---
type: "Bill"
title: "Drugs, Prescription - As enacted, requires a healthcare prescriber to offer a prescription for an opioid antagonist, or another drug approved for complete or partial reversal of an opioid overdose event, to each patient prescribed an opioid, if certain conditions are present; authorizes imposition of civil penalty against a person who violates the requirement to offer such a drug; provides exception for opioid prescriptions to palliative care patients. - Amends TCA Title 53 and Title 63."
description: "Drugs, Prescription - As enacted, requires a healthcare prescriber to offer a prescription for an opioid antagonist, or another drug approved for complete or partial reversal of an opioid overdose event, to each patient prescribed an opioid, if certain conditions are present; authorizes imposition of civil penalty against a person who violates the requirement to offer such a drug; provides exception for opioid prescriptions to palliative care patients. - Amends TCA Title 53 and Title 63."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "SB 2465"
citation: "Tennessee SB 2465 (112)"
classification: ["bill"]
subjects: ["Drugs", "Prescription"]
status: "enacted"
primary_sponsors: ["Ramsey", "Reeves"]
version_count: 3
action_count: 50
vote_count: 8
first_action: "2022-01-31"
last_action: "2022-06-01"
source: "openstates"
source_identifier: "ocd-bill/22995534-45fb-4db4-b1f1-280af6e48d6f"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2465&GA=112"
source_hash: "718fd202a24872b24808adcdd0571fd6752881cf63a15812844550e1e574b718"
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 2465 (112) — Drugs, Prescription - As enacted, requires a healthcare prescriber to offer a prescription for an opioid antagonist, or another drug approved for complete or partial reversal of an opioid overdose event, to each patient prescribed an opioid, if certain conditions are present; authorizes imposition of civil penalty against a person who violates the requirement to offer such a drug; provides exception for opioid prescriptions to palliative care patients. - Amends TCA Title 53 and Title 63.

## Version chain

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

1. **Amendment HA0851** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0851.pdf)
2. **Amendment SA0741** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0741.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB2465.pdf)

## Votes

- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0 3/23/2022 Passed (2) — **8–0** (pass) · upper
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/30/2022 (5) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/25/2022 4/20/2022 (2) — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/19/2022 (3) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/25/2022 Passed (1) — **56–32** (pass) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/13/2022 (4) — **0–0** (pass) · lower
- HOUSE HEALTH SUBCOMMITTEE: Rec for pass if am by s/c ref. to Health Committee 3/22/2022 (6) — **0–0** (fail) · lower
- FLOOR VOTE: Third Consideration 4/27/2022 Passed (1) — **31–1** (pass) · upper

## Sponsors

- Ramsey — primary (person)
- Reeves — primary (person)

## Timeline

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

- **2022-01-31** Filed for introduction `introduction, reading-1`
- **2022-02-02** Filed for introduction `introduction, reading-1`
- **2022-02-02** Intro., P1C. `introduction`
- **2022-02-03** Introduced, Passed on First Consideration `introduction`
- **2022-02-03** P2C, ref. to Health Committee `referral-committee`
- **2022-02-07** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2022-02-07** Assigned to s/c Health Subcommittee `referral-committee`
- **2022-02-11** Sponsor(s) Added.
- **2022-02-23** Placed on s/c cal Health Subcommittee for 3/1/2022
- **2022-03-01** No Action Taken
- **2022-03-02** Placed on s/c cal Health Subcommittee for 3/8/2022
- **2022-03-08** Action Def. in s/c Health Subcommittee to 3/15/2022
- **2022-03-09** Placed on s/c cal Health Subcommittee for 3/15/2022
- **2022-03-15** Action Def. in s/c Health Subcommittee to 3/22/2022
- **2022-03-16** Placed on Senate Health and Welfare Committee calendar for 3/23/2022
- **2022-03-16** Placed on s/c cal Health Subcommittee for 3/22/2022
- **2022-03-22** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
- **2022-03-23** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0
- **2022-03-23** Placed on cal. Health Committee for 3/30/2022
- **2022-03-24** Sponsor(s) Added.
- **2022-03-30** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/6/2022
- **2022-03-30** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2022-03-30** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2022-04-06** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/13/2022
- **2022-04-06** Action Def. in s/c Finance, Ways, and Means Subcommittee to 4/13/2022
- **2022-04-13** Placed on cal. Finance, Ways, and Means Committee for 4/19/2022
- **2022-04-13** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2022-04-14** Placed on cal. Finance, Ways, and Means Committee for 4/19/2022
- **2022-04-19** Placed on cal. Calendar & Rules Committee for 4/20/2022
- **2022-04-19** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2022-04-20** H. Placed on Regular Calendar for 4/25/2022
- **2022-04-25** Passed H., as am., Ayes 56, Nays 32, PNV 1 `passage`
- **2022-04-25** Sponsor(s) Added.
- **2022-04-25** H. adopted am. (Amendment 1 - HA0851) `amendment-passage`
- **2022-04-26** Placed on Senate Regular Calendar 2 for 4/27/2022
- **2022-04-26** Engrossed; ready for transmission to Sen.
- **2022-04-27** Companion House Bill substituted
- **2022-04-27** Passed Senate, Ayes 31, Nays 1 `passage`
- **2022-04-27** Amendment withdrawn. (Amendment 1 - SA0741)
- **2022-04-27** Senate substituted House Bill for companion Senate Bill.
- **2022-04-27** Received from House, Passed on First Consideration `introduction`
- **2022-04-28** Sponsor(s) Added.
- **2022-05-02** Enrolled; ready for sig. of H. Speaker.
- **2022-05-04** Signed by H. Speaker
- **2022-05-12** Signed by Senate Speaker
- **2022-05-16** Transmitted to Governor for his action. `executive-receipt`
- **2022-05-25** Signed by Governor. `executive-signature`
- **2022-06-01** Comp. became Pub. Ch. 1061
- **2022-06-01** Effective date(s) 07/01/2022
- **2022-06-01** Pub. Ch. 1061

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/22995534-45fb-4db4-b1f1-280af6e48d6f`. Confidence: reported (aggregated from official Tennessee legislature records).