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HB2278 • 2026

Public Health

AN ACT to amend Tennessee Code Annotated, Title 9; Title 49; Title 53; Title 55 and Title 68, relative to public health.

Healthcare
Enacted

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

Sponsor
Faison, Watson
Last action
2026-05-18
Official status
Comp. became Pub. Ch. 904
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.

Public Health

ON MARCH 26, 2026, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 2414, AS AMENDED.

What This Bill Does

  • ON MARCH 26, 2026, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 2414, AS AMENDED.
  • AMENDMENT #1 rewrites the bill to, instead, provide that any certificate of public advantage in effect on June 30, 2028, automatically expires.
  • However, any pricing restrictions in a certificate of advantage remain in effect until the fifth anniversary of the expiration date or the date that a new inpatient acute care hospital opens in the geographic service area, whichever is earlier.
  • After June 30, 2028, the attorney general must supervise any pricing restrictions still in effect, and the pricing res tr ictions may only be modified by the mutual written agreement of the attorney general and the entity subject to the restrictions.

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.

Amendment 1-0 to HB2278

Plain English: House Health 1 Amendment No.

  • House Health 1 Amendment No.
  • 1 to HB2278 Terry Signature of Sponsor AMEND Senate Bill No.
  • 2414* House Bill No.
  • 2278 HA0936 017083 - 1 - by deleting all language after the enacting clause and substituting: SECTION 1.
Amendment 1-0 to SB2414

Plain English: Senate Health and Welfare 1 Amendment No.

  • Senate Health and Welfare 1 Amendment No.
  • 1 to SB2414 Crowe Signature of Sponsor AMEND Senate Bill No.
  • 2414* House Bill No.
  • 2278 SA0777 015525 - 1 - by deleting all language after the enacting clause and substituting: SECTION 1.

Bill History

  1. 2026-05-18 Tennessee General Assembly

    Comp. became Pub. Ch. 904

  2. 2026-05-18 Tennessee General Assembly

    Effective date(s) 05/05/2026

  3. 2026-05-18 Tennessee General Assembly

    Pub. Ch. 904

  4. 2026-05-05 Tennessee General Assembly

    Signed by Governor.

  5. 2026-04-23 Tennessee General Assembly

    Transmitted to Governor for action.

  6. 2026-04-21 Tennessee General Assembly

    Signed by H. Speaker

  7. 2026-04-21 Tennessee General Assembly

    Signed by Senate Speaker

  8. 2026-04-20 Tennessee General Assembly

    Enrolled and ready for signatures

  9. 2026-04-17 Tennessee General Assembly

    Sponsor(s) Added.

  10. 2026-04-16 Tennessee General Assembly

    Concurred, Ayes 29, Nays 1 (Amendment 1 - HA0936)

  11. 2026-04-15 Tennessee General Assembly

    Sponsor(s) Added.

  12. 2026-04-15 Tennessee General Assembly

    Placed on Senate Message Calendar for 4/16/2026

  13. 2026-04-15 Tennessee General Assembly

    Senate Reset on calendar for 4/16/2026

  14. 2026-04-13 Tennessee General Assembly

    Placed on Senate Message Calendar for 4/15/2026

  15. 2026-04-13 Tennessee General Assembly

    Senate Reset on calendar for 4/15/2026

  16. 2026-04-10 Tennessee General Assembly

    Placed on Senate Message Calendar for 4/13/2026

  17. 2026-04-09 Tennessee General Assembly

    Senate Reset on calendar for 4/13/2026

  18. 2026-04-07 Tennessee General Assembly

    Placed on Senate Message Calendar for 4/9/2026

  19. 2026-04-06 Tennessee General Assembly

    Comp. SB subst.

  20. 2026-04-06 Tennessee General Assembly

    Passed H., as am., Ayes 79, Nays 14, PNV 0

  21. 2026-04-06 Tennessee General Assembly

    H. adopted am. (Amendment 1 - HA0936)

  22. 2026-04-06 Tennessee General Assembly

    Subst. for comp. HB.

  23. 2026-04-02 Tennessee General Assembly

    H. Placed on Regular Calendar for 4/6/2026

  24. 2026-04-02 Tennessee General Assembly

    Sponsor(s) Added.

  25. 2026-04-01 Tennessee General Assembly

    Placed on cal. Calendar & Rules Committee for 4/2/2026

  26. 2026-03-31 Tennessee General Assembly

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

  27. 2026-03-30 Tennessee General Assembly

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

  28. 2026-03-26 Tennessee General Assembly

    Engrossed; ready for transmission to House

  29. 2026-03-26 Tennessee General Assembly

    Sponsor(s) Added.

  30. 2026-03-26 Tennessee General Assembly

    Passed Senate as amended, Ayes 33, Nays 0

  31. 2026-03-26 Tennessee General Assembly

    Senate adopted Amendment (Amendment 1 - SA0777)

  32. 2026-03-25 Tennessee General Assembly

    Placed on cal. Health Committee for 3/31/2026

  33. 2026-03-25 Tennessee General Assembly

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

  34. 2026-03-24 Tennessee General Assembly

    Placed on Senate Regular Calendar for 3/26/2026

  35. 2026-03-18 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/25/2026

  36. 2026-03-18 Tennessee General Assembly

    Action Def. in s/c Health Subcommittee to 3/25/2026

  37. 2026-03-18 Tennessee General Assembly

    Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0

  38. 2026-03-17 Tennessee General Assembly

    Sponsor(s) Added.

  39. 2026-03-17 Tennessee General Assembly

    Sponsor change.

  40. 2026-03-17 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 3/18/2026

  41. 2026-03-17 Tennessee General Assembly

    Action deferred in Senate Health and Welfare Committee to 3/18/2026

  42. 2026-03-16 Tennessee General Assembly

    Sponsor(s) Added.

  43. 2026-03-11 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/18/2026

  44. 2026-03-11 Tennessee General Assembly

    Action Def. in s/c Health Subcommittee to 3/18/2026

  45. 2026-03-11 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 3/17/2026

  46. 2026-03-11 Tennessee General Assembly

    Action deferred in Senate Health and Welfare Committee to 3/18/2026

  47. 2026-03-09 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/11/2026

  48. 2026-03-09 Tennessee General Assembly

    Assigned to s/c Health Subcommittee

  49. 2026-03-09 Tennessee General Assembly

    Ref. to Health Committee

  50. 2026-03-09 Tennessee General Assembly

    Sponsor(s) Added.

  51. 2026-03-04 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 3/11/2026

  52. 2026-02-05 Tennessee General Assembly

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

  53. 2026-02-05 Tennessee General Assembly

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

  54. 2026-02-04 Tennessee General Assembly

    Intro., P1C.

  55. 2026-02-02 Tennessee General Assembly

    Filed for introduction

  56. 2026-02-02 Tennessee General Assembly

    Introduced, Passed on First Consideration

  57. 2026-02-02 Tennessee General Assembly

    Filed for introduction

Official Summary Text

ON MARCH 26, 2026, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 2414, AS AMENDED.

AMENDMENT #1 rewrites the bill to, instead, provide that any certificate of public advantage in effect on June 30, 2028, automatically expires. However, any pricing restrictions in a certificate of advantage remain in effect until the fifth anniversary
of the expiration date or the date that a new inpatient acute care hospital opens in the geographic service area, whichever is earlier. After June 30, 2028, the attorney general must supervise any pricing restrictions still in effect, and the pricing res
tr
ictions may only be modified by the mutual written agreement of the attorney general and the entity subject to the restrictions.

Present law authorizes a hospital to negotiate and enter into cooperative agreements with other hospitals in this state, if the likely benefits resulting from the agreements outweigh any disadvantages attributable to a reduction in competition that may r
esult from the agreements. Parties to such an agreement may apply to the department of health for a certificate of public advantage governing that cooperative agreement.

ON APRIL 6, 2026, THE HOUSE SUBSTITUTED SENATE BILL 2414 FOR HOUSE BILL 2278, ADOPTED AMENDMENT #1, AND PASSED SENATE BILL 2414, AS AMENDED.

AMENDMENT #1 clarifies that an acute care hospital in the same geographical area that a certificate of public advantage expired pursuant to the bill is not required to obtain a certificate of need.

ON APRIL 16, 2026, THE SENATE CONCURRED IN HOUSE AMENDMENT #1.

Current Bill Text

Read the full stored bill text 
SENATE BILL 2414
By Watson

HOUSE BILL 2278
By Faison
HB2278
012722
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 9;
Title 49; Title 53; Title 55 and Title 68, relative to
public health.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 68-1-106, is amended by adding the
following as a new subsection:
(c) By February 1 of each year, the department of health shall report to the
chairs of the senate health and welfare committee and the committee in the house of
representatives with jurisdiction over public health programs concerning the benefits and
grants received by this state as described in this section.
SECTION 2. This act takes effect July 1, 2026, the public welfare requiring it.