---
type: "Bill"
title: "Nurses, Nursing - As enacted, authorizes a medication aid to administer oral or topical medications prescribed with a nursing designation authorizing or requiring administration on an as-needed basis, regardless of whether a nursing assessment of the patient has been completed by a licensed nurse before administration; removes the prohibition against a medication aide administering medications delivered by aerosol/nebulizers or metered hand-held inhalers without spacers. - Amends TCA Title 63, Chapter 7."
description: "Nurses, Nursing - As enacted, authorizes a medication aid to administer oral or topical medications prescribed with a nursing designation authorizing or requiring administration on an as-needed basis, regardless of whether a nursing assessment of the patient has been completed by a licensed nurse before administration; removes the prohibition against a medication aide administering medications delivered by aerosol/nebulizers or metered hand-held inhalers without spacers. - Amends TCA Title 63, Chapter 7."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "113"
identifier: "HB 2289"
citation: "Tennessee HB 2289 (113)"
classification: ["bill"]
subjects: ["Nurses", "Nursing"]
status: "enacted"
primary_sponsors: ["Boyd"]
version_count: 3
action_count: 28
vote_count: 5
first_action: "2024-01-29"
last_action: "2024-05-01"
source: "openstates"
source_identifier: "ocd-bill/36817c90-1fdf-41bb-89f1-b4aa62b81a62"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB2289&GA=113"
source_hash: "13a0085a47ad54412c1b6dec8d7ddbcede6005f015d762215b01a267b499ee16"
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 2289 (113) — Nurses, Nursing - As enacted, authorizes a medication aid to administer oral or topical medications prescribed with a nursing designation authorizing or requiring administration on an as-needed basis, regardless of whether a nursing assessment of the patient has been completed by a licensed nurse before administration; removes the prohibition against a medication aide administering medications delivered by aerosol/nebulizers or metered hand-held inhalers without spacers. - Amends TCA Title 63, Chapter 7.

## Version chain

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

1. **Amendment HA0710** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0710.pdf)
2. **Amendment SA0813** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0813.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/HB2289.pdf)

## Votes

- HOUSE HEALTH SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 2/27/2024 (4) — **0–0** (pass) · lower
- FLOOR VOTE: Third Consideration 4/1/2024 Passed (1) — **31–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/25/2024 Passed (1) — **92–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/25/2024 3/21/2024 (2) — **0–0** (fail) · lower
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/13/2024 (3) — **0–0** (pass) · lower

## 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`
- **2024-02-21** Placed on s/c cal Health Subcommittee for 2/27/2024
- **2024-02-27** Rec. for pass by s/c ref. to Health Committee `committee-passage-favorable`
- **2024-02-28** Placed on cal. Health Committee for 3/6/2024
- **2024-03-06** Placed on cal. Health Committee for 3/13/2024
- **2024-03-06** Action def. in Health Committee to 3/13/2024
- **2024-03-13** Placed on cal. Calendar & Rules Committee for 3/14/2024
- **2024-03-13** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2024-03-14** Action def. in Calendar & Rules Committee to 3/21/2024
- **2024-03-20** Placed on cal. Calendar & Rules Committee for 3/21/2024
- **2024-03-21** H. Placed on Regular Calendar for 3/25/2024
- **2024-03-25** Passed H., as am., Ayes 92, Nays 0, PNV 0 `passage`
- **2024-03-25** H. adopted am. (Amendment 1 - HA0710) `amendment-passage`
- **2024-03-26** Engrossed; ready for transmission to Sen. `receipt`
- **2024-03-28** Received from House, Passed on First Consideration `introduction`
- **2024-04-01** Passed Senate, Ayes 31, Nays 0 `passage`
- **2024-04-01** Amendment withdrawn. (Amendment 1 - SA0813)
- **2024-04-01** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2024-04-03** Enrolled; ready for sig. of H. Speaker. `enrolled`
- **2024-04-04** Signed by H. Speaker `passage`
- **2024-04-08** Signed by Senate Speaker `passage`
- **2024-04-10** Transmitted to Governor for his action. `executive-receipt`
- **2024-04-22** Signed by Governor. `executive-signature`
- **2024-05-01** Effective date(s) 04/22/2024
- **2024-05-01** Pub. Ch. 756

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/36817c90-1fdf-41bb-89f1-b4aa62b81a62`. Confidence: reported (aggregated from official Tennessee legislature records).