---
type: "Bill"
title: "Nurses, Nursing - As enacted, restricts the use of the title \"nurse\" to those actively licensed or certified by the board of nursing; revises the provisions governing the board of nursing's enjoining violations of practicing nursing without a license. - Amends TCA Title 55, Chapter 8; Title 55, Chapter 9, Part 4 and Title 63."
description: "Nurses, Nursing - As enacted, restricts the use of the title \"nurse\" to those actively licensed or certified by the board of nursing; revises the provisions governing the board of nursing's enjoining violations of practicing nursing without a license. - Amends TCA Title 55, Chapter 8; Title 55, Chapter 9, Part 4 and Title 63."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "HB 422"
citation: "Tennessee HB 422 (111)"
classification: ["bill"]
subjects: ["Nurses", "Nursing"]
status: "enacted"
primary_sponsors: ["Hensley", "Smith"]
version_count: 3
action_count: 38
vote_count: 6
first_action: "2019-01-31"
last_action: "2019-05-09"
source: "openstates"
source_identifier: "ocd-bill/411f5ef6-0353-441e-8602-5d9c629b1874"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0422&GA=111"
source_hash: "53eaa6de9c0721a69794bb6ab80df2246cea84ba08950cd421c76a2f72b320ac"
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 HB 422 (111) — Nurses, Nursing - As enacted, restricts the use of the title "nurse" to those actively licensed or certified by the board of nursing; revises the provisions governing the board of nursing's enjoining violations of practicing nursing without a license. - Amends TCA Title 55, Chapter 8; Title 55, Chapter 9, Part 4 and Title 63.

## Version chain

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

1. **Amendment HA0034** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0034.pdf)
2. **Amendment SA0308** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0308.pdf)
3. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/HB0422.pdf)

## Votes

- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/14/2019 Passed (1) — **94–1** (pass) · lower
- HOUSE FACILITIES, LICENSURE, & REGULATIONS SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 2/26/2019 (4) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/14/2019 3/7/2019 (2) — **0–0** (fail) · lower
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Calendar & Rules Committee 3/5/2019 (3) — **0–0** (pass) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 4/10/2019 Passed (2) — **9–0** (pass) · upper
- FLOOR VOTE: Third Consideration 4/17/2019 Passed (1) — **29–0** (pass) · upper

## Sponsors

- Hensley — primary (person)
- Smith — primary (person)

## Timeline

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

- **2019-01-31** Filed for introduction `reading-1, introduction`
- **2019-02-04** Intro., P1C. `introduction`
- **2019-02-05** Filed for introduction `reading-1, introduction`
- **2019-02-06** Assigned to s/c Facilities, Licensure, & Regulations Subcommittee `referral-committee`
- **2019-02-06** P2C, ref. to Health Committee `referral-committee`
- **2019-02-06** Introduced, Passed on First Consideration `introduction`
- **2019-02-07** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2019-02-20** Placed on s/c cal Facilities, Licensure, & Regulations Subcommittee for 2/26/2019
- **2019-02-26** Rec. for pass by s/c ref. to Health Committee `committee-passage-favorable`
- **2019-02-27** Placed on cal. Health Committee for 3/5/2019
- **2019-03-05** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
- **2019-03-06** Placed on cal. Calendar & Rules Committee for 3/7/2019
- **2019-03-07** H. Placed on Regular Calendar for 3/14/2019
- **2019-03-13** Placed on Senate Health and Welfare Committee calendar for 3/20/2019
- **2019-03-14** Engrossed; ready for transmission to Sen.
- **2019-03-14** Passed H., as am., Ayes 94, Nays 1, PNV 1 `passage`
- **2019-03-14** H. adopted am. (Amendment 1 - HA0034) `amendment-passage`
- **2019-03-18** Received from House, Passed on First Consideration `introduction`
- **2019-03-20** Placed on Senate Health and Welfare Committee calendar for 3/27/2019
- **2019-03-20** Action deferred in Senate Health and Welfare Committee to 3/27/2019
- **2019-03-27** Placed on Senate Health and Welfare Committee calendar for 4/3/2019
- **2019-03-27** Action deferred in Senate Health and Welfare Committee to 4/3/2019
- **2019-04-03** Action deferred in Senate Health and Welfare Committee to 4/10/2019
- **2019-04-04** Placed on Senate Health and Welfare Committee calendar for 4/10/2019
- **2019-04-10** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2019-04-15** Placed on Senate Regular Calendar for 4/17/2019
- **2019-04-17** Passed Senate as amended, Ayes 29, Nays 0, PNV 1 `passage`
- **2019-04-17** Amendment withdrawn. (Amendment 1 - SA0308)
- **2019-04-17** Senate substituted House Bill for companion Senate Bill.
- **2019-04-17** Companion House Bill substituted
- **2019-04-18** Enrolled; ready for sig. of H. Speaker.
- **2019-04-23** Signed by Senate Speaker
- **2019-04-23** Signed by H. Speaker
- **2019-04-25** Transmitted to Governor for his action. `executive-receipt`
- **2019-05-02** Signed by Governor. `executive-signature`
- **2019-05-09** Pub. Ch. 245
- **2019-05-09** Effective date(s) 05/02/2019
- **2019-05-09** Comp. became Pub. Ch. 245

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/411f5ef6-0353-441e-8602-5d9c629b1874`. Confidence: reported (aggregated from official Tennessee legislature records).