HB 959 updates Tennessee's licensure rules for marriage and family therapists. It allows students in accredited programs to use titles like "marital therapy intern" while supervised, and clarifies that associate license holders must use "associate licensed marriage and family therapist" or "AMFT" (not implying full licensure). The bill creates specific pathways for associate licensure, requiring a 9-month exam deadline and supervised practice under approved supervisors, while defining "approved supervisor" to include AAMFT-approved professionals. These changes directly affect therapy students, trainees, and practitioners seeking licensure in Tennessee.
HB 843 declares Perry County Community Hospital in Linden and Decatur County General Hospital in Parsons as "necessary providers" of healthcare services for federal critical access hospital (CAH) designation eligibility under Section 1820 of the Social Security Act. This enables both hospitals to qualify for federal CAH status, which provides crucial financial support and resources to sustain operations in rural areas. The bill directly affects these two specific hospitals, ensuring they can access federal benefits to continue serving vulnerable rural communities in Perry and Decatur counties. It requires the Tennessee Department of Health and Health Facilities Commission to facilitate the federal designation process.
HB 1280 creates a $250 million "medical expense relief fund" within Tennessee's general fund to help the next of kin or estate of a decedent who was enrolled in TennCare at the time of death pay their unpaid medical debt and expenses. The Department of Human Services would administer the fund, setting application procedures, eligibility criteria (considering debt amount and need), and determining whether grants go to next of kin, the estate, or directly to creditors. Funds would be used solely for covering the decedent's medical costs, including unpaid TennCare benefits or premiums. The bill requires DHS to establish reporting mechanisms and submit annual reports to legislative committees, but it does not appropriate funds until the state budget act includes specific funding.
HB 1084 creates a state grant program to reimburse local schools (including public charter and private schools) and medical first responders for purchasing anti-choking devices. The program covers one device per school cafeteria and one device per emergency vehicle used by medical first responders, starting July 1, 2025. It limits total reimbursements to $500,000 and requires annual reports to the legislature detailing applications, awards, and funds used. The program expires on July 1, 2028, and requires separate legislative funding approval to operate.
HB 39, the "Menstrual Hygiene Products Accessibility Act," requires all Tennessee public school districts and charter schools serving senior high schools (grades 9-12) to provide free feminine hygiene products (such as tampons, pads, and menstrual cups) in all women's/girls' bathrooms, locker rooms, and with school nurses. These products must be available at no cost exclusively for student use, and the law takes effect July 1, 2025. The bill amends Tennessee law to mandate this access, replacing prior language that only authorized (but did not require) such provisions.
HB 693 eliminates a requirement that could force insured patients to pay administrative fees for pharmacist-provided hormonal contraceptives when their pharmacy benefit already covers the cost. The bill directly affects insured patients using pharmacy benefits for hormonal contraceptives and pharmacists who dispense these medications. Key provisions amend Tennessee law to change language from "shall prohibit" to "must not prohibit" fees, ensuring patients cannot be charged extra for covered contraceptives. This change applies to all pharmacists authorized under Tennessee law who provide hormonal contraceptives to insured patients. The law takes effect July 1, 2025.
SB 1377, the Voluntary Portable Benefit Plan Act, allows businesses to voluntarily contribute to portable benefit plans for independent contractors. These plans, administered by third-party providers chosen by the contractor, cover health, disability, unemployment, life insurance, and retirement benefits. Contributions can be made directly by the business or by withholding a portion of the contractor’s pay, but only with a clear written opt-in agreement and the ability to opt out at any time. The bill amends Tennessee law to ensure these contributions cannot be used to determine a worker’s employment classification as an employee or independent contractor.
HB 62 authorizes Tennessee athletic trainers to use dry needling for preventing, treating, and rehabilitating athletic injuries, directly affecting licensed athletic trainers in the state. The bill requires the Board of Athletic Trainers to establish minimum competency standards that practitioners must demonstrate to safely perform dry needling. It clarifies that this practice does not constitute acupuncture under existing law. The policy change expands athletic trainers' scope of practice with specific safety safeguards, effective March 28, 2025.
SB 569 prevents pharmacies from charging administrative fees for hormonal contraceptives when a patient's insurance covers the cost and includes pharmacy benefits. It directly affects insured patients seeking hormonal contraceptives and pharmacists who previously might have charged such fees. The bill amends Tennessee law to remove language allowing pharmacies to require these fees, ensuring patients covered by insurance do not face additional costs. The law takes effect July 1, 2025, and applies to all pharmacies in Tennessee.
HB 155 amends Tennessee law to allow registered nurses to pronounce death for patients or residents in nursing homes, hospitals, or assisted-care facilities without needing to confirm the death was "anticipated." The bill removes this prior requirement and instead requires the attending physician's written agreement to sign the death certificate, which must be present at the time of death. This change directly affects registered nurses working in healthcare facilities by expanding their authority to formally declare death. The law took effect upon enactment (April 8, 2025), streamlining the death certification process for healthcare providers.
