HB1369 • 2026

Health, Dept. of

AN ACT to amend Tennessee Code Annotated, Title 37; Title 49; Title 63; Title 68 and Title 71, relative to blood lead level testing.

Children Education Parental Rights

Enacted

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

Sponsor: Chism, Lamar
Last action: 2026-05-27
Official status: Comp. became Pub. Ch. 1062
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Health, Dept. of

PRE-K – 12 STUDENTS IN PUBLIC SCHOOLS This bill requires the department of health to make available and require blood lead level testing for all children prior to attendance at public schools that service any combination of pre-K-12 students.

What This Bill Does

PRE-K – 12 STUDENTS IN PUBLIC SCHOOLS This bill requires the department of health to make available and require blood lead level testing for all children prior to attendance at public schools that service any combination of pre-K-12 students.
A child so tested who has elevated blood lead le vels must be immediately screened to determine if educational services pursuant to the Individuals with Disabilities Education Act may be required.
A child so tested who has lead poisoning must receive mandated wraparound services appropriate for lead po is oned children.
However, these provisions do not apply to a child whose parent or guardian opts out of such testing or referrals.

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

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

HA0943

Amendment 1-0 to HB1369

Plain English: House Health 1 Amendment No.

House Health 1 Amendment No.
1 to HB1369 Terry Signature of Sponsor AMEND Senate Bill No.
1255* House Bill No.
1369 HA0943 016074 - 1 - by deleting all language after the enacting clause and substituting: SECTION 1.

HA1078

Amendment 2-0 to HB1369

Plain English: House Education 1 Amendment No.

House Education 1 Amendment No.
2 to HB1369 White Signature of Sponsor AMEND Senate Bill No.
1255* House Bill No.
1369 HA1078 016639 - 1 - by deleting all language after the enacting clause and substituting: SECTION 1.

SA0781

Amendment 1-0 to SB1255

Plain English: Senate Health and Welfare 1 Amendment No.

Senate Health and Welfare 1 Amendment No.
1 to SB1255 Crowe Signature of Sponsor AMEND Senate Bill No.
1255* House Bill No.
1369 SA0781 016074 - 1 - by deleting all language after the enacting clause and substituting: SECTION 1.

SA0856

Amendment 2-0 to SB1255

Plain English: Amendment No.

Amendment No.
2 to SB1255 Lamar Signature of Sponsor AMEND Senate Bill No.
1255* House Bill No.
1369 SA0856 016639 - 1 - by deleting all language after the enacting clause and substituting: SECTION 1.

Bill History

2026-05-27 Tennessee General Assembly
Comp. became Pub. Ch. 1062
2026-05-27 Tennessee General Assembly
Effective date(s) 05/22/2026
2026-05-27 Tennessee General Assembly
Pub. Ch. 1062
2026-05-22 Tennessee General Assembly
Signed by Governor.
2026-05-11 Tennessee General Assembly
Transmitted to Governor for action.
2026-05-07 Tennessee General Assembly
Signed by H. Speaker
2026-04-30 Tennessee General Assembly
Signed by Senate Speaker
2026-04-27 Tennessee General Assembly
Enrolled and ready for signatures
2026-04-21 Tennessee General Assembly
Sponsor(s) Added.
2026-04-21 Tennessee General Assembly
Comp. SB subst.
2026-04-21 Tennessee General Assembly
Passed H., Ayes 88, Nays 0, PNV 0
2026-04-21 Tennessee General Assembly
Am. withdrawn. (Amendment 2 - HA1078)
2026-04-21 Tennessee General Assembly
Am. withdrawn. (Amendment 1 - HA0943)
2026-04-21 Tennessee General Assembly
Subst. for comp. HB.
2026-04-14 Tennessee General Assembly
H. Placed on Regular Calendar for 4/16/2026
2026-04-14 Tennessee General Assembly
Placed on cal. Calendar & Rules Committee for 4/14/2026
2026-04-08 Tennessee General Assembly
Rec. for pass. if am., ref. to Calendar & Rules Committee
2026-04-01 Tennessee General Assembly
Placed on cal. Education Committee for 4/8/2026
2026-03-31 Tennessee General Assembly
Rec. for pass. if am., ref. to Education Committee
2026-03-30 Tennessee General Assembly
Rcvd. from S., held on H. desk.
2026-03-26 Tennessee General Assembly
Engrossed; ready for transmission to House
2026-03-26 Tennessee General Assembly
Passed Senate as amended, Ayes 32, Nays 0
2026-03-26 Tennessee General Assembly
Amendment withdrawn. (Amendment 1 - SA0781)
2026-03-26 Tennessee General Assembly
Senate adopted Amendment (Amendment 2 - SA0856)
2026-03-25 Tennessee General Assembly
Placed on cal. Health Committee for 3/31/2026
2026-03-25 Tennessee General Assembly
Rec for pass if am by s/c ref. to Health Committee
2026-03-24 Tennessee General Assembly
Placed on Senate Regular Calendar for 3/26/2026
2026-03-24 Tennessee General Assembly
Refer to Senate Calendar Committee
2026-03-24 Tennessee General Assembly
Recalled from Senate Finance, Ways & Means
2026-03-18 Tennessee General Assembly
Placed on s/c cal Health Subcommittee for 3/25/2026
2026-03-18 Tennessee General Assembly
Action Def. in s/c Health Subcommittee to 3/25/2026
2026-03-18 Tennessee General Assembly
Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 1 PNV 0
2026-03-17 Tennessee General Assembly
Placed on Senate Health and Welfare Committee calendar for 3/18/2026
2026-03-17 Tennessee General Assembly
Action deferred in Senate Health and Welfare Committee to 3/18/2026
2026-03-12 Tennessee General Assembly
Placed on s/c cal Health Subcommittee for 3/18/2026
2026-03-11 Tennessee General Assembly
Placed on Senate Health and Welfare Committee calendar for 3/17/2026
2026-01-26 Tennessee General Assembly
Meeting Canceled
2026-01-21 Tennessee General Assembly
Placed on s/c cal Health Subcommittee for 1/28/2026
2025-03-26 Tennessee General Assembly
Assigned to General Subcommittee of Senate Health and Welfare Committee
2025-03-19 Tennessee General Assembly
Placed on Senate Health and Welfare Committee calendar for 3/26/2025
2025-02-12 Tennessee General Assembly
Assigned to s/c Health Subcommittee
2025-02-12 Tennessee General Assembly
P2C, ref. to Health Committee - Education Committee
2025-02-12 Tennessee General Assembly
Passed on Second Consideration, refer to Senate Health and Welfare Committee
2025-02-10 Tennessee General Assembly
Intro., P1C.
2025-02-10 Tennessee General Assembly
Introduced, Passed on First Consideration
2025-02-06 Tennessee General Assembly
Filed for introduction
2025-02-06 Tennessee General Assembly
Filed for introduction

Official Summary Text

PRE-K
–
12 STUDENTS IN PUBLIC SCHOOLS

This bill requires the department of health to make available and require blood lead level testing for all children prior to attendance at public schools that service any combination of pre-K-12 students. A child so tested who has elevated blood lead le
vels must be immediately screened to determine if educational services pursuant to the Individuals with Disabilities Education Act may be required. A child so tested who has lead poisoning must receive mandated wraparound services appropriate for lead po
is
oned children. However, these provisions do not apply to a child whose parent or guardian opts out of such testing or referrals.

JUVENILES IN JUVENILE DETENTION CENTERS

If a juvenile detention facility that receives federal funding is aware that a juvenile in custody of such detention facility has elevated blood lead levels or lead poisoning, then this bill requires the detention facility, in collaboration with the depa
rtment of health and local education agencies, to provide wraparound services appropriate for children with elevated blood lead levels or lead poisoning for such juvenile.

PREGNANT WOMEN IN SPECIAL SUPPLMENTAL FOOD PROGRAM

This bill requires the department of health to make available and require blood lead level testing for a pregnant woman who receives vouchers for the special supplemental food program for women, infants, and children administered by the department. If a
woman is so tested and it is determined that she has elevated blood lead levels or lead poisoning, then the department must provide the woman specialized nutritional services, education on how to mitigate lead in the body, and other mandated wraparound s
er
vices tailored for people with elevated blood lead levels or lead poisoning.

ON MARCH 26, 2026, THE SENATE ADOPTED AMENDMENT #2 AND PASSED SENATE BILL 1255, AS AMENDED.

AMENDMENT #2 rewrites the bill to, instead, require t
he department of health
to
make available and require educational materials on blood lead level testing for a pregnant woman who receives vouchers for the special supplemental food program for women, infants, and children.

The department of health
must
also provide the woman educational information on specialized nutritional services, education on how to mitigate lead in the body, and other existing wraparound services tailored for people with elevated
blood lead levels or lead poisoning.

Current Bill Text

Read the full stored bill text

SENATE BILL 1255
By Lamar

HOUSE BILL 1369
By Chism

HB1369
002625
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 37;
Title 49; Title 63; Title 68 and Title 71, relative to
blood lead level testing.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Title 49, Chapter 6, Part 50, is amended by
adding the following as a new section:
(a) The department of health shall make available and require blood lead level
testing for all children prior to attendance at public schools that service any combination
of pre-kindergarten through grade twelve (pre-K-12) students.
(b) A child tested pursuant to this section who has elevated blood lead levels
must be immediately screened to determine if educational services pursuant to the
Individuals with Disabilities Education Act (20 U.S.C. § 1400 et seq.) may be required.
(c) A child tested pursuant to this section who has lead poisoning must receive
mandated wraparound services appropriate for lead poisoned children.
(d) This section does not apply to a child whose parent or guardian opts out of
such testing or referrals required by this section.
SECTION 2. Tennessee Code Annotated, Title 37, Chapter 1, Part 1, is amended by
adding the following as a new section:
If a juvenile detention facility that receives federal funding is aware that a juvenile
in custody of such detention facility has elevated blood lead levels or lead poisoning,
then the detention facility shall, in collaboration with the department of health and local
education agencies, provide wraparound services appropriate for children with elevated
blood lead levels or lead poisoning for such juvenile.

- 2 - 002625

SECTION 3. Tennessee Code Annotated, Title 68, Chapter 1, Part 1, is amended by
adding the following as a new section:
The department shall make available and require blood lead level testing for a
pregnant woman who receives vouchers for the special supplemental food program for
women, infants, and children administered by the department. If a woman is tested
pursuant to this section and it is determined that she has elevated blood lead levels or
lead poisoning, then the department shall provide the woman specialized nutritional
services, education on how to mitigate lead in the body, and other mandated
wraparound services tailored for people with elevated blood lead levels or lead
poisoning.
SECTION 4. This act takes effect upon becoming a law, the public welfare requiring it.