Hospitals and Health Care Facilities - As introduced, enacts the "Tennessee Healthcare Quality and Access Act of 2025." - Amends TCA Title 4; Title 34; Title 42; Title 56; Title 63; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024.

SB 853 proposes to replace Tennessee's current certificate of need (CON) system with the "Tennessee Healthcare Quality and Access Act of 2025." It requires state approval (a certificate of need) before healthcare facilities can build new structures, increase bed counts (especially in nursing homes), or relocate, aiming to regulate facility expansion. The bill includes exemptions for relocations if at least 95% of current patients remain in the same zip codes, access for underserved communities isn't reduced, and commercial insurance doesn't increase disproportionately. This directly affects hospitals, nursing homes, and healthcare providers seeking major facility changes, with the Health Facilities Commission overseeing applications and enforcement.