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HB0203 • 2026

Nurses, Nursing

AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 14; Title 29; Title 33; Title 37; Title 39; Title 53; Title 63; Title 68 and Title 71, relative to health care.

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Terry, Crowe
Last action
2025-04-29
Official status
Comp. became Pub. Ch. 222
Effective date
Not listed

Plain English Breakdown

The official bill text does not specify that the board is allowed to publish and deliver the report electronically, only that it may be submitted by electronic means. This claim was removed as unsupported.

Nurse Practitioner Survey Act

This act requires Tennessee's Board of Nursing to develop an annual survey for nurse practitioners and submit reports based on the collected data.

What This Bill Does

  • Requires the Board of Nursing to create a survey within 90 days after the bill becomes law, asking nurse practitioners about their specialty, collaborating physicians' specialties, practice locations, and physician presence at those sites.
  • Defines 'specialty' for both nurse practitioners and physicians in relation to national or board certifications.
  • Requires the Board of Nursing to send the survey annually by email to nurse practitioners who have opted-in, with quarterly reminders if needed.
  • Requires the Board of Nursing to submit an annual report containing aggregated data from the surveys to legislative committees dealing with health matters.

Who It Names or Affects

  • Nurse practitioners who have been issued a certificate of fitness by the board
  • Collaborating physicians working with nurse practitioners

Terms To Know

specialty
A specific area of study in nursing or medicine that leads to national or board certification.

Limits and Unknowns

  • The bill does not specify the exact penalties for non-compliance with survey requirements.
  • It is unclear how the data collected will be used beyond informing legislative committees.
  • There are no provisions mentioned regarding public access to the reports submitted by the Board of Nursing.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Amendment 1-0 to HB0203

Plain English: This amendment requires Tennessee's nursing board to create and send an annual survey to nurse practitioners with certificates of fitness, collecting information about their practice specialties and collaborating physicians.

  • The nursing board must develop a survey within 90 days after the law takes effect.
  • Nurse practitioners who opt for email communications will receive this survey annually.
  • The board must submit an annual report to the state legislature with aggregated data from the surveys.
  • The exact details of how the nursing board will implement and enforce these requirements are not specified in the amendment text.
Amendment 1-0 to SB0332

Plain English: This amendment requires Tennessee's nursing board to create and distribute an annual survey to nurse practitioners with certificates of fitness, collecting information about their practice locations and collaborating physicians.

  • The nursing board must develop a survey within 90 days after the law takes effect.
  • Nurse practitioners who opt for email communications will receive this survey annually.
  • The board is required to submit an annual report with aggregated data from these surveys to relevant legislative committees.
  • The exact details of how the nursing board will enforce compliance with the survey are not specified in the amendment text.

Bill History

  1. 2025-04-29 Tennessee General Assembly

    Comp. became Pub. Ch. 222

  2. 2025-04-29 Tennessee General Assembly

    Effective date(s) 04/21/2025

  3. 2025-04-29 Tennessee General Assembly

    Pub. Ch. 222

  4. 2025-04-21 Tennessee General Assembly

    Signed by Governor.

  5. 2025-04-11 Tennessee General Assembly

    Transmitted to Governor for action.

  6. 2025-04-10 Tennessee General Assembly

    Signed by H. Speaker

  7. 2025-04-09 Tennessee General Assembly

    Signed by Senate Speaker

  8. 2025-04-08 Tennessee General Assembly

    Enrolled and ready for signatures

  9. 2025-04-07 Tennessee General Assembly

    Comp. SB subst.

  10. 2025-04-07 Tennessee General Assembly

    Sponsor(s) Added.

  11. 2025-04-07 Tennessee General Assembly

    Passed H., Ayes 92, Nays 1, PNV 2

  12. 2025-04-07 Tennessee General Assembly

    Am. withdrawn. (Amendment 1 - HA0181)

  13. 2025-04-07 Tennessee General Assembly

    Subst. for comp. HB.

  14. 2025-04-03 Tennessee General Assembly

    H. Placed on Regular Calendar for 4/7/2025

  15. 2025-04-03 Tennessee General Assembly

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

  16. 2025-04-02 Tennessee General Assembly

    Placed on cal. Calendar & Rules Committee for 4/3/2025

  17. 2025-03-31 Tennessee General Assembly

    Sponsor(s) Added.

  18. 2025-03-31 Tennessee General Assembly

    Engrossed; ready for transmission to House

  19. 2025-03-31 Tennessee General Assembly

    Passed Senate as amended, Ayes 30, Nays 0

  20. 2025-03-31 Tennessee General Assembly

    Senate adopted Amendment (Amendment 1 - SA0258)

  21. 2025-03-28 Tennessee General Assembly

    Placed on Senate Regular Calendar for 3/31/2025

  22. 2025-03-26 Tennessee General Assembly

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

  23. 2025-03-25 Tennessee General Assembly

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

  24. 2025-03-19 Tennessee General Assembly

    Placed on cal. Health Committee for 3/25/2025

  25. 2025-03-19 Tennessee General Assembly

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

  26. 2025-03-19 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 3/26/2025

  27. 2025-03-12 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/19/2025

  28. 2025-03-12 Tennessee General Assembly

    Assigned to s/c Health Subcommittee

  29. 2025-03-12 Tennessee General Assembly

    Ref. to Health Committee

  30. 2025-02-12 Tennessee General Assembly

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

  31. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  32. 2025-02-03 Tennessee General Assembly

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

  33. 2025-01-27 Tennessee General Assembly

    Intro., P1C.

  34. 2025-01-27 Tennessee General Assembly

    Filed for introduction

  35. 2025-01-16 Tennessee General Assembly

    Filed for introduction

Official Summary Text

ON MARCH 31, 2025, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 332, AS AMENDED.

AMENDMENT #1 rewrites the bill to, instead, make the following revisions to present law:



Requires the board of nursing ("board"),
no later than 90 days after the effective date of th
e bill
,
to
develop a survey to collect the following information from nurse practitioners who have been issued a certificate of fitness from the board:
(i)
the specialty in which the nurse practitioner practices;

(ii) the specialty practiced by each of the nurse practitioner's collaborating physicians;

(iii) the physical address of the nurse practitioner's primary practice location;

(iv) the physical address of the primary practice location of each collaborating physician; and

(v) how many days per week each collaborating physician is on-site with the nurse practitioner at the same practice site.



Defines, for purposes of this amendment,
"specialty"
: (i) a
s the term relates to a nurse practitioner, an area of the study of nursing completed by a nurse practitioner that leads to a national specialty certification by an organization recognized by the board of nursing; and
(ii) a
s the term relates to a physician, an area of the study of medicine completed by a physician that leads to board certification by a board approved by the American Board of Medical Specialties.



Requires the board to
send the survey annually to each nurse practitioner who has been issued a certificate of fitness by the board who has opted to receive email communications. The board
must
send reminder communications no less than quarterly to nurse practitioners who have been contacted but have not completed the survey, and
to
include the survey, a website link to the survey, or information on how to complete the survey in such communications. The board may send the survey by electronic means.



Requires the board, on
or before December 31 of each year,
to
submit a report to the chair
s
of
legislative committees
with jurisdiction over health-related matters containing aggregated, de-identified data on the following:
(i) s
tatistics on the number and percentage of nurse practitioners who responded to the survey;

(ii) the percentage of nurse practitioners who reported having a collaborating physician in the same specialty;

(iii) the percentage of collaborating physicians who are on-site with nurse practitioners full time, and for those not on-site full time, the average number of days per week the collaborating physician is on-site; and

(iv) such other statistics that the board may deem to be useful in informing the general assembly on the collaborating relationship between physicians and nurse practitioners who practice a specialty.



Requires the board to
include in the report any data collected on or before December 1 of each year.



Authorizes the
board
to
publish and deliver the report by electronic means.

Current Bill Text

Read the full stored bill text
SENATE BILL 332
By Crowe

HOUSE BILL 203
By Terry

HB0203
001294
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 4;
Title 8; Title 14; Title 29; Title 33; Title 37; Title 39;
Title 53; Title 63; Title 68 and Title 71, relative to
health care.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 68-1-303(b), is amended by deleting
"annual report to the governor and" and substituting "annual report to the governor, the
legislative librarian, and the".
SECTION 2. This act takes effect upon becoming a law, the public welfare requiring it.