Controlled Substances - As introduced, prohibits a healthcare facility from authorizing a licensed healthcare professional from performing a drug or alcohol test or screen on a patient who is pregnant, less than one year postpartum, or a newborn without written and oral consent; allows for a drug or alcohol test or screen to be performed without the consent of the patient in certain listed situations. - Amends TCA Title 33; Title 63 and Title 68.

SB 1039 requires healthcare facilities in Tennessee to obtain clear written and verbal consent before testing pregnant individuals, those under one year postpartum, or newborns for drugs or alcohol. The consent must explain the medical purpose, confidentiality, and potential legal consequences (including possible reporting to child services), while ensuring no coercion. Emergency testing without consent is permitted only if immediate treatment is needed to avoid harm. The bill also prohibits refusing medical care due to a patient's refusal of testing and takes effect July 1, 2025.