Tennessee 114th General Assembly Status: Enacted 3 R cosponsors

SB 0343 — 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 — Effective date(s) 05/13/2026, 01/01/2027

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  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 76% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 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 legislation amends various titles of the Tennessee Code to let licensed paramedics make death determinations effective January 1, 2027. The specific changes and additional details are not provided due to the unavailability of the bill text.

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. Intro., P1C.

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

  4. Sponsor(s) Added.

  5. Sponsor(s) withdrawn.

  6. Sponsor change.

  7. Ref. to Health Committee

  8. Assigned to s/c Health Subcommittee

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

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

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

  12. Sponsor(s) Added.

  13. No Action Taken

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

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

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

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

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

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

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

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

  22. Comp. SB subst.

  23. Comp. became Pub. Ch. 965

  24. Filed for introduction

  25. Introduced, Passed on First Consideration

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

  27. Sponsor change.

  28. Recalled from Senate Commerce & Labor Committee

  29. Refer to Senate Health & Welfare Committee

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

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

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

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

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

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

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

  37. Senate adopted Amendment (Amendment 1 - SA0783)

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

  39. Sponsor(s) Added.

  40. Engrossed; ready for transmission to House

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

  42. Subst. for comp. HB.

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

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

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

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

  47. Signed by Senate Speaker

  48. Enrolled and ready for signatures

  49. Signed by H. Speaker

  50. Transmitted to Governor for action.

  51. Signed by Governor.

  52. Pub. Ch. 965

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

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 130 not signed on

Sponsors (1)

Co-sponsors (2)

Not signed on (130)

130 members have not signed on to this bill.

Show all 130 →

"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 SB 0343 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 SB 0343?
SB 0343 is sponsored by Bailey, Paul (Republican), Bowling, Janice (Republican), and Seal, Jessie (Republican).
What is the current status of SB 0343?
This bill has been enacted into law. Introduced January 28, 2025. Enacted.
Where can I track SB 0343?
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