Drugs, Prescription - As enacted, requires a county medical examiner to test for, and obtain certain information concerning, the presence of any drugs in a decedent in certain situations; requires the health science center to conduct certain studies regarding drug interactions and submit quarterly reports to the general assembly. - Amends TCA Title 38; Title 53; Title 63 and Title 68.

SB 1146 requires county medical examiners to test decedents involved in mass shootings (resulting in four or more deaths) for all drugs, including psychotropic medications used for mental health conditions. It mandates anonymized data sharing with the University of Tennessee Health Science Center and the Department of Health, prohibiting disclosure of identifying information. The health science center must study drug interactions and submit quarterly reports to legislative health committees. The law, effective July 1, 2025, applies to medical examiners, health agencies, and the University of Tennessee, while requiring compliance with privacy laws.