---
type: "Bill"
title: "Health Care - As enacted, makes various revisions to law relative to certificate of need. - Amends TCA Title 4 and Title 68."
description: "Health Care - As enacted, makes various revisions to law relative to certificate of need. - Amends TCA Title 4 and Title 68."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "113"
identifier: "HB 2269"
citation: "Tennessee HB 2269 (113)"
classification: ["bill"]
subjects: ["Health Care"]
status: "enacted"
primary_sponsors: ["Boyd"]
version_count: 6
action_count: 33
vote_count: 8
first_action: "2024-01-29"
last_action: "2024-05-28"
source: "openstates"
source_identifier: "ocd-bill/ae860ec6-ed5c-4d9f-895f-8958640cbab0"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB2269&GA=113"
source_hash: "76632a75622a9a5d5b0508d7f4dbc147b2f81da8e2eb8ec96be071b5e4506721"
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 2269 (113) — Health Care - As enacted, makes various revisions to law relative to certificate of need. - Amends TCA Title 4 and Title 68.

## Version chain

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

1. **Amendment HA0969** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0969.pdf)
2. **Amendment HA1029** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA1029.pdf)
3. **Amendment SA0987** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0987.pdf)
4. **Amendment SA0988** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0988.pdf)
5. **Amendment SA1009** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA1009.pdf)
6. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/HB2269.pdf)

## Votes

- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/8/2024 (4) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 2 BY LEATHERWOOD PASSAGE ON THIRD CONSIDERATION 4/16/2024 Passed — **89–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/16/2024 4/11/2024 (3) — **0–0** (fail) · lower
- HOUSE HEALTH SUBCOMMITTEE: Rec for pass if am by s/c ref. to Health Committee 3/27/2024 — **0–0** (fail) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2024 Passed (1) — **76–12** (pass) · lower
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 4/3/2024 (5) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2024 Passed (2) — **72–20** (pass) · lower
- FLOOR VOTE: Third Consideration 4/23/2024 Passed (1) — **26–2** (pass) · upper

## Sponsors

- Boyd — 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`
- **2024-03-13** Placed on s/c cal Health Subcommittee for 3/19/2024
- **2024-03-20** Placed on s/c cal Health Subcommittee for 3/26/2024
- **2024-03-20** Action Def. in s/c Health Subcommittee to 3/26/2024
- **2024-03-27** Placed on cal. Health Committee for 4/3/2024
- **2024-03-27** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
- **2024-04-03** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
- **2024-04-04** Placed on cal. Government Operations Committee for 4/8/2024
- **2024-04-08** Sponsor(s) Added. `sponsorship`
- **2024-04-08** 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 Regular Calendar for 4/16/2024
- **2024-04-16** Engrossed; ready for transmission to Sen. `receipt`
- **2024-04-16** Passed H., as am., Ayes 76, Nays 12, PNV 4 `passage`
- **2024-04-16** Sponsor(s) Added. `sponsorship`
- **2024-04-16** Am. withdrawn. (Amendment 1 - HA0969) `amendment-withdrawal`
- **2024-04-16** H. adopted am. (Amendment 2 - HA1029) `amendment-passage`
- **2024-04-17** Received from House, Passed on First Consideration `introduction`
- **2024-04-23** Passed Senate, Ayes 26, Nays 2, PNV 2 `passage`
- **2024-04-23** Amendment withdrawn. (Amendment 3 - SA1009)
- **2024-04-23** Amendment withdrawn. (Amendment 2 - SA0988)
- **2024-04-23** Amendment withdrawn. (Amendment 1 - SA0987)
- **2024-04-23** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2024-04-24** 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) 05/21/2024, 07/01/2024, 07/01/2025,12/01/2025,12/01/2027,12/01/2029
- **2024-05-28** Pub. Ch. 985

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ae860ec6-ed5c-4d9f-895f-8958640cbab0`. Confidence: reported (aggregated from official Tennessee legislature records).