# Tennessee SB 2414: AN ACT to amend Tennessee Code Annotated, Title 9; Title 49; Title 53; Title 55 and Title 68, relative to public health. Tennessee SB 2414, AN ACT to amend Tennessee Code Annotated, Title 9; Title 49; Title 53; Title 55 and Title 68, relative to public health., 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) 05/05/2026) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-SB2414-2025-2026 - 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 2414 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 9; Title 49; Title 53; Title 55 and Title 68, relative to public health. - Status: signed - Chamber: Senate - Introduced: 2026-02-02 - Last action: 2026-05-18, Effective date(s) 05/05/2026 - Sponsors: no sponsor on record - Cosponsors: 4 - Subjects: Public Health - Touches household money: no - Roll calls: 5 (219 yes, 39 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - Fewer approval requirements for qualifying hospitals: benefit, low. 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: mixed, low. 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, Tenn… ## Sponsors and cosponsors - Cosponsor: Janice Bowling (Republican), Senate - Cosponsor: Rusty Crowe (Republican), Senate - Cosponsor: Todd Gardenhire (Republican), Senate - Cosponsor: Bobby Harshbarger (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-16 | Senate | FLOOR VOTE: Motion to Concur House Amendment # 1 4/16/2026 | pass | 29 | 1 | | | 2026-04-06 | House | FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/6/2026 | pass | 79 | 14 | | | 2026-04-06 | House | FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/6/2026 | pass | 69 | 24 | | | 2026-03-26 | Senate | FLOOR VOTE: as Amended Third Consideration 3/26/2026 | pass | 33 | 0 | | | 2026-03-18 | Senate | SENATE HEALTH AND WELFARE COMMITTEE | pass | 9 | 0 | | ## Actions (35) - 2026-05-18: Effective date(s) 05/05/2026 - 2026-05-18: Pub. Ch. 904 - 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 29, Nays 1 (Amendment 1 - HA0936) (Senate) - 2026-04-15: Sponsor(s) Added. (Senate) - 2026-04-15: Placed on Senate Message Calendar for 4/16/2026 (Senate) - 2026-04-15: Senate Reset on calendar for 4/16/2026 (Senate) - 2026-04-13: Placed on Senate Message Calendar for 4/15/2026 (Senate) - 2026-04-13: Senate Reset on calendar for 4/15/2026 (Senate) - 2026-04-10: Placed on Senate Message Calendar for 4/13/2026 (Senate) - 2026-04-09: Senate Reset on calendar for 4/13/2026 (Senate) - 2026-04-07: Placed on Senate Message Calendar for 4/9/2026 (Senate) - 2026-04-06: Passed H., as am., Ayes 79, Nays 14, PNV 0 (House) - 2026-04-06: H. adopted am. (Amendment 1 - HA0936) (House) - 2026-04-06: 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 33, Nays 0 (Senate) - 2026-03-26: Senate adopted Amendment (Amendment 1 - SA0777) (Senate) - 2026-03-24: Placed on Senate Regular Calendar for 3/26/2026 (Senate) - 2026-03-18: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 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) - 2026-03-04: Placed on Senate Health and Welfare Committee calendar for 3/11/2026 (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 - HA0936 (Substitute), 2026-04-06: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0936.pdf) - Enrolled / Public Chapter: [PDF](https://publications.tnsosfiles.com/acts/114/pub/pc0904.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/SB2414.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/SB2414.pdf) - SA0777: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0777.pdf) ## Related bills - SB 2419: AN ACT to amend Tennessee Code Annotated, Title 68, relative to fireworks. (signed) - SB 2410: AN ACT to amend Tennessee Code Annotated, Title 7, Chapter 53; Title 13; Title 48, Chapter 101, Part 3; Title 56 and Title 67, relative to housing. (failed) - SB 2295: AN ACT to amend Tennessee Code Annotated, Title 57 and Title 67, relative to products regulated by the alcoholic beverage commission. (signed) - SB 2229: AN ACT to amend Tennessee Code Annotated, Title 12, Chapter 4, Part 4, relative to the prevailing wage rate. (failed) - 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 2221: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 15, relative to ambulances. (signed) ## Sources - [HA0936 (Substitute) (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0936.pdf) - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0904.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/SB2414.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/SB2414.pdf) - [SA0777 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0777.pdf) ## Related - [SB 2419: AN ACT to amend Tennessee Code Annotated, Title 68, relative to fireworks.](https://policyrisk.com/state-bill/TN-SB2419-2025-2026) - [SB 2410: AN ACT to amend Tennessee Code Annotated, Title 7, Chapter 53; Title 13; Title…](https://policyrisk.com/state-bill/TN-SB2410-2025-2026) - [SB 2295: AN ACT to amend Tennessee Code Annotated, Title 57 and Title 67, relative to pr…](https://policyrisk.com/state-bill/TN-SB2295-2025-2026) - [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 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 2221: AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 15, relativ…](https://policyrisk.com/state-bill/TN-SB2221-2025-2026) - [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-SB2414-2025-2026 (as of 2026-11-01).