Tennessee 114th General Assembly Status: Enacted 2 R cosponsors

SB 2221 — AN ACT to amend Tennessee Code Annotated, Title 71, Chapter 5, Part 15, relative to ambulances.

Last action — Effective date(s) 05/22/2026

  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 February 02, 2026. Enacted.

Signed by Governor Bill Lee (Republican) on April 30, 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 2 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 modifies ambulance service assessments and penalties in Tennessee.

This bill extends the annual assessment for ground ambulance services until June 30, 2027, and alters the penalty for late payments. Instead of a flat daily fee, providers will now incur a penalty of 5 percent of the owed amount each month.

What this means for you
  • Small Business: Ambulance service providers may experience changes in financial penalties related to assessment payments.

Summary

TennCare - As enacted, extends the ground ambulance service annual assessment to June 30, 2027; changes the penalty imposed by the bureau on an ambulance provider for each day an assessment remains unpaid from $50 per calendar day to 5 percent of the principal amount owed per month for each month. - Amends TCA Title 71, Chapter 5, Part 15.

Bill Text

Action History

  1. Filed for introduction

  2. Intro., P1C.

  3. P2C, ref. to Insurance Committee

  4. Assigned to s/c Tenncare Subcommittee

  5. Placed on s/c cal Tenncare Subcommittee for 3/3/2026

  6. Rec. for pass by s/c ref. to Insurance Committee

  7. Sponsor(s) Added.

  8. Placed on cal. Insurance Committee for 3/10/2026

  9. Sponsor(s) Added.

  10. Sponsor(s) Added.

  11. Action def. in Insurance Committee to 3/17/2026

  12. Placed on cal. Insurance Committee for 3/17/2026

  13. Action def. in Insurance Committee to 3/24/2026

  14. Placed on cal. Insurance Committee for 3/24/2026

  15. Rec. for pass; ref to Finance, Ways, and Means Committee

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

  17. Sponsor(s) Added.

  18. Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/1/2026

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

  20. Placed on cal. Finance, Ways, and Means Committee for 4/7/2026

  21. Action def. in Finance, Ways, and Means Committee to 4/14/2026

  22. Placed on cal. Finance, Ways, and Means Committee for 4/14/2026

  23. Rec. for pass; ref to Calendar & Rules Committee

  24. Placed on cal. Calendar & Rules Committee for 4/14/2026

  25. H. Placed on Regular Calendar for 4/16/2026

  26. Sponsor(s) Added.

  27. Comp. SB subst.

  28. Comp. became Pub. Ch. 1123

  29. Filed for introduction

  30. Refer to Senate Delayed Bills Committee

  31. Approved by Delayed Bills Committee

  32. Introduced, Passed on First Consideration

  33. Sponsor(s) Added.

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

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

  36. Recommended for passage, refer to Senate Finance, Ways, and Means Committee

  37. Rule #83(8) Suspended, to be heard in Senate Finance, Ways & Means Committee on 4/1/2026

  38. Placed on Senate Finance, Ways, and Means Committee calendar for 4/1/2026

  39. Placed on Senate Finance, Ways, and Means Committee calendar for 4/1/2026

  40. Recommended for passage, refer to Senate Calendar Committee

  41. Placed on Senate Consent Calendar 2 for 4/6/2026

  42. Passed Senate, Ayes 32, Nays 0

  43. Engrossed; ready for transmission to House

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

  45. Subst. for comp. HB.

  46. Passed H., Ayes 84, Nays 0, PNV 0

  47. Enrolled and ready for signatures

  48. Signed by Senate Speaker

  49. Signed by H. Speaker

  50. Transmitted to Governor for action.

  51. Signed by Governor.

  52. Pub. Ch. 1123

  53. Effective date(s) 05/22/2026

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.

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"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 health-insurance
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Frequently asked questions

What does SB 2221 do?
TennCare - As enacted, extends the ground ambulance service annual assessment to June 30, 2027; changes the penalty imposed by the bureau on an ambulance provider for each day an assessment remains unpaid from $50 per calendar day to 5 percent of the principal amount owed per month for each month. - Amends TCA Title 71, Chapter 5, Part 15.
Who sponsors SB 2221?
SB 2221 is sponsored by Yager, Ken (Republican) and McNally, Randy (Republican).
What is the current status of SB 2221?
This bill has been enacted into law. Introduced February 02, 2026. Enacted.
Where can I track SB 2221?
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Last checked for changes 3 months ago · updated continuously

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