---
type: "Bill"
title: "Hospitals and Health Care Facilities - As enacted, establishes regulations regarding the licensing and regulating of certain medically related facilities. - Amends TCA Title 4; Title 33; Title 68 and Title 71."
description: "Hospitals and Health Care Facilities - As enacted, establishes regulations regarding the licensing and regulating of certain medically related facilities. - Amends TCA Title 4; Title 33; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "113"
identifier: "SB 858"
citation: "Tennessee SB 858 (113)"
classification: ["bill"]
subjects: ["Hospitals and Health Care Facilities"]
status: "enacted"
primary_sponsors: ["Reeves"]
version_count: 5
action_count: 29
vote_count: 3
first_action: "2023-01-31"
last_action: "2023-05-24"
source: "openstates"
source_identifier: "ocd-bill/3621482f-8220-4a67-af90-03e47041bcb1"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0858&GA=113"
source_hash: "f66f15d441e218c1337b031ab52589fdb22618603300011d77c57f7d057e2bc9"
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 858 (113) — Hospitals and Health Care Facilities - As enacted, establishes regulations regarding the licensing and regulating of certain medically related facilities. - Amends TCA Title 4; Title 33; Title 68 and Title 71.

## Version chain

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

1. **Amendment HA0324** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0324.pdf)
2. **Amendment HA0325** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/HA0325.pdf)
3. **Amendment SA0324** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0324.pdf)
4. **Amendment SA0325** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Amend/SA0325.pdf)
5. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/113/Bill/SB0858.pdf)

## Votes

- FLOOR VOTE: as Amended Third Consideration 4/3/2023 Passed (1) — **32–0** (pass) · upper
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/22/2023 Passed (2) — **9–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR 2 PASSAGE ON THIRD CONSIDERATION 4/20/2023 Passed (1) — **93–0** (pass) · lower

## Sponsors

- Reeves — primary (person)

## Timeline

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

- **2023-01-31** Filed for introduction `filing`
- **2023-02-02** Introduced, Passed on First Consideration `introduction`
- **2023-02-06** Passed on Second Consideration, refer to Senate Health and Welfare Committee `passage`
- **2023-02-15** Placed on Senate Health and Welfare Committee calendar for 2/22/2023
- **2023-02-22** Action deferred in Senate Health and Welfare Committee to 3/8/2023
- **2023-03-01** Placed on Senate Health and Welfare Committee calendar for 3/8/2023
- **2023-03-08** Placed on Senate Health and Welfare Committee calendar for 3/15/2023
- **2023-03-08** Action deferred in Senate Health and Welfare Committee to 3/15/2023
- **2023-03-15** Placed on Senate Health and Welfare Committee calendar for 3/22/2023
- **2023-03-15** Action deferred in Senate Health and Welfare Committee to 3/22/2023
- **2023-03-22** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2023-03-31** Placed on Senate Regular Calendar for 4/3/2023
- **2023-04-03** Sponsor(s) Added. `sponsorship`
- **2023-04-03** Passed Senate as amended, Ayes 32, Nays 0 `passage`
- **2023-04-03** Senate adopted Amendment (Amendment 1 - SA0324)
- **2023-04-03** Senate adopted Amendment (Amendment 2 - SA0325)
- **2023-04-04** Engrossed; ready for transmission to House `receipt`
- **2023-04-06** Rcvd. from S., held on H. desk.
- **2023-04-20** Passed H., Ayes 93, Nays 0, PNV 1 `passage`
- **2023-04-20** Am. withdrawn. (Amendment 2 - HA0325) `amendment-withdrawal`
- **2023-04-20** Am. withdrawn. (Amendment 1 - HA0324) `amendment-withdrawal`
- **2023-04-20** Subst. for comp. HB. `substitution`
- **2023-04-28** Enrolled and ready for signatures `enrolled`
- **2023-05-03** Signed by Senate Speaker `passage`
- **2023-05-05** Signed by H. Speaker `passage`
- **2023-05-09** Transmitted to Governor for action. `executive-receipt`
- **2023-05-17** Signed by Governor. `executive-signature`
- **2023-05-24** Effective date(s) 05/17/2023, 07/01/2023, 07/01/2024
- **2023-05-24** Pub. Ch. 466

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3621482f-8220-4a67-af90-03e47041bcb1`. Confidence: reported (aggregated from official Tennessee legislature records).