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/10/2025

Yes: 91 • No: 3

Senate vote • 3/31/2025

FLOOR VOTE: as Amended Third Consideration 3/31/2025

Yes: 30 • No: 0

Senate vote • 3/26/2025

SENATE HEALTH AND WELFARE COMMITTEE

Yes: 9 • No: 0

Actions Timeline

  1. Pub. Ch. 263

    4/29/2025

  2. Effective date(s) 04/24/2025

    4/29/2025

  3. Signed by Governor.

    4/24/2025Senate

  4. Signed by H. Speaker

    4/21/2025House

  5. Transmitted to Governor for action.

    4/21/2025Senate

  6. Signed by Senate Speaker

    4/17/2025Senate

  7. Enrolled and ready for signatures

    4/15/2025Senate

  8. Subst. for comp. HB.

    4/10/2025House

  9. Am. withdrawn. (Amendment 1 - HA0251)

    4/10/2025House

  10. Passed H., Ayes 91, Nays 3, PNV 0

    4/10/2025House

  11. Rcvd. from S., held on H. desk.

    4/3/2025House

  12. Senate adopted Amendment (Amendment 1 - SA0262)

    3/31/2025Senate

  13. Passed Senate as amended, Ayes 30, Nays 0

    3/31/2025Senate

  14. Engrossed; ready for transmission to House

    3/31/2025Senate

  15. Placed on Senate Regular Calendar for 3/31/2025

    3/28/2025Senate

  16. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0

    3/26/2025Senate

  17. Placed on Senate Health and Welfare Committee calendar for 3/26/2025

    3/19/2025Senate

  18. Passed on Second Consideration, refer to Senate Health and Welfare Committee

    2/12/2025Senate

  19. Introduced, Passed on First Consideration

    2/10/2025Senate

  20. Filed for introduction

    2/5/2025Senate

Bill Text

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