---
type: "Bill"
title: "General Assembly, Statement of Intent or Position - Recognizes doulas as vital birth and community health workers. -"
description: "General Assembly, Statement of Intent or Position - Recognizes doulas as vital birth and community health workers. -"
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "HJR 4"
citation: "Tennessee HJR 4 (112)"
classification: ["joint resolution"]
subjects: ["General Assembly", "Statement of Intent or Position"]
status: "enacted"
primary_sponsors: ["Lamar"]
version_count: 1
action_count: 23
vote_count: 5
first_action: "2020-12-15"
last_action: "2021-03-25"
source: "openstates"
source_identifier: "ocd-bill/894a3c7e-4740-464f-a400-89e7aa76a723"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HJR0004&GA=112"
source_hash: "269bd882c633131af62e2d8fe7ca44c77d72fe7412ee70b52c425b500642ae99"
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 HJR 4 (112) — General Assembly, Statement of Intent or Position - Recognizes doulas as vital birth and community health workers. -

## Version chain

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

1. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/HJR0004.pdf)

## Votes

- FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT 3/15/2021 Passed — **86–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/15/2021 3/11/2021 (1) — **0–0** (fail) · lower
- FLOOR VOTE: Motion to Adopt 3/22/2021 Passed (1) — **32–0** (pass) · upper
- HOUSE HEALTH SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 2/23/2021 (3) — **0–0** (pass) · lower
- HOUSE HEALTH COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/3/2021 (2) — **0–0** (pass) · lower

## Sponsors

- Lamar — primary (person)

## Timeline

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

- **2020-12-15** Filed for introduction `introduction, reading-1`
- **2021-01-12** Intro., ref. to Health Committee `referral-committee`
- **2021-01-27** Assigned to s/c Health Subcommittee `referral-committee`
- **2021-02-10** Placed on s/c cal Health Subcommittee for 2/16/2021
- **2021-02-16** Meeting Canceled
- **2021-02-17** Placed on s/c cal Health Subcommittee for 2/23/2021
- **2021-02-23** Rec. for pass by s/c ref. to Health Committee `committee-passage-favorable`
- **2021-02-24** Placed on cal. Health Committee for 3/3/2021
- **2021-03-03** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2021-03-10** Placed on cal. Calendar & Rules Committee for 3/11/2021
- **2021-03-11** H. Placed on Regular Calendar for 3/15/2021
- **2021-03-15** Adopted, Ayes 86, Nays 0, PNV 1 `passage`
- **2021-03-15** Sponsor(s) Added.
- **2021-03-16** Engrossed; ready for transmission to Sen.
- **2021-03-16** Sponsor(s) Added.
- **2021-03-18** Placed on Senate Consent Calendar for 3/22/2021
- **2021-03-18** Received from House, refer to Senate Calendar Committee `introduction`
- **2021-03-22** Concurred, Ayes 32, Nays 0 `passage`
- **2021-03-24** Signed by Senate Speaker
- **2021-03-24** Signed by H. Speaker
- **2021-03-24** Enrolled; ready for sig. of H. Speaker.
- **2021-03-25** Signed by Governor. `executive-signature`
- **2021-03-25** Transmitted to Governor for his action. `executive-receipt`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/894a3c7e-4740-464f-a400-89e7aa76a723`. Confidence: reported (aggregated from official Tennessee legislature records).