HB 819 removes a regulatory requirement for acute care hospitals in Tennessee. It exempts these hospitals - defined as facilities treating patients with an average stay of 25 days or less - from needing state approval (a "certificate of need") to open or operate new facilities or expand services. The exemption takes effect on July 1, 2028, and applies to all acute care hospitals under Tennessee law. This change directly affects hospital operators by reducing one layer of state oversight for their facility planning.
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 387 prohibits Tennessee healthcare providers from asking patients about firearm ammunition or accessory ownership, possession, or access. It also bans denying treatment or discriminating against patients based on firearm ownership, and requires written notice if an inquiry occurs. Violations result in disciplinary action by the provider’s licensing board and a $1,000 fine per violation. The law applies to most healthcare providers (excluding psychiatrists/psychologists) and takes effect July 1, 2025. It directly affects patient-provider interactions in medical settings across Tennessee.
House Joint Resolution 91 is a symbolic resolution expressing the Tennessee General Assembly's support for the SREB Crisis Recovery Network. It directly supports Tennessee schools, districts, and postsecondary institutions by endorsing a regional network that provides long-term, specialized counseling services after crises like natural disasters, school shootings, or public emergencies. The resolution recognizes that schools often lack sustained mental health resources, especially in rural areas, and highlights the network’s role in deploying trained counselors to aid recovery for students, teachers, and communities over extended periods. This is a non-binding statement of support, not a law imposing new requirements.
This bill would allow certain licensed psychologists in Tennessee to independently prescribe medications for mental health conditions after meeting specific training and certification requirements. It directly affects doctoral-level psychologists who complete a post-doctoral master's program in clinical psychopharmacology, pass a national prescribing exam, and complete a one-year fellowship with 100 patient evaluations under supervision. Key provisions require 450 patient contact hours in training, a master's degree covering neurosciences and pharmacology, and verification by the Tennessee Board of Examiners in Psychology. The board would issue an "advanced certificate to prescribe" for independent authority, expanding psychologists' scope to include prescribing psychotropic medications without physician oversight.
HB 310 creates a legal presumption that post-traumatic stress disorder (PTSD) diagnosed in law enforcement officers or emergency medical responders (like EMTs and paramedics) was incurred while performing job duties, making it automatically eligible for workers' compensation coverage. This applies to those diagnosed after responding to specific incidents, shifting the burden to employers to prove otherwise. The bill amends Tennessee workers' compensation laws (TCA Title 7, Chapter 51 and Title 50, Chapter 6) to explicitly include these professions under the presumption, removing prior exclusions of "firefighter" language. It directly affects first responders who develop PTSD in the line of duty, streamlining their access to benefits starting July 1, 2025.
HB 782 creates a new pilot PACE (Programs of All-Inclusive Care for Elderly) program in one Tennessee grand division without an existing PACE program as of 2024, while allowing current PACE providers in counties with a 2020 census population of 366,200-366,300 to expand into contiguous counties meeting specific population thresholds (12,700-12,800, 32,800-32,875, or 108,600-108,700). It requires applicants to submit service area maps, market analyses proving unmet need, and CMS compliance certifications, and mandates annual reports to legislative leaders. The bill directly affects elderly Tennesseans eligible for PACE care (meeting federal CMS criteria) and PACE providers seeking to expand services. It became effective May 21, 2025, after Governor approval.
HB 717 creates the "Caring for Caregivers Act," establishing a pilot program that provides financial grants to family caregivers of individuals with Alzheimer's disease or related dementia. It directly affects caregivers who provide unpaid care to eligible family members living in private homes (not facilities) and incur eligible expenses like home modifications, medical equipment, or respite care. The program offers up to $6,000 annually per caregiver, with eligibility based on household income not exceeding $37,000 (adjusted annually for inflation) and requiring the care recipient to need assistance with at least two activities of daily living. The pilot runs from July 2025 through December 2028, funded through initial appropriations and dedicated state funds.
HB 783 authorizes Tennessee local governments (counties, cities, or metropolitan areas) to regulate sober living homes - residences for adults recovering from substance abuse without formal treatment - to ensure they comply with federal fair housing and disability laws. Key provisions include requiring these homes to be at least 1,000 feet from schools/daycares, allowing local zoning rules, and mandating clinical referrals from licensed healthcare providers before residency. The law directly affects sober living home operators, residents, and local governments implementing these rules. It becomes effective immediately upon the governor’s signature (May 21, 2025), updating Tennessee housing codes to balance local oversight with federal civil rights protections.
