Tennessee 114th General Assembly Status: Enacted 28 R cosponsors

HB 0819 — AN ACT to amend Tennessee Code Annotated, Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024, relative to certificates of need.

Last action — Comp. became Pub. Ch. 887

  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 February 04, 2025. Enacted.

Signed by Governor Bill Lee (Republican) on April 21, 2026.

Odds of enactment

High chance

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

Upgrade to see the exact probability and what's driving it.

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

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 30 sponsors

    1 primary, 29 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (28 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

This bill revises laws related to the operation of acute care hospitals in Tennessee.

The bill amends existing laws governing acute care hospitals in Tennessee. However, the specific details of the revisions are not available.

Summary

Health Care - As enacted, revises law relative to the operation of acute care hospitals. - Amends TCA Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024.

Bill Text

Action History

  1. Filed for introduction

  2. Introduced, Passed on First Consideration

  3. Sponsor(s) Added.

  4. Passed on Second Consideration, refer to Senate Health and Welfare Committee

  5. Placed on Senate Health and Welfare Committee calendar for 3/26/2025

  6. Assigned to General Subcommittee of Senate Health and Welfare Committee

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

  8. Sponsor(s) Added.

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

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

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

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

  13. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0

  14. Sponsor(s) Added.

  15. Placed on Senate Regular Calendar for 3/26/2026

  16. Sponsor(s) Added.

  17. Senate adopted Amendment (Amendment 1 - SA0774)

  18. Senate adopted Amendment (Amendment 2 - SA0775)

  19. Senate adopted Amendment (Amendment 3 - SA0776)

  20. Passed Senate as amended, Ayes 27, Nays 3, PNV 3

  21. Sponsor(s) Added.

  22. Engrossed; ready for transmission to House

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

  24. Subst. for comp. HB.

  25. Am. withdrawn. (Amendment 1 - HA0594)

  26. Am. withdrawn. (Amendment 2 - HA0801)

  27. Am. withdrawn. (Amendment 5 - HA1050)

  28. H. adopted am. (Amendment 9 - HA1126)

  29. H. adopted am. (Amendment 8 - HA1113)

  30. Am. withdrawn. (Amendment 3 - HA0893)

  31. Am. withdrawn. (Amendment 4 - HA1049)

  32. Am. withdrawn. (Amendment 6 - HA1071)

  33. Am. withdrawn. (Amendment 7 - HA1073)

  34. Passed H., as am., Ayes 84, Nays 11, PNV 1

  35. Placed on Senate Message Calendar for 4/16/2026

  36. Placed on Senate Message Calendar for 4/16/2026

  37. Concurred, Ayes 26, Nays 1 (Amendment 9 - HA1126)

  38. Concurred, Ayes 28, Nays 1 (Amendment 8 - HA1113)

  39. Sponsor(s) Added.

  40. Enrolled and ready for signatures

  41. Signed by Senate Speaker

  42. Signed by H. Speaker

  43. Transmitted to Governor for action.

  44. Signed by Governor.

  45. Pub. Ch. 887

  46. Effective date(s) 07/01/2030, 07/01/2028, 05/05/2026

  47. Filed for introduction

  48. Sponsor(s) Added.

  49. Intro., P1C.

  50. Sponsor(s) withdrawn.

  51. Sponsor(s) Added.

  52. P2C, ref. to Health Committee

  53. Assigned to s/c Health Subcommittee

  54. Sponsor(s) Added.

  55. Sponsor(s) Added.

  56. Sponsor(s) Added.

  57. Sponsor(s) Added.

  58. Sponsor(s) withdrawn.

  59. Sponsor(s) Added.

  60. Sponsor(s) Added.

  61. Placed on s/c cal Health Subcommittee for 3/19/2025

  62. Action Def. in s/c Health Subcommittee to 3/26/2025

  63. Placed on s/c cal Health Subcommittee for 3/26/2025

  64. Rec. for pass by s/c ref. to Health Committee

  65. Sponsor(s) Added.

  66. Placed on cal. Health Committee for 4/1/2025

  67. Taken off notice for cal. in Health Committee

  68. Sponsor(s) Added.

  69. Sponsor(s) Added.

  70. Placed on cal. Health Committee for 3/3/2026

  71. Rec. for pass. if am., ref. to Finance, Ways, and Means Committee

  72. Assigned to s/c Finance, Ways, and Means Subcommittee

  73. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/11/2026

  74. Sponsor(s) Added.

  75. Action Def. in s/c Finance, Ways, and Means Subcommittee to 3/18/2026

  76. Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/18/2026

  77. Rec for pass if am by s/c ref. to Finance, Ways, and Means Committee

  78. Placed on cal. Finance, Ways, and Means Committee for 3/24/2026

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

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

  81. H. Placed on Regular Calendar for 3/30/2026

  82. Sponsor(s) Added.

  83. Reset on cal. for 4/6/2026

  84. H. Placed on Regular Calendar for 4/6/2026

  85. Reset on cal. for 4/8/2026

  86. H. Placed on Regular Calendar for 4/8/2026

  87. Reset on cal. for 4/13/2026

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

  89. Comp. SB subst.

  90. Sponsor(s) Added.

  91. Comp. became Pub. Ch. 887

Sponsors

Sponsorship breakdown

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1 sponsors · 29 co-sponsors · 103 not signed on

Sponsors (1)

Co-sponsors (29)

Not signed on (103)

103 members have not signed on to this bill.

Show all 103 →

"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

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 0819 do?
Health Care - As enacted, revises law relative to the operation of acute care hospitals. - Amends TCA Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024.
Who sponsors HB 0819?
HB 0819 is sponsored by Hicks T, Jones R, Garrett, Johnny (Republican), Russell, Lowell (Republican), Hawk, David B. (Republican), Kumar, Sabi 'Doc' (Republican), Lamberth, William (Republican), Sparks, Mike (Republican), Littleton, Mary (Republican), Faison, Jeremy (Republican), Boyd, Clark (Republican), Helton-Haynes, Esther (Republican), Alexander, Rebecca K. (Republican), Maberry, Aron (Republican), Reedy, Jay D. (Republican), Lafferty, Justin (Republican), Hill, Timothy (Republican), Travis, Ron (Republican), Barrett, Jody (Republican), Hulsey, Bud (Republican), Rudd, Tim (Republican), McCalmon, Jake (Republican), Crawford, John (Republican), Sexton, Cameron (Republican), Eldridge, Rick (Republican), Sherrell, Paul (Republican), Vital, Greg (Republican), Bricken, Rush (Republican), Hale, Michael (Republican), and Cepicky, Scott (Republican).
What is the current status of HB 0819?
This bill has been enacted into law. Introduced February 04, 2025. Enacted.
Where can I track HB 0819?
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