Death - As enacted, removes the limitation that a death must have been anticipated for a registered nurse to make the actual determination and pronouncement of death if a deceased was a patient or resident at a nursing home, hospital, or assisted-care living facility. - Amends TCA Title 68.

SB 668 removes a requirement that a death must have been "anticipated" for a registered nurse to pronounce death in specific settings. The bill directly affects registered nurses working in nursing homes, hospitals, or assisted-care living facilities, allowing them to determine and pronounce death without needing to confirm the death was expected. Key changes include amending Tennessee law to eliminate the "anticipated death" rule and requiring the attending physician's written agreement to be present at the death location. This updates the process for death certification in healthcare facilities, focusing on practical workflow for medical staff. The bill became effective April 3, 2025, after being signed by the Governor.