--- type: "Bill" title: "Hospitals and Health Care Facilities - As enacted, defines a home for the aged that houses three or fewer nonrelated persons as a tier 1 home for the aged that is subject to licensure and regulation by the department of intellectual and developmental disabilities; defines a home for the aged that houses four or more nonrelated persons as a tier 2 home for the aged that is subject to licensure and regulation by the health facilities commission; makes other related changes to the meaning of a home for the aged. - Amends TCA Title 68." description: "Hospitals and Health Care Facilities - As enacted, defines a home for the aged that houses three or fewer nonrelated persons as a tier 1 home for the aged that is subject to licensure and regulation by the department of intellectual and developmental disabilities; defines a home for the aged that houses four or more nonrelated persons as a tier 2 home for the aged that is subject to licensure and regulation by the health facilities commission; makes other related changes to the meaning of a home for the aged. - Amends TCA Title 68." jurisdiction: "us/states/tn" legislature: "Tennessee General Assembly" session: "113" identifier: "HB 2261" citation: "Tennessee HB 2261 (113)" classification: ["bill"] subjects: ["Hospitals and Health Care Facilities"] status: "enacted" primary_sponsors: ["Wright"] version_count: 2 action_count: 37 vote_count: 8 first_action: "2024-01-29" last_action: "2024-05-28" source: "openstates" source_identifier: "ocd-bill/a3352236-0b47-4fb2-ad69-a2684428eed0" source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB2261&GA=113" source_hash: "f232346acf579f42d0cd4a41235039334a9499f5c5bb2494ff80669c0e27cf1b" 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 HB 2261 (113) — Hospitals and Health Care Facilities - As enacted, defines a home for the aged that houses three or fewer nonrelated persons as a tier 1 home for the aged that is subject to licensure and regulation by the department of intellectual and developmental disabilities; defines a home for the aged that houses four or more nonrelated persons as a tier 2 home for the aged that is subject to licensure and regulation by the health facilities commission; makes other related changes to the meaning of a home for the aged. - Amends TCA Title 68. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **Amendment SA0816** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0816.pdf) 2. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/HB2261.pdf) ## Votes - HOUSE HEALTH SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 3/12/2024 (5) — **0–0** (pass) · lower - HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Consent Calendar for 4/15/2024 4/11/2024 (2) — **0–0** (fail) · lower - FLOOR VOTE: as Amended Third Consideration 4/23/2024 Passed (1) — **29–0** (pass) · upper - FLOOR VOTE: MESSAGE CALENDAR CONCUR IN SENATE AMENDMENT # 1 4/24/2024 Passed — **98–0** (pass) · lower - FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/18/2024 Passed (1) — **91–0** (pass) · lower - HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/9/2024 (3) — **0–0** (pass) · lower - HOUSE HEALTH COMMITTEE: Rec. for pass; ref to Finance, Ways, and Means Committee 3/20/2024 — **0–0** (pass) · lower - HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/3/2024 (4) — **0–0** (pass) · lower ## Sponsors - Wright — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2024-01-29** Filed for introduction `filing` - **2024-01-31** Intro., P1C. `introduction` - **2024-02-01** P2C, ref. to Health Committee `referral-committee` - **2024-02-06** Assigned to s/c Health Subcommittee `referral-committee` - **2024-02-20** Sponsor(s) Added. `sponsorship` - **2024-02-21** Placed on s/c cal Health Subcommittee for 2/27/2024 - **2024-02-21** Sponsor(s) Added. `sponsorship` - **2024-02-26** Sponsor(s) Added. `sponsorship` - **2024-02-27** Action Def. in s/c Health Subcommittee to 3/12/2024 - **2024-03-04** Sponsor(s) Added. `sponsorship` - **2024-03-06** Placed on s/c cal Health Subcommittee for 3/12/2024 - **2024-03-12** Rec. for pass by s/c ref. to Health Committee `committee-passage-favorable` - **2024-03-13** Placed on cal. Health Committee for 3/20/2024 - **2024-03-19** Sponsor(s) Added. `sponsorship` - **2024-03-20** Rec. for pass; ref to Finance, Ways, and Means Committee `committee-passage-favorable` - **2024-03-21** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee` - **2024-03-27** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/3/2024 - **2024-04-03** Placed on cal. Finance, Ways, and Means Committee for 4/9/2024 - **2024-04-03** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable` - **2024-04-09** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable` - **2024-04-10** Placed on cal. Calendar & Rules Committee for 4/11/2024 - **2024-04-11** H. Placed on Consent Calendar for 4/15/2024 - **2024-04-15** H. Placed on Regular Calendar for 4/17/2024 - **2024-04-15** Objected to on Consent Calendar. - **2024-04-18** Engrossed; ready for transmission to Sen. `receipt` - **2024-04-18** Passed H., Ayes 91, Nays 0, PNV 1 `passage` - **2024-04-23** Passed Senate as amended, Ayes 29, Nays 0 `passage` - **2024-04-23** Senate adopted Amendment (Amendment 1 - SA0816) - **2024-04-23** Senate substituted House Bill for companion Senate Bill. `substitution` - **2024-04-24** H. concurred in S. am. no. 1 Ayes 98, Nays 0 PNV 0 - **2024-04-29** Enrolled; ready for sig. of H. Speaker. `enrolled` - **2024-05-01** Signed by H. Speaker `passage` - **2024-05-09** Signed by Senate Speaker `passage` - **2024-05-10** Transmitted to Governor for his action. `executive-receipt` - **2024-05-21** Signed by Governor. `executive-signature` - **2024-05-28** Effective date(s) 07/01/2024 - **2024-05-28** Pub. Ch. 984 ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a3352236-0b47-4fb2-ad69-a2684428eed0`. Confidence: reported (aggregated from official Tennessee legislature records).