Hospitals and Health Care Facilities - As enacted, extends by four years to June 30, 2029, the current 125-bed limitation on the number of new nursing home beds for which the health facilities commission may issue a certificate of need per fiscal year. - Amends TCA Section 68-11-1619.

SB 515 extends Tennessee's current limit of 125 new nursing home beds per fiscal year for which the health facilities commission may approve (via certificate of need) until June 30, 2029, instead of expiring in 2025. This directly affects nursing home facilities seeking to expand and the health facilities commission, which reviews and approves new bed applications. The key provision is a simple extension of the existing cap, not a change to the 125-bed limit. The bill became effective March 25, 2025, after being signed by the Governor.