---
type: "Bill"
title: "Health Care - As enacted, makes changes to law relative to the Alzheimer's and dementia respite care program. - Amends TCA Title 4 and Title 71."
description: "Health Care - As enacted, makes changes to law relative to the Alzheimer's and dementia respite care program. - Amends TCA Title 4 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "113"
identifier: "SB 678"
citation: "Tennessee SB 678 (113)"
classification: ["bill"]
subjects: ["Health Care"]
status: "enacted"
primary_sponsors: ["Reeves"]
version_count: 3
action_count: 21
vote_count: 3
first_action: "2023-01-26"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/5a192985-f29b-4879-a8c2-5bf54cfeb604"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0678&GA=113"
source_hash: "9eda1a07c25a89233ff992eb532c0461898ce03ba7d4bf8b1777f12e42338edf"
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 678 (113) — Health Care - As enacted, makes changes to law relative to the Alzheimer's and dementia respite care program. - Amends TCA Title 4 and Title 71.

## Version chain

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

1. **Amendment HA0327** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0327.pdf)
2. **Amendment SA0222** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0222.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/SB0678.pdf)

## Votes

- FLOOR VOTE: as Amended Third Consideration 3/23/2023 Passed (1) — **29–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/10/2023 Passed (1) — **96–0** (pass) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/15/2023 Passed (2) — **9–0** (pass) · upper

## Sponsors

- Reeves — primary (person)

## Timeline

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

- **2023-01-26** Filed for introduction `filing`
- **2023-01-30** Introduced, Passed on First Consideration `introduction`
- **2023-02-02** Passed on Second Consideration, refer to Senate Health and Welfare Committee `passage`
- **2023-03-08** Placed on Senate Health and Welfare Committee calendar for 3/15/2023
- **2023-03-15** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2023-03-16** Sponsor(s) Added. `sponsorship`
- **2023-03-21** Placed on Senate Regular Calendar for 3/23/2023
- **2023-03-23** Engrossed; ready for transmission to House `receipt`
- **2023-03-23** Passed Senate as amended, Ayes 29, Nays 0 `passage`
- **2023-03-23** Senate adopted Amendment (Amendment 1 - SA0222)
- **2023-03-27** Rcvd. from S., held on H. desk.
- **2023-04-10** Passed H., Ayes 96, Nays 0, PNV 0 `passage`
- **2023-04-10** Am. withdrawn. (Amendment 1 - HA0327) `amendment-withdrawal`
- **2023-04-10** Subst. for comp. HB. `substitution`
- **2023-04-11** Enrolled and ready for signatures `enrolled`
- **2023-04-12** Signed by H. Speaker `passage`
- **2023-04-12** Signed by Senate Speaker `passage`
- **2023-04-13** Transmitted to Governor for action. `executive-receipt`
- **2023-04-25** Signed by Governor. `executive-signature`
- **2023-05-03** Effective date(s) 04/25/2023
- **2023-05-03** Pub. Ch. 221

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5a192985-f29b-4879-a8c2-5bf54cfeb604`. Confidence: reported (aggregated from official Tennessee legislature records).