Tennessee 114th General Assembly Status: Enacted 7 R cosponsors

HB 2278 — AN ACT to amend Tennessee Code Annotated, Title 9; Title 49; Title 53; Title 55 and Title 68, relative to public health.

Last action — Comp. became Pub. Ch. 904

  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 02, 2026. 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.

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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 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 10 sponsors

    1 primary, 9 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (7 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 addresses the expiration of public health certificates and pricing restrictions.

The bill ensures that any public advantage certificates expiring on June 30, 2028, cease to exist, while related pricing restrictions last until a new hospital opens or five years pass. The attorney general supervises these pricing restrictions and can only modify them through written agreement.

Summary

Public Health - As enacted, provides that any certificate of public advantage in effect on June 30, 2028, automatically expires but any pricing restrictions in a certificate of advantage remain in effect until the fifth anniversary of the expiration date or the date that a new inpatient acute care hospital opens in the geographic service area, whichever is earlier; requires the attorney general to supervise any pricing restrictions still in effect, and the pricing restrictions may only be modified by the mutual written agreement of the attorney general and the entity subject to the restrictions; makes related changes. - Amends TCA Title 9; Title 49; Title 53; Title 55 and Title 68.

Bill Text

Action History

  1. Filed for introduction

  2. Introduced, Passed on First Consideration

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

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

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

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

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

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

  9. Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0

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

  11. Senate adopted Amendment (Amendment 1 - SA0777)

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

  13. Sponsor(s) Added.

  14. Engrossed; ready for transmission to House

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

  16. Subst. for comp. HB.

  17. H. adopted am. (Amendment 1 - HA0936)

  18. Passed H., as am., Ayes 79, Nays 14, PNV 0

  19. Placed on Senate Message Calendar for 4/9/2026

  20. Senate Reset on calendar for 4/13/2026

  21. Placed on Senate Message Calendar for 4/13/2026

  22. Senate Reset on calendar for 4/15/2026

  23. Placed on Senate Message Calendar for 4/15/2026

  24. Senate Reset on calendar for 4/16/2026

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

  26. Sponsor(s) Added.

  27. Concurred, Ayes 29, Nays 1 (Amendment 1 - HA0936)

  28. Sponsor(s) Added.

  29. Enrolled and ready for signatures

  30. Signed by Senate Speaker

  31. Signed by H. Speaker

  32. Transmitted to Governor for action.

  33. Signed by Governor.

  34. Pub. Ch. 904

  35. Effective date(s) 05/05/2026

  36. Filed for introduction

  37. Intro., P1C.

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

  39. Sponsor(s) Added.

  40. Ref. to Health Committee

  41. Assigned to s/c Health Subcommittee

  42. Placed on s/c cal Health Subcommittee for 3/11/2026

  43. Action Def. in s/c Health Subcommittee to 3/18/2026

  44. Placed on s/c cal Health Subcommittee for 3/18/2026

  45. Sponsor(s) Added.

  46. Sponsor change.

  47. Sponsor(s) Added.

  48. Action Def. in s/c Health Subcommittee to 3/25/2026

  49. Placed on s/c cal Health Subcommittee for 3/25/2026

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

  51. Placed on cal. Health Committee for 3/31/2026

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

  53. Placed on cal. Calendar & Rules Committee for 4/2/2026

  54. Sponsor(s) Added.

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

  56. Comp. SB subst.

  57. Comp. became Pub. Ch. 904

Sponsors

Sponsorship breakdown

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1 sponsors · 9 co-sponsors · 123 not signed on

Sponsors (1)

Co-sponsors (9)

Not signed on (123)

123 members have not signed on to this bill.

Show all 123 →

"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 2278 do?
Public Health - As enacted, provides that any certificate of public advantage in effect on June 30, 2028, automatically expires but any pricing restrictions in a certificate of advantage remain in effect until the fifth anniversary of the expiration date or the date that a new inpatient acute care hospital opens in the geographic service area, whichever is earlier; requires the attorney general to supervise any pricing restrictions still in effect, and the pricing restrictions may only be modified by the mutual written agreement of the attorney general and the entity subject to the restrictions; makes related changes. - Amends TCA Title 9; Title 49; Title 53; Title 55 and Title 68.
Who sponsors HB 2278?
HB 2278 is sponsored by Hicks T, Jones R, Hicks G, Faison, Jeremy (Republican), Cochran, Mark (Republican), Lamberth, William (Republican), Crawford, John (Republican), Hill, Timothy (Republican), Alexander, Rebecca K. (Republican), and Hawk, David B. (Republican).
What is the current status of HB 2278?
This bill has been enacted into law. Introduced February 02, 2026. Enacted.
Where can I track HB 2278?
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