Opioids

Plain English Breakdown

Checked against official source text during the last sync.

Opioid Treatment Center Regulation Changes

This bill removes requirements for nonresidential opioid treatment centers to get a certificate of need and submit certain reports.

What This Bill Does

• Removes the requirement for nonresidential opioid treatment centers to obtain a certificate of need before starting operations.
• Eliminates the need for these centers to notify local government officials about their plans.
• Gets rid of annual reporting requirements for these treatment centers.
• Removes references to mental health and substance abuse services in relation to administrative duties for these centers.

Who It Names or Affects

• Nonresidential opioid treatment centers
• Health Facilities Commission

Terms To Know

Certificate of Need (CON)

A document required by some states before a new healthcare facility can be built or an existing one expanded.

Nonresidential substitution-based treatment center

A type of medical facility that provides non-residential care for people addicted to opioids using medication-assisted therapy.

Limits and Unknowns

• The bill does not specify how the Health Facilities Commission will adjust its fees.
• It is unclear what impact this change will have on public health and safety.

Official Summary Text

Present law requires a certificate of need prior to establishing or initiating operation of a nonresidential substitution-based treatment center for opiate addiction.

An applicant for a certificate of need for such a treatment center must notify the county mayor of the county in which the facility is proposed to be located and the state senator and representative for the area within 10 days after filing the application
with the health facilities commission (“
commission”
).

An exemption applies in counties
without an actively licensed acute care hospital; however, that exemption does not apply to these treatment centers.
Additionally, a
certificate of need is not required for a licensed hospital to operate such a treatment center if it is located on the same campus as the operating hospital.

This bill
removes nonresidential substitution-based treatment centers for opiate addiction

from the list of institutions subject to
these requirements and notice procedures
. It removes the requirement
these centers to obtain a certificate of need prior to initiation and repeal
s
the specific notification requirements for such applications.

ADMINISTRATIVE FEES AND REPORTING

Present law establishes requirements for administrative fees and coordination between
the commission and
the department of mental health and substance abuse services regarding specific administrative functions.
A
nnual reports
must
be submitted to the commission for various health services, including the operation of a nonresidential substitution-based treatment center for opiate addiction.

This bill
removes references to
nonresidential substitution-based treatment center
s
for opiate addiction
r
elating to administrative fees for these centers and removes references to
the department of
mental health and substance abuse services from the commission's administrative duties
related to these centers
.
T
he requirement for these treatment centers to submit annual reports to the commission
is also removed.

Current Bill Text

SENATE BILL 2281
By Briggs

HOUSE BILL 2100
By Faison
HB2100
011537
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 68,
Chapter 11 and Chapter 985 of the Public Acts of
2024, relative to certificate of need.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 68-11-1602(10)(A)(ix), is amended
by deleting the subdivision.
SECTION 2. Tennessee Code Annotated, Section 68-11-1602(16), is amended by
deleting the subdivision.
SECTION 3. Tennessee Code Annotated, Section 68-11-1607, is amended by deleting
subdivisions (a)(3)(I), (c)(9), and (x)(2)(D) and subsection (p).
SECTION 4. Tennessee Code Annotated, Section 68-11-1614(b), is amended by
deleting the subsection.
SECTION 5. Tennessee Code Annotated, Section 68-11-1614(c), is amended by
deleting ", mental health and substance abuse services,".
SECTION 6. Tennessee Code Annotated, Section 68-11-1620(c)(12), is amended by
deleting the subdivision.
SECTION 7. This act takes effect July 1, 2026, the public welfare requiring it.