Tennessee 114th General Assembly Status: Enacted 2 R cosponsors

HB 0398 — AN ACT to amend Tennessee Code Annotated, Title 4; Title 29; Title 33; Title 56; Title 63; Title 68 and Title 71, relative to health.

Last action — Comp. became Pub. Ch. 965

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 28, 2025. Enacted.

Signed by Governor Bill Lee (Republican) on April 23, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 R).

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill allows licensed paramedics to determine and pronounce death starting January 1, 2027.

This bill amends several sections of the Tennessee Code to authorize licensed paramedics to make a determination and pronouncement of death, effective January 1, 2027. The text of the bill is not available for further details.

Summary

Death - As enacted, authorizes, as of January 1, 2027, a licensed paramedic to make an actual determination and pronouncement of death; makes related changes. - Amends TCA Title 4; Title 29; Title 33; Title 56; Title 63; Title 68 and Title 71.

Bill Text

Action History

  1. Filed for introduction

  2. Introduced, Passed on First Consideration

  3. Passed on Second Consideration, refer to Senate Commerce and Labor Committee

  4. Sponsor change.

  5. Recalled from Senate Commerce & Labor Committee

  6. Refer to Senate Health & Welfare Committee

  7. Placed on Senate Health and Welfare Committee calendar for 3/11/2026

  8. Action deferred in Senate Health and Welfare Committee to 3/18/2026

  9. Placed on Senate Health and Welfare Committee calendar for 3/17/2026

  10. Action deferred in Senate Health and Welfare Committee to 3/18/2026

  11. Placed on Senate Health and Welfare Committee calendar for 3/18/2026

  12. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 7, Nays 1 PNV 0

  13. Placed on Senate Regular Calendar for 3/30/2026

  14. Senate adopted Amendment (Amendment 1 - SA0783)

  15. Passed Senate as amended, Ayes 33, Nays 0

  16. Sponsor(s) Added.

  17. Engrossed; ready for transmission to House

  18. Rcvd. from S., held on H. desk.

  19. Subst. for comp. HB.

  20. H. adopted am. (Amendment 1 - HA0803)

  21. Passed H., as am., Ayes 92, Nays 2, PNV 0

  22. Placed on Senate Message Calendar for 4/20/2026

  23. Concurred, Ayes 32, Nays 0 (Amendment 1 - HA0803)

  24. Signed by Senate Speaker

  25. Enrolled and ready for signatures

  26. Signed by H. Speaker

  27. Transmitted to Governor for action.

  28. Signed by Governor.

  29. Pub. Ch. 965

  30. Effective date(s) 05/13/2026, 01/01/2027

  31. Filed for introduction

  32. Intro., P1C.

  33. P2C, caption bill, held on desk - pending amdt.

  34. Sponsor(s) Added.

  35. Sponsor(s) withdrawn.

  36. Sponsor change.

  37. Ref. to Health Committee

  38. Assigned to s/c Health Subcommittee

  39. Placed on s/c cal Health Subcommittee for 3/4/2026

  40. Rec for pass if am by s/c ref. to Health Committee

  41. Placed on cal. Health Committee for 3/10/2026

  42. Sponsor(s) Added.

  43. No Action Taken

  44. Placed on cal. Health Committee for 3/17/2026

  45. Action def. in Health Committee to 3/24/2026

  46. Placed on cal. Health Committee for 3/24/2026

  47. Rec. for pass. if am., ref. to Calendar & Rules Committee

  48. Placed on cal. Calendar & Rules Committee for 3/26/2026

  49. Reset on Final cal. 2 of Calendar & Rules Committee

  50. Placed on cal. Calendar & Rules Committee for 4/9/2026

  51. H. Placed on Regular Calendar for 4/13/2026

  52. Comp. SB subst.

  53. Comp. became Pub. Ch. 965

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 131 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (131)

131 members have not signed on to this bill.

Show all 131 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 0398 do?
Death - As enacted, authorizes, as of January 1, 2027, a licensed paramedic to make an actual determination and pronouncement of death; makes related changes. - Amends TCA Title 4; Title 29; Title 33; Title 56; Title 63; Title 68 and Title 71.
Who sponsors HB 0398?
HB 0398 is sponsored by Williams, Ryan (Republican) and Keisling, Kelly (Republican).
What is the current status of HB 0398?
This bill has been enacted into law. Introduced January 28, 2025. Enacted.
Where can I track HB 0398?
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