# Tennessee SB 2431: AN ACT to amend Tennessee Code Annotated, Title 33; Title 63 and Title 68, relative to health facility regulation. Tennessee SB 2431, AN ACT to amend Tennessee Code Annotated, Title 33; Title 63 and Title 68, relative to health facility regulation., is a 114th General Assembly (2025-2026) Senate bill sponsored by no sponsor on record; status signed, last action 2026-05-27 (Effective date(s) 05/22/2026, 07/01/2026) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/TN-SB2431-2025-2026 - 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 2431 - State: Tennessee - Session: 114th General Assembly (2025-2026) - Title: AN ACT to amend Tennessee Code Annotated, Title 33; Title 63 and Title 68, relative to health facility regulation. - Status: signed - Chamber: Senate - Introduced: 2026-02-02 - Last action: 2026-05-27, Effective date(s) 05/22/2026, 07/01/2026 - Sponsors: no sponsor on record - Cosponsors: 0 - Subjects: Health Care - Touches household money: no - Roll calls: 4 (132 yes, 4 no in all) - Economic provisions PRIA read: 9 ## Summary No summary available. ## Bill overview: provisions PRIA read - Health project applicants get faster data: benefit, low. Beginning July 1, 2026, the health commissioner must set conditions for public access to processed and verified health data. The commissioner must also create policies for limited-use data sets that follow federal health privacy rules. Those policies must provide requested data to the commission fo… - Nursing homes face an inspection deadline: benefit, low. The Tennessee Health Facilities Commission must ensure every covered nursing home has a recent inspection by December 31, 2028. The most recent inspection must be dated no more than 15 months before December 30, 2028. This requirement does not set an ongoing inspection schedule. - Health facilities can face new charges: cost, low. Beginning July 1, 2026, the commission can charge applicants or licensees actual, reasonable costs of required initial-license or renewal visits. Charges can cover reviewer time, travel, lodging, and facility and personnel costs. It must send the final assessment by certified and regular mail withi… - Health facility moves face access safeguards: mixed, low. Beginning July 1, 2026, the executive director can exempt existing facilities or approved services from certificate-of-need review when they relocate. At least 95% of expected patients must live in the existing patient population’s ZIP codes, with no increased commercial-insurance share. Moves requ… - Health regulators face conflict disclosure rules: mixed, low. Beginning July 1, 2026, commission members and employees with a direct interest generally must immediately report it and step aside. They cannot deliberate, recommend, testify, or vote on that matter. Exceptions allow participation after public acknowledgment for specified employment ties or owners… - More health services face licensing oversight: mixed, low. Beginning July 1, 2026, the commission can license and regulate burn units, newborn intensive care units, and MRI and PET services. Covered newborn intensive care units are at institutions licensed as Level II, III, or IV. MRI and PET services used for non-diagnostic purposes do not need a license… - Provider discipline gains private review options: mixed, low. The commission and covered health boards lacking this power can use screening panels and administer oaths in disciplinary reviews. Parties can decline participation or an offer without penalty; panel, mediation, and arbitration sessions remain confidential. Panel documents stay outside public-recor… - Rural hospitals get designation review rules: mixed, low. Beginning July 1, 2026, the commission can determine critical access hospital eligibility as permitted by Medicare’s Rural Hospital Flexibility Program. Proposals require published notice at least twice within 15 days in the proposed hospital’s county and neighboring counties. Licensed hospitals in… - Scan providers face deadlines, gain accreditor options: mixed, low. Beginning July 1, 2026, outpatient diagnostic centers must get accreditation within two years after receiving a certificate of need. Accreditation must cover every machine and diagnostic type offered. PET providers established without a certificate of need must submit proof covering their scan type… ## Sponsors and cosponsors - (none) ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-21 | Senate | FLOOR VOTE: as Amended Third Consideration 4/21/2026 | pass | 32 | 0 | | | 2026-04-21 | House | FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/21/2026 | pass | 80 | 4 | | | 2026-04-15 | Senate | SENATE FINANCE, WAYS AND MEANS COMMITTEE | pass | 11 | 0 | | | 2026-04-01 | Senate | SENATE HEALTH AND WELFARE COMMITTEE | pass | 9 | 0 | | ## Actions (31) - 2026-05-27: Effective date(s) 05/22/2026, 07/01/2026 - 2026-05-27: Pub. Ch. 1136 - 2026-05-22: Signed by Governor. (Senate) - 2026-05-11: Transmitted to Governor for action. (Senate) - 2026-05-07: Signed by H. Speaker (House) - 2026-04-30: Signed by Senate Speaker (Senate) - 2026-04-29: Enrolled and ready for signatures (Senate) - 2026-04-21: Passed H., Ayes 80, Nays 4, PNV 2 (House) - 2026-04-21: Am. withdrawn. (Amendment 1 - HA0945) (House) - 2026-04-21: Subst. for comp. HB. (House) - 2026-04-21: Engrossed; ready for transmission to House (Senate) - 2026-04-21: Passed Senate as amended, Ayes 32, Nays 0 (Senate) - 2026-04-21: Senate adopted Amendment (Amendment 1 - SA0978) (Senate) - 2026-04-17: Placed on Senate Regular Calendar for 4/21/2026 (Senate) - 2026-04-17: Placed on Senate Regular Calendar for 4/21/2026 (Senate) - 2026-04-15: Recommended for passage, refer to Senate Calendar Committee (Senate) - 2026-04-14: Placed on Senate Finance, Ways, and Means Committee calendar for 4/15/2026 (Senate) - 2026-04-14: Action deferred in Senate Finance, Ways, and Means Committee to 4/15/2026 (Senate) - 2026-04-08: Placed on Senate Finance, Ways, and Means Committee calendar for 4/14/2026 (Senate) - 2026-04-08: Action deferred in Senate Finance, Ways, and Means Committee to 4/14/2026 (Senate) - 2026-04-01: Placed on Senate Finance, Ways, and Means Committee calendar for 4/8/2026 (Senate) - 2026-04-01: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 (Senate) - 2026-03-25: Placed on Senate Health and Welfare Committee calendar for 4/1/2026 (Senate) - 2026-03-18: Reset on Final calendar of Senate Health and Welfare Committee (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) - 2026-03-17: Sponsor change. (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/pc1136.pdf) - Fiscal Note: [PDF](https://capitol.tn.gov/Bills/114/Fiscal/HB2110.pdf) - HA0945: [PDF](https://capitol.tn.gov/Bills/114/Amend/HA0945.pdf) - Introduced: [PDF](https://capitol.tn.gov/Bills/114/Bill/SB2431.pdf) - SA0978: [PDF](https://capitol.tn.gov/Bills/114/Amend/SA0978.pdf) ## Related bills - SB 2468: AN ACT to amend Tennessee Code Annotated, Title 29 and Title 39, relative to criminal conduct. (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 2419: AN ACT to amend Tennessee Code Annotated, Title 68, relative to fireworks. (signed) - 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 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 2229: AN ACT to amend Tennessee Code Annotated, Title 12, Chapter 4, Part 4, relative to the prevailing wage rate. (failed) ## Sources - [Enrolled / Public Chapter (PDF)](https://publications.tnsosfiles.com/acts/114/pub/pc1136.pdf) - [Fiscal Note (PDF)](https://capitol.tn.gov/Bills/114/Fiscal/HB2110.pdf) - [HA0945 (PDF)](https://capitol.tn.gov/Bills/114/Amend/HA0945.pdf) - [Introduced (PDF)](https://capitol.tn.gov/Bills/114/Bill/SB2431.pdf) - [SA0978 (PDF)](https://capitol.tn.gov/Bills/114/Amend/SA0978.pdf) ## Related - [SB 2468: AN ACT to amend Tennessee Code Annotated, Title 29 and Title 39, relative to cr…](https://policyrisk.com/state-bill/TN-SB2468-2025-2026) - [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 2419: AN ACT to amend Tennessee Code Annotated, Title 68, relative to fireworks.](https://policyrisk.com/state-bill/TN-SB2419-2025-2026) - [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 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 2229: AN ACT to amend Tennessee Code Annotated, Title 12, Chapter 4, Part 4, relative…](https://policyrisk.com/state-bill/TN-SB2229-2025-2026) - [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-SB2431-2025-2026 (as of 2026-11-01).