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HB2088 • 2026

Health Care

AN ACT to amend Tennessee Code Annotated, Title 63 and Title 68, relative to health care.

Healthcare
Did Not Pass

The latest official action shows that this bill did not move forward in that session.

Sponsor
Powers, Yager
Last action
2026-03-04
Official status
Failed in s/c Health Subcommittee of Health Committee
Effective date
Not listed

Plain English Breakdown

The official source material does not specify the exact details of how the Department of Health will provide space for storing patient records.

Health Care for Nurses

This bill allows nurses providing home health services to up to four patients to qualify for a home care organization license without hiring staff or maintaining an office.

What This Bill Does

  • Allows nurses providing home health services to up to four patients to qualify for licensure as a home care organization without needing to hire staff or maintain an office.
  • Requires these nurses to request space from the Department of Health to store patient records securely if they do not have their own office.
  • Defines 'nurse' in this context as someone who is licensed and provides home health services under a licensed home care organization to four or fewer patients.
  • Gives the Department of Health permission to make rules about how this law works.

Who It Names or Affects

  • Nurses providing home health services to up to four patients
  • The Department of Health

Terms To Know

home care organization
An organization that provides healthcare services in a patient's home.
licensure
A certificate or license given by the government to allow someone to work legally in a certain profession.

Limits and Unknowns

  • The bill did not pass and was stopped in committee.
  • It only applies to nurses providing home health services to four or fewer patients.
  • Details about how the Department of Health will provide space for storing patient records are not specified.

Bill History

  1. 2026-03-10 Tennessee General Assembly

    Assigned to General Subcommittee of Senate Health & Welfare Committee

  2. 2026-03-06 Tennessee General Assembly

    Sponsor(s) Added.

  3. 2026-03-04 Tennessee General Assembly

    Failed in s/c Health Subcommittee of Health Committee

  4. 2026-02-25 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/4/2026

  5. 2026-02-18 Tennessee General Assembly

    Sponsor(s) Added.

  6. 2026-02-18 Tennessee General Assembly

    Action Def. in s/c Health Subcommittee to 3/4/2026

  7. 2026-02-11 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 2/18/2026

  8. 2026-02-05 Tennessee General Assembly

    Assigned to s/c Health Subcommittee

  9. 2026-02-05 Tennessee General Assembly

    P2C, ref. to Health Committee - Government Operations for Review

  10. 2026-02-05 Tennessee General Assembly

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

  11. 2026-02-04 Tennessee General Assembly

    Intro., P1C.

  12. 2026-02-02 Tennessee General Assembly

    Filed for introduction

  13. 2026-02-02 Tennessee General Assembly

    Introduced, Passed on First Consideration

  14. 2026-02-02 Tennessee General Assembly

    Filed for introduction

Official Summary Text

Present law generally describes a "home care organization" as
an organization that provides home health services, home medical equipment services, professional support services, or hospice services to
one
or more patients on an outpatient basis in either the patient's regular or temporary place of residence.

A provider is
generally
operating a home care organization if the provider does
any of
the following:



Holds itself out to the public as providing home health services, home medical equipment services, or hospice services
.


Contracts or agrees to deliver home health services, home medical equipment services, or hospice services
.


Accepts physician orders for home health services, home medical equipment services, or hospice services
.


Accepts responsibility for the delivery of home health services, home medical equipment services, or hospice services
.


Contracts to provide professional support services with the state agency financially responsible for services to individuals with mental, intellectual, or developmental disabilities
.

EXEMPTION TO HIRE STAFF OR MAINTAIN OFFICE BY NURSES

This bill clarifies that a nurse
is not required to hire staff or maintain an office in order to qualify for licensure as a home care organization licensed by the health facilities commission if the nurse submit
s
a request to the department of health for space at a location deemed appropriate by the department to securely store patient records. The department
must
provide such space upon request by a nurse.
As used in this bill, a
"nurse" means a person who is a licensed registered nurse, licensed practi
cal nurse, or certified nursing assistant who provides home health services under a licensed home care organization to
four
or less patients.

RULEMAKING

This bill authorizes the
department to promulgate rules to effectuate this
bill.

Current Bill Text

Read the full stored bill text
SENATE BILL 2476
By Yager

HOUSE BILL 2088
By Powers
HB2088
010556
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 63
and Title 68, relative to health care.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Title 68, Chapter 11, Part 2, is amended by
adding the following as a new section:
(a) A nurse is not required to hire staff or maintain an office in order to qualify for
licensure as a home care organization licensed by the health facilities commission if the
requirements in subsection (b) are met.
(b) If a nurse does not hire staff or maintain an office, then the nurse must
submit a request to the department of health for space at a location deemed appropriate
by the department to securely store patient records. The department of health shall
provide such space upon request by a nurse.
(c) As used in this section, "nurse" means a person who is a licensed registered
nurse, licensed practical nurse, or certified nursing assistant who provides home health
services under a licensed home care organization to four (4) or less patients.
(d) The department of health is authorized to promulgate rules to effectuate this
section. The rules must be promulgated in accordance with the Uniform Administrative
Procedures Act, compiled in title 4, chapter 5.
SECTION 2. This act takes effect July 1, 2026, the public welfare requiring it.