HB 819 Tennessee House · 114th Regular Session (2025-2026)

Health Care - As enacted, revises law relative to the operation of acute care hospitals. - Amends TCA Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024.

HB 819 removes a regulatory requirement for acute care hospitals in Tennessee. It exempts these hospitals - defined as facilities treating patients with an average stay of 25 days or less - from needing state approval (a "certificate of need") to open or operate new facilities or expand services. The exemption takes effect on July 1, 2028, and applies to all acute care hospitals under Tennessee law. This change directly affects hospital operators by reducing one layer of state oversight for their facility planning.
Bill status died 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 5, 2025 Last action May 18, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
45
Key actions
14
Committee
18
Mar 25, 2026
Lower · Passed
Placed on cal. Calendar & Rules Committee for 3/26/2026
lower
Mar 24, 2026
Lower · Passed
Rec. for pass. if am., ref. to Calendar & Rules Committee
lower
Mar 18, 2026
Committee
Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee
lower
Mar 18, 2026
Lower · Passed
Placed on cal. Finance, Ways, and Means Committee for 3/24/2026
lower
Mar 11, 2026
Lower · Passed
Action Def. in s/c Finance, Ways, and Means Subcommittee to 3/18/2026
lower
Mar 11, 2026
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/18/2026
lower
Mar 4, 2026
Committee
Assigned to s/c Finance, Ways, and Means Subcommittee
lower
Mar 4, 2026
Lower · Passed
Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/11/2026
lower
Mar 3, 2026
Lower · Passed
Rec. for pass. if am., ref. to Finance, Ways, and Means Committee
lower
Feb 25, 2026
Lower · Passed
Placed on cal. Health Committee for 3/3/2026
lower
Apr 1, 2025
Lower · Passed
Taken off notice for cal. in Health Committee
lower
Mar 26, 2025
Lower · Passed
Rec. for pass by s/c ref. to Health Committee
lower
Mar 26, 2025
Lower · Passed
Placed on cal. Health Committee for 4/1/2025
lower
Mar 19, 2025
Lower · Passed
Action Def. in s/c Health Subcommittee to 3/26/2025
lower
Mar 19, 2025
Lower · Passed
Placed on s/c cal Health Subcommittee for 3/26/2025
lower
Mar 12, 2025
Lower · Passed
Placed on s/c cal Health Subcommittee for 3/19/2025
lower
Feb 10, 2025
Committee
Assigned to s/c Health Subcommittee
lower
Feb 6, 2025
Committee
P2C, ref. to Health Committee
lower
Feb 5, 2025
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Johnny Garrett
Johnny Garrett
RRepublican
TN
45