Opioids

Plain English Breakdown

The official source does not provide specific details on how administrative fees are handled or if other regulations might still apply to treatment centers after this change.

Opioid Treatment Center Regulation Changes

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

What This Bill Does

• Removes the requirement for nonresidential opioid treatment centers to obtain a certificate of need before starting operations.
• Eliminates the specific notification requirements that these centers must notify local officials about their plans.
• Gets rid of the requirement for these centers to send yearly reports to the Health Facilities Commission.

Who It Names or Affects

• Nonresidential opioid treatment centers in Tennessee
• Local officials who previously received notifications about new treatment center plans

Terms To Know

Certificate of Need

A document required by some states for certain healthcare facilities to prove they are needed before starting operations.

Nonresidential substitution-based treatment centers

Facilities that provide medical treatments for opioid addiction without requiring patients to live there.

Limits and Unknowns

• The bill does not specify how the removal of these requirements will affect funding or oversight of opioid treatment centers.
• It is unclear if other regulations might still apply to these treatment centers after this change.

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

HOUSE BILL 2100
By Faison

SENATE BILL 2281
By Briggs
SB2281
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.