Tennessee 114th General Assembly Status: Enacted 5 R cosponsors

SB 2414 — AN ACT to amend Tennessee Code Annotated, Title 9; Title 49; Title 53; Title 55 and Title 68, relative to public health.

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

  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 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 80% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 5 sponsors

    1 primary, 4 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 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 establishes expiration rules for public health certificates and pricing restrictions.

This legislation mandates that certificates of public advantage expire automatically on June 30, 2028, while pricing restrictions may remain in effect longer. The attorney general will oversee any ongoing pricing restrictions, which can only be changed through mutual 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. Intro., P1C.

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

  4. Sponsor(s) Added.

  5. Ref. to Health Committee

  6. Assigned to s/c Health Subcommittee

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

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

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

  10. Sponsor(s) Added.

  11. Sponsor change.

  12. Sponsor(s) Added.

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

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

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

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

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

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

  19. Sponsor(s) Added.

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

  21. Comp. SB subst.

  22. Comp. became Pub. Ch. 904

  23. Filed for introduction

  24. Introduced, Passed on First Consideration

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

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

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

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

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

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

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

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

  33. Senate adopted Amendment (Amendment 1 - SA0777)

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

  35. Sponsor(s) Added.

  36. Engrossed; ready for transmission to House

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

  38. Subst. for comp. HB.

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

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

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

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

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

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

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

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

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

  48. Sponsor(s) Added.

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

  50. Sponsor(s) Added.

  51. Enrolled and ready for signatures

  52. Signed by Senate Speaker

  53. Signed by H. Speaker

  54. Transmitted to Governor for action.

  55. Signed by Governor.

  56. Pub. Ch. 904

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

Sponsors

Sponsorship breakdown

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1 sponsors · 4 co-sponsors · 128 not signed on

Sponsors (1)

Co-sponsors (4)

Not signed on (128)

128 members have not signed on to this bill.

Show all 128 →

"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 2414 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 SB 2414?
SB 2414 is sponsored by Watson, Bo (Republican), Gardenhire, Todd (Republican), Crowe, Rusty (Republican), Harshbarger, Bobby (Republican), and Bowling, Janice (Republican).
What is the current status of SB 2414?
This bill has been enacted into law. Introduced February 02, 2026. Enacted.
Where can I track SB 2414?
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