---
type: "Bill"
title: "Drugs, Prescription - As enacted, authorizes a pharmacist to provide ivermectin to a patient, who is 18 years of age or older, pursuant to a valid collaborative pharmacy practice agreement containing a non-patient-specific prescriptive order and standardized procedures developed and executed by one or more authorized prescribers; enacts other related provisions. - Amends TCA Title 4; Title 14; Title 47; Title 53; Title 63; Title 68 and Title 71."
description: "Drugs, Prescription - As enacted, authorizes a pharmacist to provide ivermectin to a patient, who is 18 years of age or older, pursuant to a valid collaborative pharmacy practice agreement containing a non-patient-specific prescriptive order and standardized procedures developed and executed by one or more authorized prescribers; enacts other related provisions. - Amends TCA Title 4; Title 14; Title 47; Title 53; Title 63; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "SB 2188"
citation: "Tennessee SB 2188 (112)"
classification: ["bill"]
subjects: ["Drugs", "Prescription"]
status: "enacted"
primary_sponsors: ["Lynn", "Niceley"]
version_count: 3
action_count: 50
vote_count: 6
first_action: "2022-01-31"
last_action: "2022-04-26"
source: "openstates"
source_identifier: "ocd-bill/cc8cef3b-07da-4ed2-8215-226f2b7c865e"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2188&GA=112"
source_hash: "1016db390420bc654395c0d8de7dceeac0f911394d87a9121d59871237f20ad3"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-tn"]
---

# Tennessee SB 2188 (112) — Drugs, Prescription - As enacted, authorizes a pharmacist to provide ivermectin to a patient, who is 18 years of age or older, pursuant to a valid collaborative pharmacy practice agreement containing a non-patient-specific prescriptive order and standardized procedures developed and executed by one or more authorized prescribers; enacts other related provisions. - Amends TCA Title 4; Title 14; Title 47; Title 53; Title 63; Title 68 and Title 71.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Amendment HA0857** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0857.pdf)
2. **Amendment SA0620** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0620.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB2188.pdf)

## Votes

- FLOOR VOTE: as Amended Third Consideration 4/6/2022 Passed (1) — **22–6** (pass) · upper
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/7/2022 3/31/2022 (2) — **0–0** (fail) · lower
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/7/2022 Passed (1) — **66–20** (pass) · lower
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/30/2022 (3) — **0–0** (pass) · lower
- HOUSE HEALTH SUBCOMMITTEE: Rec for pass if am by s/c ref. to Health Committee 3/22/2022 (4) — **0–0** (fail) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0 3/9/2022 Passed (2) — **8–1** (pass) · upper

## Sponsors

- Lynn — primary (person)
- Niceley — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-01-31** Filed for introduction `introduction, reading-1`
- **2022-02-02** Introduced, Passed on First Consideration `introduction`
- **2022-02-02** Intro. `introduction`
- **2022-02-02** Filed for introduction `introduction, reading-1`
- **2022-02-03** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2022-02-03** P1C.
- **2022-02-07** P2C, ref. to Health Committee `referral-committee`
- **2022-02-08** Assigned to s/c Health Subcommittee `referral-committee`
- **2022-02-16** Sponsor(s) Added.
- **2022-02-23** Placed on Senate Health and Welfare Committee calendar for 3/2/2022
- **2022-03-01** Sponsor(s) withdrawn.
- **2022-03-01** Sponsor change.
- **2022-03-02** Placed on Senate Health and Welfare Committee calendar for 3/9/2022
- **2022-03-02** Action deferred in Senate Health and Welfare Committee to 3/9/2022
- **2022-03-02** Placed on s/c cal Health Subcommittee for 3/8/2022
- **2022-03-03** Sponsor(s) Added.
- **2022-03-08** Action Def. in s/c Health Subcommittee to 3/15/2022
- **2022-03-09** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0
- **2022-03-09** Placed on s/c cal Health Subcommittee for 3/15/2022
- **2022-03-14** Sponsor(s) Added.
- **2022-03-15** Action Def. in s/c Health Subcommittee to 3/22/2022
- **2022-03-16** Placed on s/c cal Health Subcommittee for 3/22/2022
- **2022-03-16** Sponsor(s) Added.
- **2022-03-22** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
- **2022-03-23** Placed on cal. Health Committee for 3/30/2022
- **2022-03-23** Sponsor(s) Added.
- **2022-03-30** Placed on cal. Calendar & Rules Committee for 3/31/2022
- **2022-03-30** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2022-03-31** H. Placed on Regular Calendar for 4/7/2022
- **2022-04-04** Placed on Senate Regular Calendar for 4/6/2022
- **2022-04-04** Sponsor(s) Added.
- **2022-04-06** Sponsor(s) Added.
- **2022-04-06** Engrossed; ready for transmission to House
- **2022-04-06** Passed Senate as amended, Ayes 22, Nays 6, PNV 2 `passage`
- **2022-04-06** Senate adopted Amendment (Amendment 1 - SA0620)
- **2022-04-06** Sponsor(s) Added.
- **2022-04-07** Passed H., Ayes 66, Nays 20, PNV 0 `passage`
- **2022-04-07** Am. withdrawn. (Amendment 1 - HA0857) `amendment-withdrawal`
- **2022-04-07** Subst. for comp. HB.
- **2022-04-07** Rcvd. from S., held on H. desk.
- **2022-04-07** Comp. SB subst.
- **2022-04-07** Sponsor(s) Added.
- **2022-04-08** Enrolled and ready for signatures
- **2022-04-11** Signed by H. Speaker
- **2022-04-11** Signed by Senate Speaker
- **2022-04-12** Transmitted to Governor for action.
- **2022-04-22** Signed by Governor. `executive-signature`
- **2022-04-26** Effective date(s) 04/22/2022
- **2022-04-26** Pub. Ch. 908
- **2022-04-26** Comp. became Pub. Ch. 908

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/cc8cef3b-07da-4ed2-8215-226f2b7c865e`. Confidence: reported (aggregated from official Tennessee legislature records).