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HB1241 • 2026

Abortion

AN ACT to amend Tennessee Code Annotated, Title 4; Title 29; Title 33; Title 37; Title 39; Title 40; Title 53; Title 56; Title 62; Title 63; Title 68 and Title 71, relative to women's health.

Abortion Children Crime Healthcare
Active

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

Sponsor
Helton-Haynes, Briggs
Last action
2025-03-05
Official status
Sponsor(s) Added.
Effective date
Not listed

Plain English Breakdown

The candidate explanation included additional details about abortion conditions that were not covered in the provided official bill summary and text.

Changes to Tennessee's Abortion Laws

This bill amends Tennessee's abortion laws by adding conditions under which performing an abortion is not considered criminal when addressing lethal fetal anomalies.

What This Bill Does

  • Defines 'lethal fetal anomaly' as a condition diagnosed before the 24th week of pregnancy that cannot be treated and will cause death shortly after birth.
  • Specifies that it is not a crime if a doctor performs an abortion to address a lethal fetal anomaly, provided certain conditions are met.
  • Requires doctors to inform pregnant women about perinatal hospice and palliative care as alternatives to abortion when diagnosing a lethal fetal anomaly.

Who It Names or Affects

  • Doctors who perform or attempt to perform abortions
  • Pregnant women diagnosed with a fetus having a lethal anomaly

Terms To Know

lethal fetal anomaly
A condition in the fetus that cannot be treated and will cause death shortly after birth.
serious risk of substantial and irreversible impairment of a major bodily function
Any medically diagnosed condition complicating pregnancy that can lead to permanent damage or loss of important body functions, excluding mental health conditions.

Limits and Unknowns

  • The bill does not specify how it will be enforced.
  • It is unclear what the impact on healthcare providers and patients will be once the law takes effect.

Bill History

  1. 2025-03-24 Tennessee General Assembly

    Assigned to General Subcommittee of Senate Judiciary Committee

  2. 2025-03-19 Tennessee General Assembly

    Placed on Senate Judiciary Committee calendar for 3/24/2025

  3. 2025-03-06 Tennessee General Assembly

    Sponsor(s) Added.

  4. 2025-03-05 Tennessee General Assembly

    Sponsor(s) Added.

  5. 2025-03-04 Tennessee General Assembly

    Sponsor(s) Added.

  6. 2025-02-12 Tennessee General Assembly

    Assigned to s/c Population Health Subcommittee

  7. 2025-02-12 Tennessee General Assembly

    P2C, ref. to Health Committee

  8. 2025-02-12 Tennessee General Assembly

    Passed on Second Consideration, refer to Senate Judiciary Committee

  9. 2025-02-10 Tennessee General Assembly

    Intro., P1C.

  10. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  11. 2025-02-06 Tennessee General Assembly

    Filed for introduction

  12. 2025-02-06 Tennessee General Assembly

    Filed for introduction

Official Summary Text

CRIMINAL
ABORTION

Present law provides that a
person who performs or attempts to perform an abortion commits the offense of criminal abortion.

Criminal abortion is a Class C felony
, punishable by three to 1
5 years
in prison and a fine up to
$10,000
. However, i
t is not a criminal abortion if
the abortion is performed or attempted by a licensed physician in a licensed hospital or ambulatory surgical treatment center and
both of
the following conditions are met:



The physician determined, using reasonable medical judgment, based upon the facts known to the physician at the time, that the abortion was necessary to prevent the death of the pregnant woman or to prevent serious risk of substantial and irreversible impairment of a major bodily function of the pregnant woman
.



The physician performs or attempts to perform the abortion in the manner which, using reasonable medical judgment, based upon the facts known to the physician at the time, provides the best opportunity for the unborn child to survive, unless using reasonable medical judgment, termination of the pregnancy in that manner would pose a greater risk of death to the pregnant woman or substantial and irreversible impairment of a major bodily function.

This bill adds that it is also not a
criminal abortion

if it is
performed or attempted by a licensed physician in a licensed hospital or ambulatory surgical treatment center and
all of the following conditions are met:



The physician determined that the unborn child had a lethal fetal anomaly
, as defined below,
and
t
he diagnosis was concurred with in writing by two other physicians
.



S
uch concurrence was entered into the pregnant woman's medical record
.



The physician informed the pregnant woman at the time of diagnosis, both verbally and in writing, that perinatal hospice and perinatal palliative care services are available and are an alternative to abortion
.



The physician p
erforms or attempts to perform
a
n abortion to address the lethal fetal anomaly
, as defined below, or
premature delivery of an unborn child with a lethal fetal anomaly in order to avoid the risk of intrauterine demise or avoid a health risk to the pregnant woman.

DEFINITIONS

This bill defines
''
l
ethal fetal anomaly''
a
s a fetal condition diagnosed befo
re the
24
th
week of pregnancy that a physician, using reasonable medical judgment, determines
all of the following to be true of the condition:



It i
s incompatible with life outside the womb
.



It w
ill not improve with medical intervention
.



It w
ill result in the death of the fetus upon birth or imminently thereafter
.

This bill defines
"
s
erious risk of substantial and irreversible impairment of a major bodily function"
a
s any medically diagnosed condition that so complicates the pregnancy of a woman as to
directly or indirectly cause the substantial and irreversible impairment of a major bodily function. Such conditions include, but are not limited to, preeclampsia, inevitable abortion, and premature rupture of the membranes and, depending upon the circum
s
tances, may also include, but are not limited to, diabetes and multiple sclerosis, but does not include any condition related to the woman's mental health
.

Current Bill Text

Read the full stored bill text
SENATE BILL 1425
By Briggs

HOUSE BILL 1241
By Helton-Haynes

HB1241
002519
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 4;
Title 29; Title 33; Title 37; Title 39; Title 40; Title
53; Title 56; Title 62; Title 63; Title 68 and Title 71,
relative to women's health.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 39-15-213(a), is amended by adding
the following as new subdivisions:
( ) ''Lethal fetal anomaly'' means a fetal condition diagnosed before the twenty-
fourth week of pregnancy that a physician, using reasonable medical judgment,
determines:
(A) Is incompatible with life outside the womb;
(B) Will not improve with medical intervention; and
(C) Will result in the death of the fetus upon birth or imminently
thereafter;
( ) "Serious risk of substantial and irreversible impairment of a major bodily
function" means any medically diagnosed condition that so complicates the pregnancy of
a woman as to directly or indirectly cause the substantial and irreversible impairment of
a major bodily function. Such conditions include, but are not limited to, preeclampsia,
inevitable abortion, and premature rupture of the membranes and, depending upon the
circumstances, may also include, but are not limited to, diabetes and multiple sclerosis,
but does not include any condition related to the woman's mental health;
SECTION 2. Tennessee Code Annotated, Section 39-15-213, is amended by deleting
subdivision (c)(1) and substituting:

- 2 - 002519

(c)
(1) Notwithstanding subsection (b), a person who performs or attempts to
perform an abortion does not commit the offense of criminal abortion if the
abortion is performed or attempted by a licensed physician in a licensed hospital
or ambulatory surgical treatment center and the physician:
(A)
(i) Determined, using reasonable medical judgment, based
upon the facts known to the physician at the time, that the abortion
was necessary to prevent the death of the pregnant woman or to
prevent serious risk of substantial and irreversible impairment of a
major bodily function of the pregnant woman; and
(ii) Performs or attempts to perform the abortion in the
manner which, using reasonable medical judgment, based upon
the facts known to the physician at the time, provides the best
opportunity for the unborn child to survive, unless using
reasonable medical judgment, the physician determines
termination of the pregnancy in that manner would pose a greater
risk of death to the pregnant woman or substantial and irreversible
impairment of a major bodily function; or
(B)
(i) Determined that the unborn child had a lethal fetal
anomaly, and:
(a) The diagnosis was concurred with in writing by
two (2) other physicians and such concurrence was
entered into the pregnant woman's medical record; and

- 3 - 002519

(b) The physician informed the pregnant woman at
the time of diagnosis, both verbally and in writing, that
perinatal hospice and perinatal palliative care services are
available and are an alternative to abortion; and
(ii) Performs or attempts to perform:
(a) An abortion to address the lethal fetal anomaly;
or
(b) A premature delivery of an unborn child with a
lethal fetal anomaly in order to avoid the risk of intrauterine
demise or avoid a health risk to the pregnant woman.
SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it.