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HB1141 • 2026

Health Care

AN ACT to amend Tennessee Code Annotated, Title 68, relative to the health facilities commission.

Enacted

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

Sponsor
Boyd, Reeves
Last action
2025-04-29
Official status
Comp. became Pub. Ch. 263
Effective date
Not listed

Plain English Breakdown

The official source does not specify what happens if nursing homes are not inspected within the required time frame.

Health Facilities Commission Changes

This bill changes how members of the health facilities commission are chosen and sets deadlines for inspections and reports.

What This Bill Does

  • Changes how the governor picks a member to represent assisted living facilities on the health facilities commission by allowing interested groups like LeadingAge Tennessee and Argentum to suggest qualified people.
  • Requires the commission to ensure that each licensed nursing home has been inspected within 15 months of December 31, 2026, no later than January 1, 2027.
  • Asks the commission to report by June 1, 2025, on how it will meet the inspection deadlines for nursing homes.
  • Directs the commission to negotiate with federal agencies to get more flexibility in regulating health facilities and secure a block grant waiver amendment if needed.
  • Requires the commission to give a progress report about its negotiations with federal agencies by January 31, 2026.

Who It Names or Affects

  • The health facilities commission
  • Licensed nursing homes in Tennessee
  • Interested groups like LeadingAge Tennessee and Argentum

Terms To Know

Health Facilities Commission
A group that regulates health care facilities in Tennessee.
Block Grant Waiver Amendment
An agreement to change federal rules to give more flexibility to the state's health care regulations.

Limits and Unknowns

  • The bill does not specify what happens if nursing homes are not inspected within the required time frame.
  • It is unclear how much additional funding, if any, will be provided for these new requirements and reports.

Amendments

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

Amendment 1-0 to HB1141

Plain English: The amendment changes how members are appointed to the health facilities commission and sets new requirements for nursing home inspections and reporting.

  • Changes the way one member of the assisted-care living facility industry is appointed to the health facilities commission, specifying that they must be chosen from lists submitted by certain groups.
  • Requires the health facilities commission to ensure that each nursing home's most recent inspection date is no more than fifteen months old as of December 31, 2026.
  • Directs the commission to submit a report on how it will comply with these new inspection requirements by June 1, 2025.
  • The amendment includes additional sections that negotiate procedural flexibility and block grant waivers with federal agencies, but does not provide specific details about these negotiations.
Amendment 1-0 to SB0882

Plain English: The amendment changes how members are appointed to the health facilities commission and sets new requirements for nursing home inspections and reporting.

  • Adds one representative from the assisted-care living facility industry to the health facilities commission.
  • Requires the health facilities commission to ensure that each nursing home inspection is no more than fifteen months old by January 1, 2027.
  • Directs the commission to submit a report on how it will comply with timely inspections by June 1, 2025.
  • The amendment includes additional sections that negotiate procedural flexibility and block grant waivers but does not provide clear details about these negotiations in plain English.

Bill History

  1. 2025-04-29 Tennessee General Assembly

    Comp. became Pub. Ch. 263

  2. 2025-04-29 Tennessee General Assembly

    Effective date(s) 04/24/2025

  3. 2025-04-29 Tennessee General Assembly

    Pub. Ch. 263

  4. 2025-04-24 Tennessee General Assembly

    Signed by Governor.

  5. 2025-04-21 Tennessee General Assembly

    Transmitted to Governor for action.

  6. 2025-04-21 Tennessee General Assembly

    Signed by H. Speaker

  7. 2025-04-17 Tennessee General Assembly

    Signed by Senate Speaker

  8. 2025-04-15 Tennessee General Assembly

    Enrolled and ready for signatures

  9. 2025-04-10 Tennessee General Assembly

    Comp. SB subst.

  10. 2025-04-10 Tennessee General Assembly

    Sponsor(s) Added.

  11. 2025-04-10 Tennessee General Assembly

    Passed H., Ayes 91, Nays 3, PNV 0

  12. 2025-04-10 Tennessee General Assembly

    Am. withdrawn. (Amendment 1 - HA0251)

  13. 2025-04-10 Tennessee General Assembly

    Subst. for comp. HB.

  14. 2025-04-03 Tennessee General Assembly

    H. Placed on Regular Calendar for 4/10/2025

  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. 2025-04-01 Tennessee General Assembly

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

  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 - SA0262)

  21. 2025-03-28 Tennessee General Assembly

    Placed on Senate Regular Calendar for 3/31/2025

  22. 2025-03-26 Tennessee General Assembly

    Placed on cal. Health Committee for 4/1/2025

  23. 2025-03-26 Tennessee General Assembly

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

  24. 2025-03-26 Tennessee General Assembly

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

  25. 2025-03-19 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/26/2025

  26. 2025-03-19 Tennessee General Assembly

    Action Def. in s/c Health Subcommittee to 3/26/2025

  27. 2025-03-19 Tennessee General Assembly

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

  28. 2025-03-12 Tennessee General Assembly

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

  29. 2025-02-12 Tennessee General Assembly

    Assigned to s/c Health Subcommittee

  30. 2025-02-12 Tennessee General Assembly

    P2C, ref. to Health Committee

  31. 2025-02-12 Tennessee General Assembly

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

  32. 2025-02-10 Tennessee General Assembly

    Intro., P1C.

  33. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  34. 2025-02-05 Tennessee General Assembly

    Filed for introduction

  35. 2025-02-05 Tennessee General Assembly

    Filed for introduction

Official Summary Text

ON MARCH 31, 2025, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 882, AS AMENDED.

AMENDMENT #1 makes the following revisions:



Clarifies that
LeadingAge Tennessee and Argentum
are two examples of interested groups that may submit qualified persons for consideration by the governor for appointment as a
representative of the assisted-care living facility industry
on the
health facilities commission
("commission").



Requires, no later than January 1, 2027, the commission
to
ensure the date of the most recent inspection for each
licensed
nursing home is no more than 15 months prior to December 31, 2026.



Requires, n
o later than June 1, 2025, the commission
to
submit a report to the chief clerk of each house of the general assembly on how the commission will comply with the timeliness of the inspections
described above
.



Requires the
commission
to
negotiate with the federal centers for medicare and medicaid services to secure the procedural flexibility the commission deems necessary to effectively and efficiently regulate the commission, including securing a block grant waiver amendment.



Requires, on
or before January 31, 2026, the commission
to
submit a report on the progress of the negotiations
described above
to the speaker of the senate, the speaker of the house of representatives, the chair of the senate health and welfare committee, and the chair of the committee in the house of representatives with subject matter jurisdiction over health-related matters.

Current Bill Text

Read the full stored bill text 
SENATE BILL 882
By Reeves

HOUSE BILL 1141
By Boyd

HB1141
002644
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 68,
relative to the health facilities commission.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 68-11-203(b)(F)(iii), is amended by
deleting the subdivision and substituting:
(iii) One (1) representative of the assisted-care living facility industry who may be
appointed from lists of qualified persons submitted by interested groups, including the
Tennessee Center for Assisted Living; and
SECTION 2. This act takes effect upon becoming a law, the public welfare requiring it.