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HB1351 • 2026

Mental Health & Substance Abuse Services, Dept. of

AN ACT to amend Tennessee Code Annotated, Title 5; Title 6; Title 7; Title 13; Title 33; Title 47; Title 63 and Title 68, relative to addiction services.

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Enacted

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

Sponsor
Littleton, Jackson
Last action
2025-05-13
Official status
Comp. became Pub. Ch. 406
Effective date
Not listed

Plain English Breakdown

The official summary does not provide detailed specifics on all requirements, only a general overview.

Mental Health & Substance Abuse Services Act

This act changes Tennessee laws to set standards for recovery residences and organizations that certify them.

What This Bill Does

  • Requires the commissioner of mental health and substance abuse services to approve organizations meeting certain standards.
  • Establishes a list of approved organizations on the department's website.
  • Sets minimum standards for drug and alcohol testing, safety policies, exit plans, good neighbor practices, emergency contacts with resident medical information, financial management, maintenance requirements, prohibited conflicts of interest, ethical conduct, and site inspections for recovery residences starting January 1, 2026.

Who It Names or Affects

  • Organizations that certify recovery residences
  • Recovery residences in Tennessee

Terms To Know

recovery residence
A place where people recovering from substance use disorder live and receive support.
certification
The process of officially approving a recovery residence based on meeting certain standards.

Limits and Unknowns

  • Does not apply to residences or facilities already licensed by the department.
  • Certified recovery residences before January 1, 2026, can continue under previous standards until their next certification renewal or January 1, 2027.

Amendments

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

Amendment 1-0 to HB1351

Plain English: The amendment adds new requirements for recovery residences in Tennessee, including standards for drug testing, safety policies, and financial management.

  • Establishes minimum standards that recovery residence organizations must adopt, such as consistent drug testing practices, safety measures, exit plans for residents, and good neighbor policies.
  • Requires operators to maintain updated medical information for residents and ensure all rules are communicated clearly.
  • Sets ethical guidelines for financial management and prohibits certain actions like requiring residents to sign documents relinquishing public assistance benefits.
  • The amendment text is extensive, and some specific details might be too technical or context-specific for a brief summary.
Amendment 2-0 to HB1351

Plain English: The amendment changes definitions and adds requirements for organizations that certify recovery residences in Tennessee.

  • Defines 'alcohol and drug prevention or treatment facility' to exclude DUI schools run by state institutions of higher education and certain other facilities.
  • Establishes a new definition for 'recovery residence', which is a place providing substance-free living support but not medical services.
  • Adds minimum standards that certification organizations must follow when certifying recovery residences, including drug testing practices, safety policies, exit plans, financial management, and resident rights.
  • The amendment text was truncated at the end, so some details about ongoing requirements for certified recovery residences are missing.
Amendment 1-0 to SB1240

Plain English: The amendment adds new requirements for recovery residences in Tennessee, including standards for drug testing, safety policies, and financial management.

  • Establishes minimum standards that organizations must adopt when certifying recovery residences.
  • Requires recovery residences to have a list of current medications and medical conditions available for emergency personnel.
  • Prohibits requiring residents to sign documents that relinquish public assistance benefits.
  • Sets rules for sharing physical locations with local authorities while keeping them confidential from the public.
  • The amendment text is extensive, and some specific details may be too technical or context-specific to explain fully in simple terms.

Bill History

  1. 2025-05-13 Tennessee General Assembly

    Comp. became Pub. Ch. 406

  2. 2025-05-13 Tennessee General Assembly

    Effective date(s) 05/08/2025, 01/01/2026

  3. 2025-05-13 Tennessee General Assembly

    Pub. Ch. 406

  4. 2025-05-08 Tennessee General Assembly

    Signed by Governor.

  5. 2025-05-01 Tennessee General Assembly

    Transmitted to Governor for action.

  6. 2025-04-30 Tennessee General Assembly

    Signed by H. Speaker

  7. 2025-04-29 Tennessee General Assembly

    Signed by Senate Speaker

  8. 2025-04-25 Tennessee General Assembly

    Enrolled and ready for signatures

  9. 2025-04-21 Tennessee General Assembly

    Concurred, Ayes 33, Nays 0 (Amendment 2 - HA0400)

  10. 2025-04-17 Tennessee General Assembly

    Placed on Senate Message Calendar for 4/21/2025

  11. 2025-04-16 Tennessee General Assembly

    Comp. SB subst.

  12. 2025-04-16 Tennessee General Assembly

    Passed H., as am., Ayes 81, Nays 4, PNV 4

  13. 2025-04-16 Tennessee General Assembly

    H. adopted am. (Amendment 2 - HA0400)

  14. 2025-04-16 Tennessee General Assembly

    Am. withdrawn. (Amendment 1 - HA0249)

  15. 2025-04-16 Tennessee General Assembly

    Subst. for comp. HB.

  16. 2025-04-16 Tennessee General Assembly

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

  17. 2025-04-15 Tennessee General Assembly

    H. Placed on Regular Calendar for 4/16/2025

  18. 2025-04-15 Tennessee General Assembly

    Sponsor(s) Added.

  19. 2025-04-15 Tennessee General Assembly

    Engrossed; ready for transmission to House

  20. 2025-04-15 Tennessee General Assembly

    Passed Senate as amended, Ayes 26, Nays 0, PNV 3

  21. 2025-04-15 Tennessee General Assembly

    Senate adopted Amendment (Amendment 1 - SA0367)

  22. 2025-04-14 Tennessee General Assembly

    Placed on cal. Calendar & Rules Committee for 4/15/2025

  23. 2025-04-14 Tennessee General Assembly

    Placed on Senate Regular Calendar for 4/15/2025

  24. 2025-04-11 Tennessee General Assembly

    Placed on Senate Regular Calendar for 4/15/2025

  25. 2025-04-09 Tennessee General Assembly

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

  26. 2025-04-02 Tennessee General Assembly

    Placed on cal. State & Local Government Committee for 4/9/2025

  27. 2025-04-01 Tennessee General Assembly

    Rec. for pass. if am., ref. to State & Local Government Committee

  28. 2025-04-01 Tennessee General Assembly

    Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 6, Nays 2 PNV 0

  29. 2025-03-31 Tennessee General Assembly

    Placed on Senate Judiciary Committee calendar for 4/1/2025

  30. 2025-03-31 Tennessee General Assembly

    Action deferred in Senate Judiciary Committee to 4/1/2025

  31. 2025-03-26 Tennessee General Assembly

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

  32. 2025-03-26 Tennessee General Assembly

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

  33. 2025-03-26 Tennessee General Assembly

    Placed on Senate Judiciary Committee calendar for 3/31/2025

  34. 2025-03-19 Tennessee General Assembly

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

  35. 2025-03-19 Tennessee General Assembly

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

  36. 2025-03-12 Tennessee General Assembly

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

  37. 2025-03-05 Tennessee General Assembly

    Assigned to s/c Health Subcommittee

  38. 2025-03-05 Tennessee General Assembly

    Ref. to Health Committee - State & Local Government Committee

  39. 2025-02-12 Tennessee General Assembly

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

  40. 2025-02-12 Tennessee General Assembly

    Passed on Second Consideration, refer to Senate Judiciary Committee

  41. 2025-02-10 Tennessee General Assembly

    Intro., P1C.

  42. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  43. 2025-02-06 Tennessee General Assembly

    Filed for introduction

  44. 2025-02-06 Tennessee General Assembly

    Filed for introduction

Official Summary Text

ON APRIL 15, 2025, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 1240, AS AMENDED.

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



Requires the commissioner of mental health and substance abuse services ("commissioner") to select and approve organizations meeting the minimum standards as described in this amendment. The department of mental health and substance abuse services ("department") must establish and maintain on its website a list of organizations selected and approved by the commissioner. The department may promulgate rules to effectuate these provisions.



Requires, as of January 1, 2026, an organization selected and approved by the commissioner and certifying recovery residences in this state to adopt all of the following minimum standards as part of the certification:



Consistent and fair practices for drug and alcohol testing, including frequency of such testing, that promote recovery.



Policies and procedures for the recovery residence to maintain an environment that promotes the safety of the surrounding neighborhood and the community at large.



Policies and procedures for an exit plan for each resident living in the recovery residence that (i) respects the resident's choice; (ii) addresses occasions where the resident must leave due to an emergency situation or relapse; (iii) offers relocation services to the resident; and (iv) if possible, does not negatively impact the surrounding community.



A good neighbor policy to address neighborhood concerns and complaints.



A requirement that the operator of each recovery residence have available for emergency personnel an updated list of current medications and medical conditions of each resident living in the home.



A policy that ensures residents are informed of all recovery residence rules, residency requirements, and resident agreements.



Policies and procedures for the management of all monies received and spent by the recovery residence in accordance with standard accounting practices, including monies received from the residents of the recovery residence.



Policies requiring abstinence from alcohol, illicit drugs, and certain nonillicit drugs, including Kratom.



Policies regarding the maintenance of recovery residences, including the installation of functioning smoke detectors, carbon monoxide detectors, fire extinguishers, and compliance with local fire codes applicable to comparable dwellings occupied by single families.



Policies and procedures that (i) prohibit a recovery residence owner, employee, or administrator from requiring a resident to sign any document for the purpose of relinquishing the resident's public assistance benefits, including medical assistance benefits, cash assistance, and supplemental nutrition assistance program benefits; and (ii) define ethical financial policies for the management of resident funds and rent payments.



Requirements for the notification of a family member or other emergency contact designated by a resident under certain circumstances, including death due to an overdose.



Policies and procedures that prohibit overnight visitors who are not bona fide residents of the recovery residence except for the residents' children, who may be allowed overnight visits on a temporary basis when the resident is the custodial parent or in compliance with a reunification plan.



Policies and procedures providing for the safety of residents and prohibiting violence, weapons, and other disruptive behavior, including appropriate responses for such violations.



Requirements for sharing physical locations and addresses of recovery residences with local governments, police departments, fire departments, emergency services officials, and health officials. Such requirements should be utilized when the physical location and address of the recovery residence is not identifiable to the public at large as a recovery residence irrespective of whether the physical address is a public record.



Policies and procedures that mandate and define (i) an ethical code of conduct for owners, employees, and volunteers of a recovery residence; (ii) prohibited conflicts of interest; and (iii) a residents' rights and a grievance procedure.



Provides that a recovery residence seeking certification from an organization is generally subject to the minimum standards established above. However, a recovery residence that is certified by an organization prior to January 1, 2026, is not required to comply with the minimum standards established in this amendment but instead remains subject to the certification standards in effect prior to January 1, 2026, until the earlier of (i) the date of its certification renewal, if such renewal occurs on or after July 1, 2026; or (ii) January 1, 2027.



Provides that certification may be valid for no more than three years.



Requires each recovery residence to undergo a physical site inspection by the certifying organization at least annually for the recovery residence's certification to remain in good standing.



Provides that (i) this amendment does not apply to any residence or facility licensed by the department and (ii) the physical address and location of a recovery residence is not subject to disclosure under open records laws.



Defines, for purposes of this amendment, a "recovery residence" as a residence classified as a single-family residence, or any other premise, place, or building that provides a substance-free living environment centered on supervised, monitored, or peer-led support that assists individuals in recovery from substance use disorder with services that promote long-term recovery, including direct connection to other peers in recovery, mutual support groups, and recovery support services but does not provide any medical or clinical services, treatment, or medication administration on-site except for verification of abstinence.

ON APRIL 16, 2025, THE HOUSE SUBSTITUTED SENATE BILL 1240 FOR HOUSE BILL 1351, ADOPTED AMENDMENT #2, AND PASSED SENATE BILL 1240, AS AMENDED.

AM
ENDMENT #2 revises this bill to delete from the present law definition of ADTF a group residence, halfway house, recovery residence, or other entity (except for a clinic) providing alcohol and drug services.

Present law defines "r
ecovery residence
" to

mean any ADTF, including any residence classified as a single family residence, that provides a safe, healthy, and family-like, substance-free living environment centered on peer support that assists individuals in recovery from substance use disorder wit
h
services that promote long-term recovery, including, but not limited to, direct connection to other peers in recovery, mutual support groups, and recovery support services
. This amendment revises such definition to mean a
residence classified as a single
family residence, or any other premise, place, or building that provides a substance-free living environment centered on supervised, monitored, or peer-led support that assists individuals in recovery from substance use disorder with services that promot
e
long-term recovery, including direct connection to other peers in recovery, mutual support groups, and recovery support services but does not provide any medical or clinical services, treatment, or medication administration on-site except for verificatio
n
of abstinence
.

This amendment clarifies that the certification standards described in the Summary for Senate Amendment #1 will apply to all recovery residence other than those recovery residences that are grandfathered under existing certification for a
period not to exceed three years and residences and facilities licensed by the department
of mental health and substance abuse services
.

Current Bill Text

Read the full stored bill text
SENATE BILL 1240
By Jackson

HOUSE BILL 1351
By Littleton

HB1351
001452
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 5;
Title 6; Title 7; Title 13; Title 33; Title 47; Title 63
and Title 68, relative to addiction services.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 33-1-307(b), is amended by deleting
the language "February 15 of each year" and substituting instead the language "March 1 of
each year".
SECTION 2. This act takes effect upon becoming a law, the public welfare requiring it.