# Tennessee SB 1369: AN ACT to amend Tennessee Code Annotated, Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024, relative to certificates of need.

Tennessee SB 1369, AN ACT to amend Tennessee Code Annotated, Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024, relative to certificates of need., is a 114th General Assembly (2025-2026) Senate bill sponsored by no sponsor on record; status signed, last action 2026-05-18 (Effective date(s) 07/01/2030, 07/01/2028, 05/05/2026) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/TN-SB1369-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Tennessee SB 1369
- State: Tennessee
- Session: 114th General Assembly (2025-2026)
- Title: AN ACT to amend Tennessee Code Annotated, Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024, relative to certificates of need.
- Status: signed
- Chamber: Senate
- Introduced: 2025-02-06
- Last action: 2026-05-18, Effective date(s) 07/01/2030, 07/01/2028, 05/05/2026
- Sponsors: no sponsor on record
- Cosponsors: 9
- Subjects: Health Care
- Touches household money: no
- Roll calls: 7 (352 yes, 20 no in all)
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Acute care hospitals skip need approval: benefit, low. Beginning July 1, 2030, acute care hospitals no longer need a certificate of need to open or operate. This is the state's approval process for whether a facility is needed. The exemption covers hospitals focused on patients with an average stay of 25 days or less. It removes an approval step but do…
- New hospital standards support TennCare patients: benefit, low. Beginning July 1, 2030, Tennessee's Health Facilities Commission may adopt added standards for acute care hospitals licensed from that date. Any adopted standards must require TennCare participation and comparable care for TennCare members. They must also require charity care comparable to similar…
- Hospital care sites face tighter rules: cost, low. Beginning July 1, 2028, satellite emergency departments must be licensed as outpatient departments of Tennessee-licensed hospitals. Facilities providing cardiac catheterization services must also have that hospital outpatient license. Facilities already providing catheterization services on the act…

## Sponsors and cosponsors

- Cosponsor: Paul Bailey (Republican), Senate
- Cosponsor: Janice Bowling (Republican), Senate
- Cosponsor: Rusty Crowe (Republican), Senate
- Cosponsor: Todd Gardenhire (Republican), Senate
- Cosponsor: Bobby Harshbarger (Republican), Senate
- Cosponsor: Tom Hatcher (Republican), Senate
- Cosponsor: Reeves
- Cosponsor: Kerry Roberts (Republican), Senate
- Cosponsor: Stevens

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-16 | Senate | FLOOR VOTE: Motion to Concur House Amendment # 9 4/16/2026 | pass | 26 | 1 |   |
| 2026-04-16 | Senate | FLOOR VOTE: Motion to Concur House Amendment # 8 4/16/2026 | pass | 28 | 1 |   |
| 2026-04-13 | House | FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 8 BY WILLIAMS PASSAGE ON THIRD CONSIDERATION 4/13/2026 | pass | 91 | 2 |   |
| 2026-04-13 | House | FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 9 BY GARRETT PASSAGE ON THIRD CONSIDERATION 4/13/2026 | pass | 88 | 1 |   |
| 2026-04-13 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/13/2026 | pass | 84 | 11 |   |
| 2026-03-26 | Senate | FLOOR VOTE: as Amended Third Consideration 3/26/2026 | pass | 27 | 3 |   |
| 2026-03-18 | Senate | SENATE HEALTH AND WELFARE COMMITTEE | pass | 8 | 1 |   |

## Actions (46)

- 2026-05-18: Effective date(s) 07/01/2030, 07/01/2028, 05/05/2026
- 2026-05-18: Pub. Ch. 887
- 2026-05-05: Signed by Governor. (Senate)
- 2026-04-23: Transmitted to Governor for action. (Senate)
- 2026-04-21: Signed by H. Speaker (House)
- 2026-04-21: Signed by Senate Speaker (Senate)
- 2026-04-20: Enrolled and ready for signatures (Senate)
- 2026-04-17: Sponsor(s) Added. (Senate)
- 2026-04-16: Concurred, Ayes 28, Nays 1 (Amendment 8 - HA1113) (Senate)
- 2026-04-16: Concurred, Ayes 26, Nays 1 (Amendment 9 - HA1126) (Senate)
- 2026-04-15: Placed on Senate Message Calendar for 4/16/2026 (Senate)
- 2026-04-14: Placed on Senate Message Calendar for 4/16/2026 (Senate)
- 2026-04-13: Passed H., as am., Ayes 84, Nays 11, PNV 1 (House)
- 2026-04-13: Am. withdrawn. (Amendment 7 - HA1073) (House)
- 2026-04-13: Am. withdrawn. (Amendment 6 - HA1071) (House)
- 2026-04-13: Am. withdrawn. (Amendment 4 - HA1049) (House)
- 2026-04-13: Am. withdrawn. (Amendment 3 - HA0893) (House)
- 2026-04-13: H. adopted am. (Amendment 8 - HA1113) (House)
- 2026-04-13: H. adopted am. (Amendment 9 - HA1126) (House)
- 2026-04-13: Am. withdrawn. (Amendment 5 - HA1050) (House)
- 2026-04-13: Am. withdrawn. (Amendment 2 - HA0801) (House)
- 2026-04-13: Am. withdrawn. (Amendment 1 - HA0594) (House)
- 2026-04-13: Subst. for comp. HB. (House)
- 2026-03-30: Rcvd. from S., held on H. desk. (House)
- 2026-03-26: Engrossed; ready for transmission to House (Senate)
- 2026-03-26: Sponsor(s) Added. (Senate)
- 2026-03-26: Passed Senate as amended, Ayes 27, Nays 3, PNV 3 (Senate)
- 2026-03-26: Senate adopted Amendment (Amendment 3 - SA0776) (Senate)
- 2026-03-26: Senate adopted Amendment (Amendment 2 - SA0775) (Senate)
- 2026-03-26: Senate adopted Amendment (Amendment 1 - SA0774) (Senate)
- 2026-03-25: Sponsor(s) Added. (Senate)
- 2026-03-24: Placed on Senate Regular Calendar for 3/26/2026 (Senate)
- 2026-03-18: Sponsor(s) Added. (Senate)
- 2026-03-18: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0 (Senate)
- 2026-03-17: Placed on Senate Health and Welfare Committee calendar for 3/18/2026 (Senate)
- 2026-03-17: Action deferred in Senate Health and Welfare Committee to 3/18/2026 (Senate)
- 2026-03-11: Placed on Senate Health and Welfare Committee calendar for 3/17/2026 (Senate)
- 2026-03-11: Action deferred in Senate Health and Welfare Committee to 3/18/2026 (Senate)
- 2026-03-05: Sponsor(s) Added. (Senate)
- 2026-03-04: Placed on Senate Health and Welfare Committee calendar for 3/11/2026 (Senate)
- 2025-03-26: Assigned to General Subcommittee of Senate Health and Welfare Committee (Senate)
- 2025-03-19: Placed on Senate Health and Welfare Committee calendar for 3/26/2025 (Senate)
- 2025-02-12: Passed on Second Consideration, refer to Senate Health and Welfare Committee (Senate)
- 2025-02-10: Sponsor(s) Added. (Senate)
- 2025-02-10: Introduced, Passed on First Consideration (Senate)
- 2025-02-06: Filed for introduction (Senate)

## Bill text

- HA1113, 2026-04-13: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA1113.pdf)
- HA1126 (Substitute), 2026-04-13: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA1126.pdf)
- Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0887.pdf)
- Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/HB0819.pdf)
- HA0594: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0594.pdf)
- HA0801: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0801.pdf)
- HA0893: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0893.pdf)
- HA1049: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA1049.pdf)
- HA1050: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA1050.pdf)
- HA1071: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA1071.pdf)
- HA1073: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA1073.pdf)
- Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/SB1369.pdf)
- SA0774: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0774.pdf)
- SA0775: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0775.pdf)
- SA0776: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0776.pdf)

## Related bills

- SB 1326: AN ACT to amend Tennessee Code Annotated, Title 67, Chapter 5, Part 7, relative to property tax relief for elderly persons. (signed)
- SB 1255: AN ACT to amend Tennessee Code Annotated, Title 37; Title 49; Title 63; Title 68 and Title 71, relative to blood lead level testing. (signed)
- SB 1232: AN ACT to amend Tennessee Code Annotated, Title 40, Chapter 32, Part 1, relative to expunction of criminal records. (signed)
- SB 0855: AN ACT to amend Tennessee Code Annotated, Title 4; Title 5; Title 6; Title 7; Title 8; Title 12; Title 13; Title 29; Title 54; Title 64; Title 65; Title 68 and… (signed)
- SB 0539: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13; Title 48; Title 49; Title 67 and Title 68, relative to low-income housing. (signed)
- SB 0254: AN ACT to amend Tennessee Code Annotated, Title 38; Title 39; Title 40 and Title 55, relative to criminal law. (signed)

## Sources
- [HA1113 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA1113.pdf)
- [HA1126 (Substitute) (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA1126.pdf)
- [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0887.pdf)
- [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/HB0819.pdf)
- [HA0594 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0594.pdf)
- [HA0801 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0801.pdf)
- [HA0893 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0893.pdf)
- [HA1049 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA1049.pdf)
- [HA1050 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA1050.pdf)
- [HA1071 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA1071.pdf)
- [HA1073 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA1073.pdf)
- [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/SB1369.pdf)
- [SA0774 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0774.pdf)
- [SA0775 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0775.pdf)
- [SA0776 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0776.pdf)

## Related
- [SB 1326: AN ACT to amend Tennessee Code Annotated, Title 67, Chapter 5, Part 7, relative…](https://policyrisk.com/state-bill/TN-SB1326-2025-2026)
- [SB 1255: AN ACT to amend Tennessee Code Annotated, Title 37; Title 49; Title 63; Title 6…](https://policyrisk.com/state-bill/TN-SB1255-2025-2026)
- [SB 1232: AN ACT to amend Tennessee Code Annotated, Title 40, Chapter 32, Part 1, relativ…](https://policyrisk.com/state-bill/TN-SB1232-2025-2026)
- [SB 0855: AN ACT to amend Tennessee Code Annotated, Title 4; Title 5; Title 6; Title 7; T…](https://policyrisk.com/state-bill/TN-SB0855-2025-2026)
- [SB 0539: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13; Title 48; Title 49…](https://policyrisk.com/state-bill/TN-SB0539-2025-2026)
- [SB 0254: AN ACT to amend Tennessee Code Annotated, Title 38; Title 39; Title 40 and Titl…](https://policyrisk.com/state-bill/TN-SB0254-2025-2026)
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Source: PRIA, https://policyrisk.com/state-bill/TN-SB1369-2025-2026 (as of 2026-11-01).