TennesseeSB 2461114th General Assembly (2025-2026)Senate

AN ACT to amend Tennessee Code Annotated, Title 4; Title 29; Title 36; Title 63 and Title 68, relative to assisted reproductive technology.

Sponsored By: Sponsor information unavailable

Signed by Governor

Hospitals and Health Care Facilities

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Bill Overview

Analyzed Economic Effects

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

New certification and director rules for fertility clinics

Beginning January 1, 2027, every fertility clinic must have a Tennessee Department of Health certificate to offer assisted reproductive technology. To renew every two years, clinics show membership in the Society for Assisted Reproductive Technology or a department-approved equivalent, file an emergency plan to transfer embryos if the clinic closes, and show a recent lab pass from the College of American Pathologists or the Joint Commission. The clinical director must be a Tennessee-licensed physician, board certified in obstetrics and gynecology, with an accredited fellowship in reproductive endocrinology and infertility or equal training, substantial ART experience, and ongoing continuing education. These rules add oversight and help protect patients and stored embryos.

State definitions and health department rules for fertility care

The Tennessee Department of Health can write rules to carry out this law now. Official definitions take effect January 1, 2027. The law defines assisted reproductive technology using federal law, and explains what counts as a fertility clinic, including embryo labs and storage sites.

Genetic testing rules without new lawsuits

Beginning January 1, 2027, fertility clinics must follow current genetic testing guidelines from national reproductive medicine or obstetrics groups. The law does not force one specific guideline. It does not create a private right to sue or set a new legal standard of care.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Janice Bowling

    Republican • Senate

  • Becky D. Massey

    Republican • Senate

  • Mark Pody

    Republican • Senate

  • Jessie Seal

    Republican • Senate

  • White

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 293 • No: 14

Senate vote • 4/23/2026

FLOOR VOTE: Motion to Concur House Amendment # 1 4/23/2026

Yes: 28 • No: 0

Senate vote • 4/23/2026

FLOOR VOTE: Motion to Concur House Amendment # 2 4/23/2026

Yes: 28 • No: 0

House vote • 4/16/2026

FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 2 BY CLEMMONS PASSAGE ON THIRD CONSIDERATION 4/16/2026

Yes: 82 • No: 7

House vote • 4/16/2026

FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2026

Yes: 75 • No: 5

Senate vote • 4/6/2026

FLOOR VOTE: as Amended Third Consideration 4/6/2026

Yes: 32 • No: 0

Senate vote • 4/6/2026

FLOOR VOTE: as Amended Third Consideration 4/6/2026

Yes: 32 • No: 0

Senate vote • 3/18/2026

SENATE HEALTH AND WELFARE COMMITTEE

Yes: 8 • No: 1

Senate vote • 3/18/2026

SENATE HEALTH AND WELFARE COMMITTEE

Yes: 8 • No: 1

Actions Timeline

  1. Effective date(s) 05/22/2026, 01/01/2027

    5/27/2026
  2. Pub. Ch. 1139

    5/27/2026
  3. Signed by Governor.

    5/22/2026Senate
  4. Transmitted to Governor for action.

    5/11/2026Senate
  5. Signed by H. Speaker

    5/7/2026House
  6. Signed by Senate Speaker

    5/6/2026Senate
  7. Enrolled and ready for signatures

    5/5/2026Senate
  8. Concurred, Ayes 28, Nays 0 (Amendment 2 - HA1110)

    4/23/2026Senate
  9. Concurred, Ayes 28, Nays 0 (Amendment 1 - HA0802)

    4/23/2026Senate
  10. Placed on Senate Message Calendar 2 for 4/23/2026

    4/23/2026Senate
  11. Senate Reset on Final Message Calendar

    4/20/2026Senate
  12. Placed on Senate Message Calendar for 4/20/2026

    4/17/2026Senate
  13. Passed H., as am., Ayes 75, Nays 5, PNV 15

    4/16/2026House
  14. H. adopted am. (Amendment 2 - HA1110)

    4/16/2026House
  15. H. adopted am. (Amendment 1 - HA0802)

    4/16/2026House
  16. Subst. for comp. HB.

    4/16/2026House
  17. Rcvd. from S., held on H. desk.

    4/8/2026House
  18. Engrossed; ready for transmission to House

    4/6/2026Senate
  19. Sponsor(s) Added.

    4/6/2026Senate
  20. Passed Senate as amended, Ayes 32, Nays 0

    4/6/2026Senate
  21. Amendment withdrawn. (Amendment 1 - SA0784)

    4/6/2026Senate
  22. Senate adopted Amendment (Amendment 2 - SA0785)

    4/6/2026Senate
  23. Placed on Senate Regular Calendar for 4/6/2026

    4/2/2026Senate
  24. Senate Reset on calendar for 4/6/2026

    4/2/2026Senate
  25. Placed on Senate Regular Calendar for 4/2/2026

    3/31/2026Senate

Bill Text

  • HA0802

    4/16/2026

  • HA1110

    4/16/2026

  • Enrolled / Public Chapter

  • Fiscal Note

  • Introduced

  • SA0784

  • SA0785

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