TennesseeSB 2414114th General Assembly (2025-2026)Senate

AN ACT to amend Tennessee Code Annotated, Title 9; Title 49; Title 53; Title 55 and Title 68, relative to public health.

Sponsored By: Sponsor information unavailable

Signed by Governor

Public Health

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Fewer approval requirements for qualifying hospitals

Acute care hospitals in areas covered by certificates that expire under this law no longer need a certificate of need. This removes that state approval requirement for qualifying hospitals. It does not guarantee a new hospital, lower bills, or better access to care.

Hospital certificates expire; price rules continue

The law takes effect immediately. Tennessee hospital certificates of public advantage still active on June 30, 2028, expire that day. Their price limits continue in the covered service area until June 30, 2033, unless a new inpatient acute care hospital opens there sooner. After June 30, 2028, Tennessee's attorney general and reporter supervises those limits under an agreement. Changes require written agreement between that office and the affected entity, which pays the supervision costs. The attorney general keeps the power to enforce state and federal antitrust laws.

Sponsors & Cosponsors

Cosponsors

Janice Bowling
Republican • Senate
Rusty Crowe
Republican • Senate
Todd Gardenhire
Republican • Senate
Bobby Harshbarger
Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 219 • No: 39

Senate vote • 4/16/2026

FLOOR VOTE: Motion to Concur House Amendment # 1 4/16/2026

Yes: 29 • No: 1

House vote • 4/6/2026

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/6/2026

Yes: 79 • No: 14

House vote • 4/6/2026

FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/6/2026

Yes: 69 • No: 24

Senate vote • 3/26/2026

FLOOR VOTE: as Amended Third Consideration 3/26/2026

Yes: 33 • No: 0

Senate vote • 3/18/2026

SENATE HEALTH AND WELFARE COMMITTEE

Yes: 9 • No: 0

Actions Timeline

Effective date(s) 05/05/2026
5/18/2026
Pub. Ch. 904
5/18/2026
Signed by Governor.
5/5/2026Senate
Transmitted to Governor for action.
4/23/2026Senate
Signed by H. Speaker
4/21/2026House
Signed by Senate Speaker
4/21/2026Senate
Enrolled and ready for signatures
4/20/2026Senate
Sponsor(s) Added.
4/17/2026Senate
Concurred, Ayes 29, Nays 1 (Amendment 1 - HA0936)
4/16/2026Senate
Sponsor(s) Added.
4/15/2026Senate
Placed on Senate Message Calendar for 4/16/2026
4/15/2026Senate
Senate Reset on calendar for 4/16/2026
4/15/2026Senate
Placed on Senate Message Calendar for 4/15/2026
4/13/2026Senate
Senate Reset on calendar for 4/15/2026
4/13/2026Senate
Placed on Senate Message Calendar for 4/13/2026
4/10/2026Senate
Senate Reset on calendar for 4/13/2026
4/9/2026Senate
Placed on Senate Message Calendar for 4/9/2026
4/7/2026Senate
Passed H., as am., Ayes 79, Nays 14, PNV 0
4/6/2026House
H. adopted am. (Amendment 1 - HA0936)
4/6/2026House
Subst. for comp. HB.
4/6/2026House
Rcvd. from S., held on H. desk.
3/30/2026House
Engrossed; ready for transmission to House
3/26/2026Senate
Sponsor(s) Added.
3/26/2026Senate
Passed Senate as amended, Ayes 33, Nays 0
3/26/2026Senate
Senate adopted Amendment (Amendment 1 - SA0777)
3/26/2026Senate

Bill Text

HA0936 (Substitute)
4/6/2026
PDF
Enrolled / Public Chapter
PDF
Fiscal Note
PDF
Introduced
PDF
SA0777
PDF

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