All Roll Calls
Yes: 134 • No: 0
TennesseeSB 1178114th General Assembly (2025-2026)SenateWALLET
AN ACT to amend Tennessee Code Annotated, Title 52 and Title 71, relative to family caregiving.
Sponsored By: Sponsor information unavailable
Signed by Governor
Disability and Aging, Dept. Of
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Hiring protections for paid family caregivers
Beginning July 1, 2025, Tennessee protects qualified family members seeking paid caregiving jobs through Medicaid-participating agencies. These protections cover long-term care and home- and community-based services for people with disabilities. State agencies and TennCare providers cannot block hiring solely because of family ties, living arrangements, or the care recipient’s age. This includes parents and spouses, and guardians or conservators unless their governing documents specifically restrict employment. Hiring cannot be blocked because of the recipient’s TennCare waiver program or another unrelated paid caregiver’s employment. The protections cover all TennCare waivers, and agencies and providers cannot stop or discourage agencies from hiring family caregivers. They also cannot reduce or change benefits because of family ties unless they use the person-centered planning process. The Department of Disability and Aging and TennCare must publish matching hiring guidelines online and send them to providers annually. Both agencies have rulemaking authority, effective upon enactment.
Family caregiver pay stays within benefit caps
Beginning July 1, 2025, family caregiver pay cannot exceed the care benefits allocated to the recipient in their person-centered plan. This covers long-term care and home- and community-based services for a person with a disability. The law sets no dollar amount or pay formula. It preserves existing benefit caps and adds no program funding.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
Heidi Campbell
Democrat • Senate
Ferrell Haile
Republican • Senate
Tom Hatcher
Republican • Senate
Becky D. Massey
Republican • Senate
Reeves
Affiliation unavailable
Jeff Yarbro
Democrat • Senate
Roll Call Votes
House vote • 3/31/2025
FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/31/2025
Yes: 94 • No: 0
Senate vote • 3/24/2025
FLOOR VOTE: as Amended Third Consideration 3/24/2025
Yes: 31 • No: 0
Senate vote • 3/12/2025
SENATE HEALTH AND WELFARE COMMITTEE
Yes: 9 • No: 0
Actions Timeline
Effective date(s) 04/11/2025, 07/01/2025
4/30/2025Pub. Ch. 182
4/30/2025Signed by Governor.
4/11/2025SenateTransmitted to Governor for action.
4/3/2025SenateSigned by H. Speaker
4/2/2025HouseSigned by Senate Speaker
4/2/2025SenateEnrolled and ready for signatures
4/1/2025SenatePassed H., Ayes 94, Nays 0, PNV 0
3/31/2025HouseAm. withdrawn. (Amendment 1 - HA0082)
3/31/2025HouseSubst. for comp. HB.
3/31/2025HouseRcvd. from S., held on H. desk.
3/27/2025HouseSponsor(s) Added.
3/24/2025SenateEngrossed; ready for transmission to House
3/24/2025SenatePassed Senate as amended, Ayes 31, Nays 0
3/24/2025SenateSenate adopted Amendment (Amendment 1 - SA0105)
3/24/2025SenatePlaced on Senate Regular Calendar for 3/24/2025
3/21/2025SenateSponsor(s) Added.
3/12/2025SenateRecommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
3/12/2025SenatePlaced on Senate Health and Welfare Committee calendar for 3/12/2025
3/5/2025SenateAction deferred in Senate Health and Welfare Committee to 3/12/2025
3/5/2025SenatePlaced on Senate Health and Welfare Committee calendar for 3/5/2025
2/26/2025SenatePassed on Second Consideration, refer to Senate Health and Welfare Committee
2/12/2025SenateIntroduced, Passed on First Consideration
2/10/2025SenateFiled for introduction
2/6/2025Senate
Bill Text
Enrolled / Public Chapter
Fiscal Note
HA0082
Introduced
SA0105
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