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.
SB 1369 removes the requirement for acute care hospitals in Tennessee to obtain state approval (a "certificate of need") to establish or operate, effective July 1, 2028. It defines "acute care hospital" as one primarily treating patients with an average stay of 25 days or less. This change directly affects new and existing acute care hospitals by eliminating a regulatory hurdle for expansion or operation. The bill amends specific Tennessee Code sections to implement this change, while maintaining certificate of need requirements for other hospital types.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
Mar 2026
Senate Passage
Apr 2026
House Passage
Apr 2026
Signed into Law
May 2026
Introduced Feb 10, 2025
Signed May 5, 2026
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
46
Key actions
19
Committee
9
Amendments
9
May 5, 2026
Signed into law
Signed by Governor.
lower
Apr 21, 2026
Upper · Passed
Signed by Senate Speaker
upper
Apr 21, 2026
Lower · Passed
Signed by H. Speaker
lower
Apr 16, 2026
Upper · Passed
Concurred, Ayes 26, Nays 1 (Amendment 9 - HA1126)
upper
Apr 16, 2026
Upper · Passed
Concurred, Ayes 28, Nays 1 (Amendment 8 - HA1113)
upper
Apr 13, 2026
Amended
Am. withdrawn. (Amendment 1 - HA0594)
lower
Apr 13, 2026
Amended
Am. withdrawn. (Amendment 2 - HA0801)
lower
Apr 13, 2026
Amended
Am. withdrawn. (Amendment 5 - HA1050)
lower
Apr 13, 2026
Lower · Passed
H. adopted am. (Amendment 9 - HA1126)
lower
Apr 13, 2026
Lower · Passed
H. adopted am. (Amendment 8 - HA1113)
lower
Apr 13, 2026
Amended
Am. withdrawn. (Amendment 3 - HA0893)
lower
Apr 13, 2026
Amended
Am. withdrawn. (Amendment 4 - HA1049)
lower
Apr 13, 2026
Amended
Am. withdrawn. (Amendment 6 - HA1071)
lower
Apr 13, 2026
Amended
Am. withdrawn. (Amendment 7 - HA1073)
lower
Apr 13, 2026
Lower · Passed
Passed H., as am., Ayes 84, Nays 11, PNV 1
lower
Mar 26, 2026
Lower · Passed
Senate adopted Amendment (Amendment 1 - SA0774)
lower
Mar 26, 2026
Lower · Passed
Senate adopted Amendment (Amendment 2 - SA0775)
lower
Mar 26, 2026
Lower · Passed
Senate adopted Amendment (Amendment 3 - SA0776)
lower
Mar 26, 2026
Upper · Passed
Passed Senate as amended, Ayes 27, Nays 3, PNV 3
upper
Mar 18, 2026
Upper · Passed
Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0
upper
Mar 17, 2026
Lower · Passed
Action deferred in Senate Health and Welfare Committee to 3/18/2026
lower
Mar 17, 2026
Lower · Passed
Placed on Senate Health and Welfare Committee calendar for 3/18/2026
lower
Mar 11, 2026
Lower · Passed
Action deferred in Senate Health and Welfare Committee to 3/18/2026
lower
Mar 11, 2026
Lower · Passed
Placed on Senate Health and Welfare Committee calendar for 3/17/2026
lower
Mar 4, 2026
Lower · Passed
Placed on Senate Health and Welfare Committee calendar for 3/11/2026
lower
Mar 26, 2025
Committee
Assigned to General Subcommittee of Senate Health and Welfare Committee
lower
Mar 19, 2025
Lower · Passed
Placed on Senate Health and Welfare Committee calendar for 3/26/2025
lower
Feb 12, 2025
Committee
Passed on Second Consideration, refer to Senate Health and Welfare Committee
upper
Feb 10, 2025
Introduced
Introduced, Passed on First Consideration
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Bo Watson
RRepublican
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