---
type: "Bill"
title: "Death - As enacted, authorizes, as of January 1, 2027, a licensed paramedic to make an actual determination and pronouncement of death; makes related changes. - Amends TCA Title 4; Title 29; Title 33; Title 56; Title 63; Title 68 and Title 71."
description: "Death - As enacted, authorizes, as of January 1, 2027, a licensed paramedic to make an actual determination and pronouncement of death; makes related changes. - Amends TCA Title 4; Title 29; Title 33; Title 56; Title 63; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 343"
citation: "Tennessee SB 343 (114)"
classification: ["bill"]
subjects: ["Death"]
status: "enacted"
primary_sponsors: ["Bailey"]
version_count: 3
action_count: 30
vote_count: 4
first_action: "2025-01-28"
last_action: "2026-05-18"
source: "openstates"
source_identifier: "ocd-bill/b9a7a5b8-a05d-4e05-8824-8d7a5ff6ae1a"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB0343&ga=114"
source_hash: "7c61086a95111625b832b7c882f0e30033b57b4018ad96065a21f7cf21e4dfb7"
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 343 (114) — Death - As enacted, authorizes, as of January 1, 2027, a licensed paramedic to make an actual determination and pronouncement of death; makes related changes. - Amends TCA Title 4; Title 29; Title 33; Title 56; Title 63; Title 68 and Title 71.

## Version chain

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

1. **Amendment HA0803** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0803.pdf)
2. **Amendment SA0783** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0783.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB0343.pdf)

## Votes

- FLOOR VOTE: as Amended Third Consideration 3/30/2026 Passed — **33–0** (pass) · upper
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 7, Nays 1 PNV 0 3/18/2026 Passed — **7–1** (pass) · upper
- FLOOR VOTE: Motion to Concur House Amendment # 1 4/20/2026 Passed — **32–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2026 Passed — **92–2** (pass) · lower

## Sponsors

- Bailey — primary (person)

## Timeline

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

- **2025-01-28** Filed for introduction `filing`
- **2025-02-10** Introduced, Passed on First Consideration `introduction`
- **2025-02-12** Passed on Second Consideration, refer to Senate Commerce and Labor Committee `referral-committee`
- **2026-02-27** Sponsor change. `sponsorship`
- **2026-03-02** Refer to Senate Health & Welfare Committee
- **2026-03-02** Recalled from Senate Commerce & Labor Committee
- **2026-03-04** Placed on Senate Health and Welfare Committee calendar for 3/11/2026
- **2026-03-11** Placed on Senate Health and Welfare Committee calendar for 3/17/2026
- **2026-03-11** Action deferred in Senate Health and Welfare Committee to 3/18/2026
- **2026-03-17** Placed on Senate Health and Welfare Committee calendar for 3/18/2026
- **2026-03-17** Action deferred in Senate Health and Welfare Committee to 3/18/2026
- **2026-03-18** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 7, Nays 1 PNV 0
- **2026-03-27** Placed on Senate Regular Calendar for 3/30/2026
- **2026-03-30** Engrossed; ready for transmission to House `receipt`
- **2026-03-30** Sponsor(s) Added. `sponsorship`
- **2026-03-30** Passed Senate as amended, Ayes 33, Nays 0 `passage`
- **2026-03-30** Senate adopted Amendment (Amendment 1 - SA0783)
- **2026-04-02** Rcvd. from S., held on H. desk.
- **2026-04-16** Passed H., as am., Ayes 92, Nays 2, PNV 0 `passage`
- **2026-04-16** H. adopted am. (Amendment 1 - HA0803) `amendment-passage`
- **2026-04-16** Subst. for comp. HB. `substitution`
- **2026-04-17** Placed on Senate Message Calendar for 4/20/2026
- **2026-04-20** Concurred, Ayes 32, Nays 0 (Amendment 1 - HA0803) `passage`
- **2026-04-23** Enrolled and ready for signatures `enrolled`
- **2026-04-23** Signed by Senate Speaker `passage`
- **2026-05-01** Signed by H. Speaker `passage`
- **2026-05-05** Transmitted to Governor for action. `executive-receipt`
- **2026-05-13** Signed by Governor. `executive-signature`
- **2026-05-18** Effective date(s) 05/13/2026, 01/01/2027
- **2026-05-18** Pub. Ch. 965

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b9a7a5b8-a05d-4e05-8824-8d7a5ff6ae1a`. Confidence: reported (aggregated from official Tennessee legislature records).