---
type: "Bill"
title: "Physicians and Surgeons - As enacted, enacts the \"Topical Medical Waste Reduction Act of 2023,\" which establishes certain regulations of facility-provided medications. - Amends TCA Title 53; Title 63 and Title 68."
description: "Physicians and Surgeons - As enacted, enacts the \"Topical Medical Waste Reduction Act of 2023,\" which establishes certain regulations of facility-provided medications. - Amends TCA Title 53; Title 63 and Title 68."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "113"
identifier: "SB 523"
citation: "Tennessee SB 523 (113)"
classification: ["bill"]
subjects: ["Physicians and Surgeons"]
status: "enacted"
primary_sponsors: ["Jackson"]
version_count: 3
action_count: 24
vote_count: 4
first_action: "2023-01-25"
last_action: "2023-04-18"
source: "openstates"
source_identifier: "ocd-bill/0ab0c15e-1721-44df-94fd-9ffeb9e10c5a"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0523&GA=113"
source_hash: "8cc2d7ff5aa4ca9fbf215b4b81564805fe79f260da4d8687db0b418fac211b00"
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 523 (113) — Physicians and Surgeons - As enacted, enacts the "Topical Medical Waste Reduction Act of 2023," which establishes certain regulations of facility-provided medications. - Amends TCA Title 53; Title 63 and Title 68.

## Version chain

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

1. **Amendment HA0072** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0072.pdf)
2. **Amendment SA0047** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0047.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/SB0523.pdf)

## Votes

- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 2/22/2023 Passed (2) — **9–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/16/2023 Passed — **89–0** (pass) · lower
- FLOOR VOTE: Motion to Concur House Amendment No. 1 3/23/2023 Passed — **29–0** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 2/27/2023 Passed (1) — **32–0** (pass) · upper

## Sponsors

- Jackson — primary (person)

## Timeline

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

- **2023-01-25** Filed for introduction `filing`
- **2023-01-26** Introduced, Passed on First Consideration `introduction`
- **2023-01-30** Passed on Second Consideration, refer to Senate Health and Welfare Committee `passage`
- **2023-01-31** Sponsor(s) Added. `sponsorship`
- **2023-02-15** Placed on Senate Health and Welfare Committee calendar for 2/22/2023
- **2023-02-22** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2023-02-24** Placed on Senate Regular Calendar for 2/27/2023
- **2023-02-27** Engrossed; ready for transmission to House `receipt`
- **2023-02-27** Passed Senate as amended, Ayes 32, Nays 0 `passage`
- **2023-02-27** Senate adopted Amendment (Amendment 1 - SA0047)
- **2023-02-28** Sponsor(s) Added. `sponsorship`
- **2023-03-02** Rcvd. from S., held on H. desk.
- **2023-03-16** Passed H., as am., Ayes 89, Nays 0, PNV 0 `passage`
- **2023-03-16** H. adopted am. (Amendment 1 - HA0072) `amendment-passage`
- **2023-03-16** Subst. for comp. HB. `substitution`
- **2023-03-21** Placed on Senate Message Calendar for 3/23/2023
- **2023-03-23** Concurred, Ayes 29, Nays 0 (Amendment 1 - HA0072) `passage`
- **2023-03-24** Enrolled and ready for signatures `enrolled`
- **2023-03-29** Signed by Senate Speaker `passage`
- **2023-04-04** Transmitted to Governor for action. `executive-receipt`
- **2023-04-04** Signed by H. Speaker `passage`
- **2023-04-13** Signed by Governor. `executive-signature`
- **2023-04-18** Effective date(s) 04/13/2023
- **2023-04-18** Pub. Ch. 150

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0ab0c15e-1721-44df-94fd-9ffeb9e10c5a`. Confidence: reported (aggregated from official Tennessee legislature records).