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SB0882 • 2026

Health Care

AN ACT to amend Tennessee Code Annotated, Title 68, relative to the health facilities commission.

Healthcare
Active

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

Sponsor
Reeves, Boyd
Last action
2025-04-29
Official status
Effective date(s) 04/24/2025
Effective date
Not listed

Plain English Breakdown

The exact details of the block grant waiver amendment are not provided in the summary.

Health Facilities Commission Changes

This bill changes how members of the health facilities commission are chosen and sets deadlines for inspections and reports.

What This Bill Does

  • Clarifies that LeadingAge Tennessee and Argentum can suggest qualified individuals to the governor for appointment as a representative of assisted living facilities on the health facilities commission.
  • Requires the commission to ensure each licensed nursing home has been inspected within 15 months prior to December 31, 2026, no later than January 1, 2027.
  • Asks the commission to report by June 1, 2025, on how it will meet the inspection deadlines for licensed nursing homes.
  • Requires the commission to negotiate with federal agencies to secure more flexibility in regulating health facilities and submit a progress report by January 31, 2026.

Who It Names or Affects

  • The health facilities commission
  • Nursing home operators
  • Interested groups like LeadingAge Tennessee and Argentum

Terms To Know

health facilities commission
A group that oversees the regulation of healthcare facilities in Tennessee.
block grant waiver amendment
An agreement with federal agencies to allow more flexibility in how state funds are used for health-related programs.

Limits and Unknowns

  • The bill does not specify what happens if the commission fails to meet the inspection deadlines.
  • It is unclear how the new appointment process will affect current members of the commission.

Amendments

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

Amendment 1-0 to HB1141

Plain English: The amendment changes how members are appointed to the health facilities commission and sets new requirements for nursing home inspections and reporting.

  • Changes the way one member of the assisted-care living facility industry is appointed to the health facilities commission, specifying that they must be chosen from lists submitted by certain organizations.
  • Requires the health facilities commission to ensure that each nursing home's most recent inspection date is no more than fifteen months before December 31, 2026, and mandates a report on how this requirement will be met by June 1, 2025.
  • Directs the commission to negotiate with federal agencies for procedural flexibility in regulating health facilities and requires a progress report on these negotiations by January 31, 2026.
  • The amendment text does not specify how other members of the commission are appointed or what happens if nursing homes do not meet inspection requirements.
Amendment 1-0 to SB0882

Plain English: The amendment changes how members are appointed to the health facilities commission and sets new requirements for nursing home inspections and reporting.

  • Adds one representative from the assisted-care living facility industry to the health facilities commission.
  • Requires the health facilities commission to ensure that each nursing home inspection is no more than fifteen months old by January 1, 2027.
  • Directs the commission to submit a report on how it will comply with timely inspections by June 1, 2025.
  • The amendment includes additional sections that negotiate procedural flexibility and block grant waivers but does not provide clear details about these negotiations in plain English.

Bill History

  1. 2025-04-29 Tennessee General Assembly

    Effective date(s) 04/24/2025

  2. 2025-04-29 Tennessee General Assembly

    Pub. Ch. 263

  3. 2025-04-29 Tennessee General Assembly

    Comp. became Pub. Ch. 263

  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. 2025-04-15 Tennessee General Assembly

    Enrolled and ready for signatures

  9. 2025-04-10 Tennessee General Assembly

    Passed H., Ayes 91, Nays 3, PNV 0

  10. 2025-04-10 Tennessee General Assembly

    Am. withdrawn. (Amendment 1 - HA0251)

  11. 2025-04-10 Tennessee General Assembly

    Subst. for comp. HB.

  12. 2025-04-10 Tennessee General Assembly

    Comp. SB subst.

  13. 2025-04-10 Tennessee General Assembly

    Sponsor(s) Added.

  14. 2025-04-03 Tennessee General Assembly

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

  15. 2025-04-03 Tennessee General Assembly

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

  16. 2025-04-02 Tennessee General Assembly

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

  17. 2025-04-01 Tennessee General Assembly

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

  18. 2025-03-31 Tennessee General Assembly

    Engrossed; ready for transmission to House

  19. 2025-03-31 Tennessee General Assembly

    Passed Senate as amended, Ayes 30, Nays 0

  20. 2025-03-31 Tennessee General Assembly

    Senate adopted Amendment (Amendment 1 - SA0262)

  21. 2025-03-28 Tennessee General Assembly

    Placed on Senate Regular Calendar for 3/31/2025

  22. 2025-03-26 Tennessee General Assembly

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

  23. 2025-03-26 Tennessee General Assembly

    Placed on cal. Health Committee for 4/1/2025

  24. 2025-03-26 Tennessee General Assembly

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

  25. 2025-03-19 Tennessee General Assembly

    Placed on Senate Health and Welfare Committee calendar for 3/26/2025

  26. 2025-03-19 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/26/2025

  27. 2025-03-19 Tennessee General Assembly

    Action Def. in s/c Health Subcommittee to 3/26/2025

  28. 2025-03-12 Tennessee General Assembly

    Placed on s/c cal Health Subcommittee for 3/19/2025

  29. 2025-02-12 Tennessee General Assembly

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

  30. 2025-02-12 Tennessee General Assembly

    Assigned to s/c Health Subcommittee

  31. 2025-02-12 Tennessee General Assembly

    P2C, ref. to Health Committee

  32. 2025-02-10 Tennessee General Assembly

    Introduced, Passed on First Consideration

  33. 2025-02-10 Tennessee General Assembly

    Intro., P1C.

  34. 2025-02-05 Tennessee General Assembly

    Filed for introduction

  35. 2025-02-05 Tennessee General Assembly

    Filed for introduction

Official Summary Text

ON MARCH 31, 2025, THE SENATE ADOPTED AMENDMENT #1 AND PASSED SENATE BILL 882, AS AMENDED.

AMENDMENT #1 makes the following revisions:



Clarifies that
LeadingAge Tennessee and Argentum
are two examples of interested groups that may submit qualified persons for consideration by the governor for appointment as a
representative of the assisted-care living facility industry
on the
health facilities commission
("commission").



Requires, no later than January 1, 2027, the commission
to
ensure the date of the most recent inspection for each
licensed
nursing home is no more than 15 months prior to December 31, 2026.



Requires, n
o later than June 1, 2025, the commission
to
submit a report to the chief clerk of each house of the general assembly on how the commission will comply with the timeliness of the inspections
described above
.



Requires the
commission
to
negotiate with the federal centers for medicare and medicaid services to secure the procedural flexibility the commission deems necessary to effectively and efficiently regulate the commission, including securing a block grant waiver amendment.



Requires, on
or before January 31, 2026, the commission
to
submit a report on the progress of the negotiations
described above
to the speaker of the senate, the speaker of the house of representatives, the chair of the senate health and welfare committee, and the chair of the committee in the house of representatives with subject matter jurisdiction over health-related matters.

Current Bill Text

Read the full stored bill text 
HOUSE BILL 1141
By Boyd

SENATE BILL 882
By Reeves

SB0882
002644
- 1 -

AN ACT to amend Tennessee Code Annotated, Title 68,
relative to the health facilities commission.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 68-11-203(b)(F)(iii), is amended by
deleting the subdivision and substituting:
(iii) One (1) representative of the assisted-care living facility industry who may be
appointed from lists of qualified persons submitted by interested groups, including the
Tennessee Center for Assisted Living; and
SECTION 2. This act takes effect upon becoming a law, the public welfare requiring it.