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HB0104 • 2026

Intellectual & Developmental Disabilities

AN ACT to amend Tennessee Code Annotated, Title 4; Title 12; Title 33; Title 34; Title 36; Title 39; Title 49; Title 52; Title 68; Title 71 and Chapter 688 of the Public Acts of 2024, relative to the department of disability and aging.

Children Healthcare
Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Lamberth, Johnson
Last action
2025-03-31
Official status
Effective date(s) 03/26/2025, 07/01/2025
Effective date
Not listed

Plain English Breakdown

The bill does not provide specific details on penalties for non-compliance with record-keeping requirements, leaving this aspect uncertain.

Intellectual and Developmental Disabilities Record Keeping

This bill updates record-keeping requirements for services provided to individuals with intellectual or developmental disabilities by the Tennessee Department of Disability and Aging and its contracted providers, and modifies who can consent to disclose confidential information about these individuals.

What This Bill Does

  • Requires the department's contracted service providers to keep detailed records for at least six years after services end.
  • Specifies that service and support records from departmental facilities must be kept for ten years after termination of services, regardless of whether the person is a minor or has reached adulthood.
  • Updates who can consent to disclose confidential information about individuals with intellectual or developmental disabilities.

Who It Names or Affects

  • The Tennessee Department of Disability and Aging
  • Contracted service providers working with the department
  • People with intellectual or developmental disabilities

Terms To Know

Emancipated minor
A young person who is legally free from parental control, often due to marriage, military service, or court order.
Conservator
A person appointed by a court to manage the affairs of someone who cannot do so themselves.

Limits and Unknowns

  • The bill does not specify how records should be stored, only that they must be kept for certain periods.
  • It is unclear if there are any penalties for failing to comply with these record-keeping requirements.

Bill History

  1. 2025-03-31 Tennessee General Assembly

    Effective date(s) 03/26/2025, 07/01/2025

  2. 2025-03-31 Tennessee General Assembly

    Pub. Ch. 47

  3. 2025-03-31 Tennessee General Assembly

    Comp. became Pub. Ch. 47

  4. 2025-03-26 Tennessee General Assembly

    Signed by Governor.

  5. 2025-03-19 Tennessee General Assembly

    Transmitted to Governor for his action.

  6. 2025-03-18 Tennessee General Assembly

    Signed by Senate Speaker

  7. 2025-03-17 Tennessee General Assembly

    Signed by H. Speaker

  8. 2025-03-04 Tennessee General Assembly

    Enrolled; ready for sig. of H. Speaker.

  9. 2025-03-03 Tennessee General Assembly

    Passed Senate, Ayes 32, Nays 0

  10. 2025-03-03 Tennessee General Assembly

    Senate substituted House Bill for companion Senate Bill.

  11. 2025-03-03 Tennessee General Assembly

    Engrossed; ready for transmission to Sen.

  12. 2025-03-03 Tennessee General Assembly

    Passed H., Ayes 90, Nays 0, PNV 0

  13. 2025-03-03 Tennessee General Assembly

    Received from House, Passed on First Consideration

  14. 2025-03-03 Tennessee General Assembly

    Companion House Bill substituted

  15. 2025-02-27 Tennessee General Assembly

    H. Placed on Consent Calendar for 3/3/2025

  16. 2025-02-27 Tennessee General Assembly

    Placed on Senate Consent Calendar 2 for 3/3/2025

  17. 2025-02-26 Tennessee General Assembly

    Placed on cal. Calendar & Rules Committee for 2/27/2025

  18. 2025-02-26 Tennessee General Assembly

    Recommended for passage, refer to Senate Calendar Committee

  19. 2025-02-26 Tennessee General Assembly

    Sponsor(s) Added.

  20. 2025-02-25 Tennessee General Assembly

    Rec. for pass; ref to Calendar & Rules Committee

  21. 2025-02-25 Tennessee General Assembly

    Sponsor(s) Added.

  22. 2025-02-19 Tennessee General Assembly

    Placed on cal. Health Committee for 2/25/2025

  23. 2025-02-19 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 2/26/2025

  24. 2025-02-18 Tennessee General Assembly

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

  25. 2025-02-13 Tennessee General Assembly

    Sponsor(s) Added.

  26. 2025-02-12 Tennessee General Assembly

    Placed on s/c cal Population Health Subcommittee for 2/18/2025

  27. 2025-02-12 Tennessee General Assembly

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

  28. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  29. 2025-02-06 Tennessee General Assembly

    Filed for introduction

  30. 2025-01-28 Tennessee General Assembly

    Assigned to s/c Population Health Subcommittee

  31. 2025-01-16 Tennessee General Assembly

    Ref. to Health Committee

  32. 2025-01-15 Tennessee General Assembly

    P2C held on desk, pending appointment of Standing Committees

  33. 2025-01-14 Tennessee General Assembly

    Intro., P1C.

  34. 2025-01-13 Tennessee General Assembly

    Filed for introduction

Official Summary Text

Present law requires
the department of disability and aging
("department") to
keep records detailing services or supports received by
a
person with an intell
ectual or developmental disability
for at least 10 years after the services or supports terminated.

This bill requires the
department
's
contracted providers
to also
keep
such
records
. The
department and its contracted providers
must keep certain records
for the following minimum lengths of time:



Service and support records of departmental facilities and clinics, as well as individual support plan records, must be preserved by the department for 10 years after termination of service.



Service and support records for minors receiving services in departmental facilities and clinics must be kept for 10 years after the minor reaches
18
.



All other departmental records and records of the department's contracted service providers must be preserved for
six
years.

PERSONS AUTHORIZED TO DISCLOSE

Within the
department
, present law requires confidential i
nformation
,

such as
applications
or
legal documents
, to remain confidential unless certain persons granted authority to
disclose
the information give con
sent
. S
uch persons include, but are not limited to, the following:



The person supported
,
who is at least 16
.



The conservator of the person supported or a conservator whom the court has granted the authority to make such disclosures
.

This bill changes the
above individuals who can consent to disclose confidential information about a supported person to the following, respectively:



A person supported who is an emancipated minor
.



A conservator
to
whom the court has granted the authority to make such disclosures for the person supported or granted the authority to make healthcare decisions for the person supported
. However,
a conservatorship over the estate or property alone does not have authority to disclose confidential information
.

Current Bill Text

Read the full stored bill text
SENATE BILL 1269
By Johnson

HOUSE BILL 104
By Lamberth

HB0104
000188
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 4;
Title 12; Title 33; Title 34; Title 36; Title 39; Title
49; Title 52; Title 68; Title 71 and Chapter 688 of
the Public Acts of 2024, relative to the department
of disability and aging.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 4-29-248(a)(19), is amended by
deleting the language "intellectual and developmental disabilities" and substituting instead
"disability and aging".
SECTION 2. Tennessee Code Annotated, Section 4-31-703(3), is amended by deleting
the language "intellectual and developmental disabilities" and substituting instead " disability
and aging".
SECTION 3. Tennessee Code Annotated, Section 12-2-117(e), is amended by deleting
the language "department of intellectual and developmental disabilities" and "department of
intellectual and developmental disabilities services" wherever it appears and substituting instead
"department of disability and aging".
SECTION 4. Tennessee Code Annotated, Section 33-3-802, is amended by deleting the
language ", or intellectual disability".
SECTION 5. Tennessee Code Annotated, Section 33-3-803, is amended by deleting the
language ", or intellectual disability".
SECTION 6. Tennessee Code Annotated, Section 33-3-904, is amended by deleting the
language ", or developmental disability" wherever it appears.

- 2 - 000188

SECTION 7. Tennessee Code Annotated, Section 34-1-106(b), is amended by deleting
the language "intellectual and developmental disabilities" and substituting instead "disability and
aging".
SECTION 8. Tennessee Code Annotated, Section 34-1-108(c)(3), is amended by
deleting the language "intellectual and developmental disabilities" and substituting instead
"disability and aging".
SECTION 9. Tennessee Code Annotated, Section 36-3-106(b), is amended by deleting
the language "intellectual and developmental disabilities" and substituting instead "disability and
aging".
SECTION 10. Tennessee Code Annotated, Section 39-16-517(b)(2), is amended by
deleting the language "as defined in § 33-1-101" and substituting instead "as defined in § 52-1-
101".
SECTION 11. Tennessee Code Annotated, Section 49-6-802(b)(8), is amended by
deleting the language "intellectual and developmental disabilities" and substituting instead
"disability and aging".
SECTION 12. Tennessee Code Annotated, Section 52-3-101(d), is amended by
deleting the subsection and substituting instead:
(d) The department and its contracted providers shall keep records detailing
services or supports received by each person with an intellectual or developmental
disability. Service and support records of departmental facilities and clinics, as well as
individual support plan records, must be preserved by the department for not less than
ten (10) years after termination of services. Service and support records for minors
receiving services in departmental facilities and clinics must be kept for not less than ten
(10) years after the minor reaches the age of majority. All other departmental records
and records of the department's contracted service providers must be preserved for not

- 3 - 000188

less than six (6) years. The records may be generated, maintained, or transferred in
whole or in part to any recording medium that assures accurate preservation of the
record. If a record is transferred from one (1) medium to another, then the source record
may be destroyed upon determination by the department that the reproduced record is
true and correct and will be accurately preserved. The reproduced record is deemed to
be the original record.
SECTION 13. Tennessee Code Annotated, Section 52-3-104, is amended by deleting
subdivisions (1) and (2) and substituting instead:
(1) A person supported who is an emancipated minor as described in § 52-7-
104;
(2) A conservator whom the court has granted the authority to make such
disclosures for the person supported or granted the authority to make healthcare
decisions for the person supported; provided, however, that a conservatorship over the
estate or property alone does not have authority to disclose confidential information
under this title;
SECTION 14. Tennessee Code Annotated, Section 68-1-904(c), is amended by
deleting "department of intellectual and developmental disabilities" and substituting instead
"department of disability and aging" and by deleting "title 33" wherever it appears and
substituting instead "title 33 or title 52".
SECTION 15. Tennessee Code Annotated, Section 68-11-201(23)(B), is amended by
deleting "pursuant to title 33, chapter 2, part 4" and substituting instead "pursuant to title 52,
chapter 2, part 4".
SECTION 16. Tennessee Code Annotated, Section 71-5-105(c), is amended by
deleting the subsection and substituting instead:

- 4 - 000188

(c) Notwithstanding any authority to the contrary, DDA public ICF/IID non-facility
beds established pursuant to federal litigation settlements or orders arising out of the
cases United States v. State of Tennessee, et al., No. 92-2062-ML/A (Docket) (W.D.
Tenn. 1992), or People First of Tennessee, et al., v. Clover Bottom Developmental
Center, et al., No. 00-5342 (Docket) (C.A.6 Mar. 22, 2000), are exempt from all
requirements and processes for the application and granting of certificates of need as
set forth in § 68-11-1607. The establishment of all private ICF/IID non-facility beds
remains subject to certificate of need requirements and processes.
SECTION 17. SECTION 12 takes effect July 1, 2025, the public welfare requiring it. For
all other purposes, this act takes effect upon becoming a law, the public welfare requiring it.