HB 1943 requires Tennessee hospital emergency departments to provide a medical screening exam to pregnant women reporting active labor or an emergency medical condition, without denial or delay. It prohibits transferring a pregnant woman to another facility unless her condition is stabilized (per federal EMTALA standards) and mandates that transfers only occur with a physician's written certification of medical necessity and the patient's informed consent. The bill directly affects pregnant women seeking emergency care and hospitals operating emergency departments, imposing penalties for violations like denying screenings or transferring without proper authorization. Key provisions include requiring hospitals to offer stabilization treatment or a safe transfer option, documenting patient consent for refusals, and ensuring transfers meet federal guidelines for specialized care. This legislation aligns Tennessee's emergency care protocols for pregnant patients with existing federal emergency medical treatment laws.
SB 1681 requires Tennessee hospital emergency departments to provide an immediate medical screening examination to any pregnant woman presenting with active labor or an emergency medical condition. It prohibits transfers before stabilization (as defined by federal EMTALA standards) unless the woman or her authorized representative provides written consent after being informed of risks and benefits. The bill applies directly to hospitals and pregnant women seeking emergency care, mandating that facilities offer appropriate treatment or transfer under specific conditions. Violations may result in penalties and licensing sanctions, as the law amends Tennessee Codes Title 63 and Title 68.
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.
HB 754 requires gender clinics receiving state funding and insurance providers covering gender transition procedures to also offer and cover detransition services (medical or mental health care to reverse or manage effects of transition). It applies specifically to state-funded clinics and insurers, mandating they report detailed statistics on gender transition procedures to the Tennessee Department of Health. The reporting includes patient demographics, procedure types, medications, and diagnoses - while excluding personally identifiable health information. Data must be submitted monthly and compiled into an annual public report starting in 2025. The bill does not restrict access to gender transition care but adds transparency and service parity requirements.
SB 2153 would authorize Tennessee’s Department of Health to create a voluntary home visiting program for children aged birth to five and their families. The program provides evidence-based, home-based support through licensed clinicians to improve child mental health, reduce abuse/neglect risks, and strengthen family stability for families facing stressors like poverty or trauma. It requires care coordination to connect families with medical, housing, and social services, and mandates contracting with qualified nonprofit providers trained in trauma-informed practices. The bill also requires annual reports to the legislature tracking families served, outcomes, and funding sources, with implementation pending committee action.
SB 1389 prohibits healthcare providers participating in Tennessee's TennCare or CoverKids programs from refusing to treat patients solely because they decline vaccines or immunizations. It requires the state to stop reimbursing providers who violate this rule and mandates the TennCare director to create implementing regulations. The law excludes oncology and organ transplant specialists from the prohibition. The bill takes effect July 1, 2025, with rules to be established under state administrative procedures.
This resolution proposes a constitutional amendment to Tennessee's Constitution, granting individuals the right to refuse any medical treatment - including procedures, medications, vaccinations, or other interventions - without being forced to undergo it, even during a state emergency. It would directly affect all Tennesseans by establishing a new constitutional right to medical autonomy. The amendment requires the Tennessee General Assembly to create laws implementing this right, though it does not specify how such laws would operate.
HB 372, the "Tennessee Medicaid Modernization and Access Act of 2025," aligns TennCare’s reimbursement rates for key healthcare services - obstetrics/gynecology, primary care, outpatient mental health, and substance use disorder treatment - with either the Medicare fee schedule or average commercial rates in Tennessee, whichever is higher. This change directly affects healthcare providers who serve Medicaid patients and Medicaid beneficiaries, particularly in rural and underserved areas, by ensuring providers receive fairer compensation. The bill requires annual reviews to update rates based on Medicare or commercial benchmarks and mandates new annual reports on fiscal impacts and access improvements. It does not automatically appropriate funds but requires future budget allocations to cover implementation costs.
HB 867 creates a pilot program for pregnant TennCare recipients with hypertension or diabetes, using remote patient monitoring to improve maternal health outcomes. The program requires technology vendors to provide devices that track blood pressure, glucose, and other health data, deliver devices directly to participants, and train them on use - ensuring functionality without broadband access. A nursing team and healthcare provider must monitor data, provide health coaching, and establish emergency protocols. The pilot aims to serve at least 300 participants across selected counties and must launch within 180 days of vendor contracts. The bill is currently pending review by the Finance, Ways, and Means Committee.
HB 179 modifies Tennessee's criminal abortion law by adding exceptions that exempt certain abortions from criminal prosecution. It specifies that performing an abortion is not a crime if it is necessary to protect the pregnant person's physical or mental health, or if the pregnancy resulted from rape or incest (as defined in Tennessee law). The bill amends Title 39, Chapter 15 of Tennessee Code, reclassifying such abortions as non-criminal under these specific circumstances. This change takes effect July 1, 2025, directly affecting licensed physicians performing abortions and pregnant individuals in these defined situations.
