# Tennessee SB 2194: AN ACT to amend Tennessee Code Annotated, Title 48, Chapter 68 and Title 68, Chapter 11, relative to hospitals. Tennessee SB 2194, AN ACT to amend Tennessee Code Annotated, Title 48, Chapter 68 and Title 68, Chapter 11, relative to hospitals., is a 114th General Assembly (2025-2026) Senate bill sponsored by no sponsor on record; status signed, last action 2026-05-05 (Effective date(s) 04/16/2026) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-SB2194-2025-2026 - 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 2194 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 48, Chapter 68 and Title 68, Chapter 11, relative to hospitals. - Status: signed - Chamber: Senate - Introduced: 2026-02-02 - Last action: 2026-05-05, Effective date(s) 04/16/2026 - Sponsors: no sponsor on record - Cosponsors: 3 - Subjects: Hospitals and Health Care Facilities - Touches household money: no - Roll calls: 3 (131 yes, 1 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - Large county hospitals get classification exemption: benefit, low. The law creates an exemption from one public benefit hospital classification rule. A hospital must have been established solely for a county government's benefit and have an estimated sales value over $500 million. The exemption applies only after a two-thirds vote of the legislative body in the co… - Local governments face hospital proceeds limits: cost, low. The law sets rules for hospital transaction proceeds under the public benefit hospital classification test. Proceeds must be controlled separately from the buyer and related entities. Counties and cities can receive proceeds only to the extent needed to pay lawful obligations. The county-approved h… ## Sponsors and cosponsors - Cosponsor: Paul Bailey (Republican), Senate - Cosponsor: Janice Bowling (Republican), Senate - Cosponsor: Joey Hensley (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-02 | House | FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/2/2026 | pass | 95 | 0 | | | 2026-03-23 | Senate | FLOOR VOTE: as Amended Third Consideration 3/23/2026 | pass | 27 | 1 | | | 2026-03-17 | Senate | SENATE HEALTH AND WELFARE COMMITTEE | pass | 9 | 0 | | ## Actions (21) - 2026-05-05: Effective date(s) 04/16/2026 - 2026-05-05: Pub. Ch. 718 - 2026-04-16: Signed by Governor. (Senate) - 2026-04-07: Transmitted to Governor for action. (Senate) - 2026-04-06: Signed by H. Speaker (House) - 2026-04-06: Signed by Senate Speaker (Senate) - 2026-04-02: Enrolled and ready for signatures (Senate) - 2026-04-02: Passed H., Ayes 95, Nays 0, PNV 0 (House) - 2026-04-02: Am. withdrawn. (Amendment 1 - HA0804) (House) - 2026-04-02: Subst. for comp. HB. (House) - 2026-03-26: Rcvd. from S., held on H. desk. (House) - 2026-03-23: Engrossed; ready for transmission to House (Senate) - 2026-03-23: Sponsor(s) Added. (Senate) - 2026-03-23: Passed Senate as amended, Ayes 27, Nays 1 (Senate) - 2026-03-23: Senate adopted Amendment (Amendment 1 - SA0733) (Senate) - 2026-03-20: Placed on Senate Regular Calendar for 3/23/2026 (Senate) - 2026-03-17: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 (Senate) - 2026-03-11: Placed on Senate Health and Welfare Committee calendar for 3/17/2026 (Senate) - 2026-02-05: Passed on Second Consideration, refer to Senate Health and Welfare Committee (Senate) - 2026-02-02: Introduced, Passed on First Consideration (Senate) - 2026-02-02: Filed for introduction (Senate) ## Bill text - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0718.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/SB2194.pdf) - HA0804: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0804.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/SB2194.pdf) - SA0733: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0733.pdf) ## Related bills - SB 2228: AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 29; Title 5, Chapter 21; Title 8, Chapter 50, Part 8; Title 49, Chapter 10, Part 1; Title 49, Chapte… (failed) - SB 2229: AN ACT to amend Tennessee Code Annotated, Title 12, Chapter 4, Part 4, relative to the prevailing wage rate. (failed) - SB 2221: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 15, relative to ambulances. (signed) - SB 2213: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13, Chapter 7; Title 65 and Title 68, relative to utilities. (signed) - SB 2224: AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 29, Part 2; Title 20, Chapter 9, Part 6; Title 55, Chapter 17, Part 1; Title 62, Chapter 13; Title 6… (failed) - SB 2177: AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 9 and Title 38, relative to compensation of law enforcement officers. (signed) ## Sources - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0718.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/SB2194.pdf) - [HA0804 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0804.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/SB2194.pdf) - [SA0733 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0733.pdf) ## Related - [SB 2228: AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 29; Title 5, Chapter…](https://policyrisk.com/state-bill/TN-SB2228-2025-2026) - [SB 2229: AN ACT to amend Tennessee Code Annotated, Title 12, Chapter 4, Part 4, relative…](https://policyrisk.com/state-bill/TN-SB2229-2025-2026) - [SB 2221: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 15, relativ…](https://policyrisk.com/state-bill/TN-SB2221-2025-2026) - [SB 2213: AN ACT to amend Tennessee Code Annotated, Title 7; Title 13, Chapter 7; Title 6…](https://policyrisk.com/state-bill/TN-SB2213-2025-2026) - [SB 2224: AN ACT to amend Tennessee Code Annotated, Title 4, Chapter 29, Part 2; Title 20…](https://policyrisk.com/state-bill/TN-SB2224-2025-2026) - [SB 2177: AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 9 and Title 3…](https://policyrisk.com/state-bill/TN-SB2177-2025-2026) - [Tennessee bills](https://policyrisk.com/states/tennessee/bills) - [Tennessee state hub](https://policyrisk.com/states/tennessee) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/TN-SB2194-2025-2026 (as of 2026-11-01).