---
type: "Bill"
title: "Health Care - As enacted, enacts the \"Fertility Treatment and Contraceptive Protection Act.\" - Amends TCA Title 63 and Title 68."
description: "Health Care - As enacted, enacts the \"Fertility Treatment and Contraceptive Protection Act.\" - Amends TCA Title 63 and Title 68."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 449"
citation: "Tennessee SB 449 (114)"
classification: ["bill"]
subjects: ["Health Care"]
status: "enacted"
primary_sponsors: ["Massey"]
version_count: 6
action_count: 30
vote_count: 8
first_action: "2025-01-29"
last_action: "2025-04-29"
source: "openstates"
source_identifier: "ocd-bill/7761531d-9f4a-423a-bf86-cf77b5b959e9"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB0449&ga=114"
source_hash: "64c174cdc88fca23fa36bc3fbc882eb39968ec2dd31fc3b541db03940f6c5b5c"
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 449 (114) — Health Care - As enacted, enacts the "Fertility Treatment and Contraceptive Protection Act." - Amends TCA Title 63 and Title 68.

## Version chain

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

1. **Amendment HA0183** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0183.pdf)
2. **Amendment HA0312** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0312.pdf)
3. **Amendment HA0317** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0317.pdf)
4. **Amendment HA0357** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0357.pdf)
5. **Amendment SA0107** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0107.pdf)
6. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB0449.pdf)

## Votes

- FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/10/2025 Failed — **51–47** (fail) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/12/2025 Passed (2) — **9–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PREVIOUS QUESTION AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/10/2025 Passed — **72–26** (pass) · lower
- FLOOR VOTE: Motion to Concur House Amendment # 4 4/14/2025 Passed — **27–3** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 3/17/2025 Passed (1) — **29–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 4 BY LAMBERTH PASSAGE ON THIRD CONSIDERATION 4/10/2025 Passed — **82–16** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/10/2025 Passed — **54–37** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR LAY ON THE TABLE MOTION TO ADOPT AMENDMENT # 2 BY BULSO PASSAGE ON THIRD CONSIDERATION 4/10/2025 Passed — **65–31** (pass) · lower

## Sponsors

- Massey — primary (person)

## Timeline

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

- **2025-01-29** Filed for introduction `filing`
- **2025-02-10** Introduced, Passed on First Consideration `introduction`
- **2025-02-12** Passed on Second Consideration, refer to Senate Health and Welfare Committee `referral-committee`
- **2025-03-05** Placed on Senate Health and Welfare Committee calendar for 3/12/2025
- **2025-03-11** Sponsor(s) Added. `sponsorship`
- **2025-03-12** Sponsor(s) Added. `sponsorship`
- **2025-03-12** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2025-03-14** Placed on Senate Regular Calendar for 3/17/2025
- **2025-03-17** Engrossed; ready for transmission to House `receipt`
- **2025-03-17** Passed Senate as amended, Ayes 29, Nays 0 `passage`
- **2025-03-17** Senate adopted Amendment (Amendment 1 - SA0107)
- **2025-03-17** Sponsor(s) Added. `sponsorship`
- **2025-03-18** Sponsor(s) Added. `sponsorship`
- **2025-03-20** Rcvd. from S., held on H. desk.
- **2025-04-10** Passed H., as am., Ayes 54, Nays 37, PNV 8 `passage`
- **2025-04-10** Am. withdrawn. (Amendment 1 - HA0183) `amendment-withdrawal`
- **2025-04-10** H. adopted am. (Amendment 4 - HA0357) `amendment-passage`
- **2025-04-10** Am. withdrawn. (Amendment 3 - HA0317) `amendment-withdrawal`
- **2025-04-10** Am. tabled. (Amendment 2 - HA0312) `amendment-deferral`
- **2025-04-10** Subst. for comp. HB. `substitution`
- **2025-04-11** Placed on Senate Message Calendar for 4/14/2025
- **2025-04-14** Sponsor(s) Added. `sponsorship`
- **2025-04-14** Concurred, Ayes 27, Nays 3 (Amendment 4 - HA0357) `passage`
- **2025-04-16** Enrolled and ready for signatures `enrolled`
- **2025-04-17** Signed by Senate Speaker `passage`
- **2025-04-21** Transmitted to Governor for action. `executive-receipt`
- **2025-04-21** Signed by H. Speaker `passage`
- **2025-04-24** Signed by Governor. `executive-signature`
- **2025-04-29** Effective date(s) 07/01/2025
- **2025-04-29** Pub. Ch. 247

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7761531d-9f4a-423a-bf86-cf77b5b959e9`. Confidence: reported (aggregated from official Tennessee legislature records).