# Tennessee SB 2427: AN ACT to amend Tennessee Code Annotated, Title 63, Chapter 7, relative to medication aides. Tennessee SB 2427, AN ACT to amend Tennessee Code Annotated, Title 63, Chapter 7, relative to medication aides., is a 114th General Assembly (2025-2026) Senate bill sponsored by no sponsor on record; status signed, last action 2026-04-29 (Effective date(s) 04/23/2026, 07/01/2026) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-SB2427-2025-2026 - 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 2427 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 63, Chapter 7, relative to medication aides. - Status: signed - Chamber: Senate - Introduced: 2026-02-02 - Last action: 2026-04-29, Effective date(s) 04/23/2026, 07/01/2026 - Sponsors: no sponsor on record - Cosponsors: 0 - Subjects: Nurses, Nursing - Touches household money: no - Roll calls: 3 (135 yes, 0 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Nursing students gain medication aide pathway: benefit, medium. Beginning July 1, 2026, nursing students have a separate coursework-based path to a medication aide certificate. Students must be enrolled and in good standing at a board-approved nursing school. They must earn sufficient passing grades in courses covering basic nursing fundamentals and foundations… - Requirements for Tennessee medication aide applicants: cost, medium. Beginning July 1, 2026, applicants using the standard medication aide pathway must be at least 18. They need a high school diploma, its equivalent, or a state-approved high school equivalency credential. They must finish board-approved training and pass the knowledge and skills exam within two atte… - Out-of-state aides gain pathway with possible fees: mixed, medium. Beginning July 1, 2026, the Tennessee Board of Nursing may certify medication aides credentialed in another state. Applicants must be certified, licensed, or registered and in good standing as medication aides or under an equivalent title. The other state's requirements must be at least as strict a… - Medication aide classes face new standards: mixed, low. Beginning July 1, 2026, approved medication aide classes must finish between 14 and 90 days after their start date. When evaluating a program's overall exam pass rate, the Board must count students who pass within two attempts. Passing on the second attempt counts the same as passing on the first. ## Sponsors and cosponsors - (none) ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-08 | House | FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/8/2026 | pass | 95 | 0 | | | 2026-04-02 | Senate | FLOOR VOTE: as Amended Third Consideration 4/2/2026 | pass | 31 | 0 | | | 2026-03-17 | Senate | SENATE HEALTH AND WELFARE COMMITTEE | pass | 9 | 0 | | ## Actions (24) - 2026-04-29: Effective date(s) 04/23/2026, 07/01/2026 - 2026-04-29: Pub. Ch. 813 - 2026-04-23: Signed by Governor. (Senate) - 2026-04-15: Transmitted to Governor for action. (Senate) - 2026-04-14: Signed by H. Speaker (House) - 2026-04-09: Signed by Senate Speaker (Senate) - 2026-04-08: Enrolled and ready for signatures (Senate) - 2026-04-08: Passed H., Ayes 95, Nays 0, PNV 0 (House) - 2026-04-08: Am. withdrawn. (Amendment 1 - HA0748) (House) - 2026-04-08: Subst. for comp. HB. (House) - 2026-04-06: Rcvd. from S., held on H. desk. (House) - 2026-04-02: Engrossed; ready for transmission to House (Senate) - 2026-04-02: Passed Senate as amended, Ayes 31, Nays 0 (Senate) - 2026-04-02: Senate adopted Amendment (Amendment 1 - SA0726) (Senate) - 2026-03-31: Placed on Senate Regular Calendar for 4/2/2026 (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) - 2026-03-11: 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) - 2026-03-04: Action deferred in Senate Health and Welfare Committee to 3/11/2026 (Senate) - 2026-02-25: Placed on Senate Health and Welfare Committee calendar for 3/4/2026 (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/pc0813.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/SB2427.pdf) - HA0748: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0748.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/SB2427.pdf) - SA0726: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0726.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 - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc0813.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/SB2427.pdf) - [HA0748 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0748.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/SB2427.pdf) - [SA0726 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0726.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-SB2427-2025-2026 (as of 2026-11-01).