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SB 2345 creates a rebuttable presumption that the Tennessee Board of Nursing must deny a nursing license application or refuse to renew a license for applicants or licensees convicted within the last five years of specific alcohol-related offenses causing injury to others. These offenses include DUI (with blood alcohol at least twice the legal limit), vehicular assault, or similar crimes where injury occurred. The board may override this presumption only by providing written justification for approval or renewal. This bill directly affects nursing professionals seeking initial licensure or renewal who have recent convictions meeting these criteria. The law applies specifically to nursing licensure under Title 63 of Tennessee law.