All Roll Calls
Yes: 110 • No: 13
TennesseeSB 2279114th General Assembly (2025-2026)Senate
AN ACT to amend Tennessee Code Annotated, Title 63 and Title 68, relative to pain management.
Sponsored By: Sponsor information unavailable
Signed by Governor
Health Care
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Pain clinics gain clearer compliance guidance
The Department of Health must post all required pain clinic inspection criteria on its website. Affected licensees can request a private advisory ruling from the commissioner or the commissioner's designee on matters covered by these rules. Officials can issue a ruling, but it applies only to the requester and sets no precedent for later cases. The commissioner or designee can choose to resolve a dispute through the process in Tennessee Code Section 4-5-223.
Pain clinics gain temporary director flexibility
A pain management specialist can provide short-term coverage when a clinic's medical director is unavailable because of illness, vacation, or another reason. The substitute need not be on-site but must be immediately available by phone when away. This service does not count toward the four-clinic limit, and the department cannot require the absent director to report the substitute's identity. A related clinic rule changes from weekly to quarterly; the supplied text does not identify the activity. The law took effect upon becoming law.
Prescribers face reviews and removal options
Beginning July 1, 2017, Tennessee must identify high-risk prescribers each year using clinical outcomes, including patient overdoses. The Department of Health must publish its criteria and conduct selected chart reviews and investigations of identified prescribers. A related timing rule changes from four weeks to 30 days; the supplied text does not explain the activity. To remove the label, prescribers must prove course completion and meet one of two conditions: no overdose behind the label involved a substance they prescribed, or the state does not identify them as high-risk for the next two consecutive years. The department must remove the label and notify qualifying prescribers in writing.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 4/7/2026
FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/7/2026
Yes: 69 • No: 13
Senate vote • 4/2/2026
FLOOR VOTE: as Amended Third Consideration 4/2/2026
Yes: 32 • No: 0
Senate vote • 3/17/2026
SENATE HEALTH AND WELFARE COMMITTEE
Yes: 9 • No: 0
Actions Timeline
Effective date(s) 04/27/2026
5/4/2026Pub. Ch. 861
5/4/2026Signed by Governor.
4/27/2026SenateTransmitted to Governor for action.
4/17/2026SenateSigned by H. Speaker
4/16/2026HouseSigned by Senate Speaker
4/14/2026SenateEnrolled and ready for signatures
4/8/2026SenatePassed H., Ayes 69, Nays 13, PNV 7
4/7/2026HouseAm. withdrawn. (Amendment 1 - HA0947)
4/7/2026HouseSubst. for comp. HB.
4/7/2026HouseRcvd. from S., held on H. desk.
4/6/2026HouseEngrossed; ready for transmission to House
4/2/2026SenatePassed Senate as amended, Ayes 32, Nays 0
4/2/2026SenateSenate adopted Amendment (Amendment 1 - SA0724)
4/2/2026SenatePlaced on Senate Regular Calendar for 4/2/2026
3/31/2026SenateRecommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
3/17/2026SenatePlaced on Senate Health and Welfare Committee calendar for 3/17/2026
3/11/2026SenateAction deferred in Senate Health and Welfare Committee to 3/18/2026
3/11/2026SenatePlaced on Senate Health and Welfare Committee calendar for 3/11/2026
3/4/2026SenatePassed on Second Consideration, refer to Senate Health and Welfare Committee
2/5/2026SenateIntroduced, Passed on First Consideration
2/2/2026SenateFiled for introduction
2/2/2026Senate
Bill Text
Enrolled / Public Chapter
Fiscal Note
HA0947
Introduced
SA0724
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