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SB0449 • 2026

Health Care

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

Abortion Healthcare Technology
Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Massey, Rudder
Last action
2025-04-29
Official status
Effective date(s) 07/01/2025
Effective date
Not listed

Plain English Breakdown

The official summary does not provide specific details on the enforcement mechanisms of the act, nor does it specify any penalties for non-compliance with the provisions outlined.

Fertility Treatment and Contraceptive Protection Act

This bill establishes that individuals have the right to engage in activities related to fertility treatments and contraception without state prohibitions.

What This Bill Does

  • Defines 'fertility treatment' as including preservation of human oocytes, sperm, or embryos for later reproductive use; artificial insemination; assisted reproductive technology such as in vitro fertilization; genetic testing of embryos; medication prescribed or obtained over-the-counter for fertility; gamete donation; and other related services.
  • Defines 'contraception' as actions to prevent pregnancy using devices, medications, biological products, or procedures legally marketed under the federal Food, Drug, and Cosmetic Act.
  • Clarifies that individuals have a right to engage in activities associated with fertility treatment and contraception without state prohibitions.

Who It Names or Affects

  • People who want to use fertility treatments or contraceptives
  • Healthcare providers who offer fertility treatments or contraception

Terms To Know

Fertility treatment
Medical procedures and services that help people become pregnant, including preserving eggs, sperm, or embryos for future use.
Contraception
Methods used to prevent pregnancy, such as birth control pills, condoms, and other devices approved by the federal government.

Limits and Unknowns

  • The bill only protects fertility treatments and contraceptives that are legally marketed under the federal Food, Drug, and Cosmetic Act.
  • It does not create a right for people to get free or covered fertility treatment or contraception from insurance companies or the state.

Amendments

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

Amendment 1-0 to HB0533

Plain English: The amendment adds new sections to Tennessee Code Annotated that protect individuals' rights to use contraception and receive fertility treatments without interference from other state laws.

  • Adds definitions for terms like 'contraception', 'fertility treatment', and 'healthcare provider'.
  • Establishes a right for individuals to engage in activities related to contraception and fertility treatment, ensuring healthcare providers can perform these services.
  • Clarifies that this section does not create an entitlement or funding requirement for such treatments.
  • The amendment text does not specify how existing laws will be affected beyond stating that individuals have a right to engage in activities associated with fertility treatment and contraception.
Amendment 2-0 to HB0533

Plain English: This amendment adds new sections to Tennessee Code Annotated that define terms related to reproductive health care and affirm state policy on human life beginning at fertilization.

  • Adds definitions for 'contraception', 'fertility treatment', and other key terms in Title 63 of the Tennessee Code Annotated.
  • States that Tennessee law does not prohibit fertility treatments or contraception, and affirms the official state policy on when human life begins.
  • Clarifies that this amendment does not create a right to receive fertility treatments or contraception.
  • The exact impact of these definitions and affirmations in practice is unclear without further context about existing laws and regulations.
Amendment 3-0 to HB0533

Plain English: The amendment changes the definition of 'contraceptive' to exclude abortion-inducing drugs.

  • Removes and replaces part of SECTION 2 that defines what a contraceptive is, specifically excluding abortion-inducing drugs from this category.
  • The exact impact on reproductive health care services in Tennessee is not fully explained by the amendment text alone.
Amendment 4-0 to HB0533

Plain English: The amendment changes the effective date of certain provisions in Senate Bill No. 449 to July 1, 2025.

  • Changes the semicolon at the end of subdivision (a)(2) in SECTION 2 to 'as of July 1, 2025;'
  • Replaces SECTION 3 with new text stating that the act takes effect on July 1, 2025
  • The amendment does not provide details about what specific provisions are being affected by these changes.
Amendment 1-0 to SB0449

Plain English: The amendment adds new sections to Tennessee laws that protect individuals' rights to use contraception and receive fertility treatments without restrictions from other state laws.

  • Adds definitions for terms like 'contraception', 'fertility treatment', and 'healthcare provider'.
  • Establishes a right for individuals to engage in activities related to contraception and fertility treatment, ensuring healthcare providers can perform these services.
  • Clarifies that this new law does not create an entitlement or guarantee funding for such treatments.
  • The amendment text does not specify how existing laws will be affected beyond stating the rights mentioned above.

Bill History

  1. 2025-04-29 Tennessee General Assembly

    Effective date(s) 07/01/2025

  2. 2025-04-29 Tennessee General Assembly

    Pub. Ch. 247

  3. 2025-04-29 Tennessee General Assembly

    Comp. became Pub. Ch. 247

  4. 2025-04-24 Tennessee General Assembly

    Signed by Governor.

  5. 2025-04-21 Tennessee General Assembly

    Transmitted to Governor for action.

  6. 2025-04-21 Tennessee General Assembly

    Signed by H. Speaker

  7. 2025-04-17 Tennessee General Assembly

    Signed by Senate Speaker

  8. 2025-04-16 Tennessee General Assembly

    Enrolled and ready for signatures

  9. 2025-04-14 Tennessee General Assembly

    Sponsor(s) Added.

  10. 2025-04-14 Tennessee General Assembly

    Concurred, Ayes 27, Nays 3 (Amendment 4 - HA0357)

  11. 2025-04-11 Tennessee General Assembly

    Placed on Senate Message Calendar for 4/14/2025

  12. 2025-04-10 Tennessee General Assembly

    Passed H., as am., Ayes 54, Nays 37, PNV 8

  13. 2025-04-10 Tennessee General Assembly

    Am. withdrawn. (Amendment 1 - HA0183)

  14. 2025-04-10 Tennessee General Assembly

    H. adopted am. (Amendment 4 - HA0357)

  15. 2025-04-10 Tennessee General Assembly

    Am. withdrawn. (Amendment 3 - HA0317)

  16. 2025-04-10 Tennessee General Assembly

    Am. tabled. (Amendment 2 - HA0312)

  17. 2025-04-10 Tennessee General Assembly

    Subst. for comp. HB.

  18. 2025-04-10 Tennessee General Assembly

    Comp. SB subst.

  19. 2025-04-10 Tennessee General Assembly

    Sponsor(s) Added.

  20. 2025-04-09 Tennessee General Assembly

    Sponsor(s) Added.

  21. 2025-04-08 Tennessee General Assembly

    Sponsor(s) Added.

  22. 2025-04-07 Tennessee General Assembly

    Sponsor(s) Added.

  23. 2025-04-03 Tennessee General Assembly

    H. Placed on Regular Calendar for 4/10/2025

  24. 2025-04-02 Tennessee General Assembly

    Placed on cal. Calendar & Rules Committee for 4/3/2025

  25. 2025-03-25 Tennessee General Assembly

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

  26. 2025-03-20 Tennessee General Assembly

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

  27. 2025-03-19 Tennessee General Assembly

    Placed on cal. Health Committee for 3/25/2025

  28. 2025-03-18 Tennessee General Assembly

    Sponsor(s) Added.

  29. 2025-03-18 Tennessee General Assembly

    Action def. in Health Committee to 3/25/2025

  30. 2025-03-17 Tennessee General Assembly

    Engrossed; ready for transmission to House

  31. 2025-03-17 Tennessee General Assembly

    Passed Senate as amended, Ayes 29, Nays 0

  32. 2025-03-17 Tennessee General Assembly

    Senate adopted Amendment (Amendment 1 - SA0107)

  33. 2025-03-17 Tennessee General Assembly

    Sponsor(s) Added.

  34. 2025-03-14 Tennessee General Assembly

    Placed on Senate Regular Calendar for 3/17/2025

  35. 2025-03-12 Tennessee General Assembly

    Sponsor(s) Added.

  36. 2025-03-12 Tennessee General Assembly

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

  37. 2025-03-12 Tennessee General Assembly

    Placed on cal. Health Committee for 3/18/2025

  38. 2025-03-11 Tennessee General Assembly

    Sponsor(s) Added.

  39. 2025-03-11 Tennessee General Assembly

    Rec. for pass. if am., ref. to Health Committee

  40. 2025-03-11 Tennessee General Assembly

    Sponsor(s) Added.

  41. 2025-03-05 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 3/12/2025

  42. 2025-03-05 Tennessee General Assembly

    Placed on s/c cal Population Health Subcommittee for 3/11/2025

  43. 2025-02-12 Tennessee General Assembly

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

  44. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  45. 2025-02-05 Tennessee General Assembly

    Assigned to s/c Population Health Subcommittee

  46. 2025-02-05 Tennessee General Assembly

    P2C, ref. to Health Committee

  47. 2025-02-03 Tennessee General Assembly

    Intro., P1C.

  48. 2025-01-29 Tennessee General Assembly

    Filed for introduction

  49. 2025-01-29 Tennessee General Assembly

    Filed for introduction

Official Summary Text

This bill enacts the "Fertility Treatment and Contraceptive Protection Act," which provides that (i) an individual has
a right to engage in activities associated with fertility treatment and contraception; (ii) the laws of this state do not prohibit an activity associated with fertility treatment or contraception; and (iii) the laws of this state clearly and unambiguously

acknowledge the right of an individual to perform, and the right of an individual to receive or use, fertility treatment and contraceptives in this state.

As used in this bill, "fertility treatment" includes (i) the preservation of human oocytes, sperm,
or embryos for later reproductive use; (ii) artificial insemination, including intravaginal insemination, intracervical insemination, and intrauterine insemination; (iii) assisted reproductive technology, including in vitro fertilization and other treatme
n
ts or procedures in which reproductive genetic material, such as oocytes, sperm, fertilized eggs, and embryos, are handled; (iv) genetic testing of embryos; (v) medication prescribed or obtained over-the-counter, as indicated for fertility; (vi) gamete do
n
ation; and (vii) other information, referrals, treatments, procedures, medications, laboratory testing, technologies, or services relating to fertility.

ON MARCH 17, 2025, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 449, AS AMENDED.

AMENDMEN
T #1 makes the following revisions:



Defines, for purposes of the bill, a "healthcare provider" as an individual who is licensed, certified, registered, or otherwise authorized or permitted by the laws of this state to administer health care in the ordinary course of business in the practicing of a profession.



Defines, for purposes of the bill, a "person" as an individual human being.



Clarifies that the law of this state clearly and unambiguously acknowledges the right of a healthcare provider, instead of an individual, to perform, and the right of a person to receive or use, fertility treatment and contraceptives in this state.



Clarifies that the bill does not create an entitlement to fertility treatment or contraception, or to coverage of or funding or reimbursement for fertility treatment or contraception.

ON APRIL 10, 2025, THE HOUSE SUBSTITUTED SENATE BILL 449 FOR HOUSE BILL 533, ADOPTED AMENDMENT #4, AND PASSED SENATE BILL 449, AS AMENDED.

AMENDMENT #4 specifies that contraceptives that this bil
l declares not to be prohibited under state law includes only those products that are
legally marketed under the federal Food, Drug, and Cosmetic Act

as of July 1, 2025
. This amendment also changes this bill's effective date from upon becoming a law to
Ju
ly 1, 2025.

Current Bill Text

Read the full stored bill text
HOUSE BILL 533
By Rudder

SENATE BILL 449
By Massey

SB0449
001852
- 1 -

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

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. This act is known and may be cited as the "Fertility Treatment and
Contraceptive Protection Act."
SECTION 2. Tennessee Code Annotated, Title 63, Chapter 1, Part 1, is amended by
adding the following as a new section:
(a) As used in this section:
(1) "Contraception" means an action taken to prevent pregnancy,
including the use of contraceptives, emergency contraceptives, fertility
awareness-based methods, and sterilization procedures;
(2) "Contraceptive" means any device, medication, biological product, or
procedure that is intended for use in the prevention of pregnancy, whether
specifically intended to prevent pregnancy or for other health needs, and that is
legally marketed under the federal Food, Drug, and Cosmetic Act (21 U.S.C. §
301 et seq.); and
(3) "Fertility treatment" includes:
(A) The preservation of human oocytes, sperm, or embryos for
later reproductive use;
(B) Artificial insemination, including intravaginal insemination,
intracervical insemination, and intrauterine insemination;

- 2 - 001852

(C) Assisted reproductive technology, including in vitro fertilization
and other treatments or procedures in which reproductive genetic
material, such as oocytes, sperm, fertilized eggs, and embryos, are
handled;
(D) Genetic testing of embryos;
(E) Medication prescribed or obtained over-the-counter, as
indicated for fertility;
(F) Gamete donation; and
(G) Other information, referrals, treatments, procedures,
medications, laboratory testing, technologies, or services relating to
fertility.
(b) Notwithstanding another law, an individual has a right to engage in activities
associated with fertility treatment and contraception. The laws of this state do not
prohibit an activity associated with fertility treatment or contraception. The law of this
state clearly and unambiguously acknowledges the right of an individual to perform, and
the right of an individual to receive or use, fertility treatment and contraceptives in this
state.
SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it.