---
type: "Bill"
title: "Medical Occupations - As enacted, allows a physician assistant to delegate medication administration to a certified medical assistant; adds categories of medications to the list of medications that a certified medical assistant is authorized to administer or prepare, and makes other related changes. - Amends TCA Title 63; Title 68, Chapter 11, Part 2 and Chapter 1042 of the Public Acts of 2024."
description: "Medical Occupations - As enacted, allows a physician assistant to delegate medication administration to a certified medical assistant; adds categories of medications to the list of medications that a certified medical assistant is authorized to administer or prepare, and makes other related changes. - Amends TCA Title 63; Title 68, Chapter 11, Part 2 and Chapter 1042 of the Public Acts of 2024."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "HB 2044"
citation: "Tennessee HB 2044 (114)"
classification: ["bill"]
subjects: ["Medical Occupations"]
status: "enacted"
primary_sponsors: ["Marsh"]
version_count: 3
action_count: 26
vote_count: 6
first_action: "2026-01-23"
last_action: "2026-04-23"
source: "openstates"
source_identifier: "ocd-bill/0c8e4c40-d71d-4451-88dd-24c08a21bb0b"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=HB2044&ga=114"
source_hash: "7292f46ef26f61086544fe58b361008d98a395cb674e8c5f1a2eb5f3f783c9cc"
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 2044 (114) — Medical Occupations - As enacted, allows a physician assistant to delegate medication administration to a certified medical assistant; adds categories of medications to the list of medications that a certified medical assistant is authorized to administer or prepare, and makes other related changes. - Amends TCA Title 63; Title 68, Chapter 11, Part 2 and Chapter 1042 of the Public Acts of 2024.

## Version chain

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

1. **Amendment HA0595** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0595.pdf)
2. **Amendment SA0596** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0596.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/HB2044.pdf)

## Votes

- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 3/16/2026 3/12/2026 (2) — **0–0** (fail) · lower
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 3/3/2026 Passed — **24–0** (pass) · lower
- FLOOR VOTE: Third Consideration 3/16/2026 Passed (1) — **29–0** (pass) · upper
- HOUSE HEALTH SUBCOMMITTEE: Rec for pass if am by s/c ref. to Health Committee 2/18/2026 Passed — **7–0** (pass) · lower
- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/9/2026 Passed (3) — **11–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/16/2026 Passed (1) — **94–0** (pass) · lower

## Sponsors

- Marsh — primary (person)

## Timeline

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

- **2026-01-23** Filed for introduction `filing`
- **2026-02-02** Intro., P1C. `introduction`
- **2026-02-04** Assigned to s/c Health Subcommittee `referral-committee`
- **2026-02-04** P2C, ref. to Health Committee - Government Operations for Review `referral-committee`
- **2026-02-11** Placed on s/c cal Health Subcommittee for 2/18/2026
- **2026-02-18** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
- **2026-02-25** Placed on cal. Health Committee for 3/3/2026
- **2026-03-03** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
- **2026-03-04** Placed on cal. Government Operations Committee for 3/9/2026
- **2026-03-09** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2026-03-11** Placed on cal. Calendar & Rules Committee for 3/12/2026
- **2026-03-12** H. Placed on Regular Calendar for 3/16/2026
- **2026-03-16** Passed Senate, Ayes 29, Nays 0, PNV 2 `passage`
- **2026-03-16** Amendment withdrawn. (Amendment 1 - SA0596)
- **2026-03-16** Senate substituted House Bill for companion Senate Bill. `substitution`
- **2026-03-16** Received from House, Passed on First Consideration `introduction`
- **2026-03-16** Engrossed; ready for transmission to Sen. `receipt`
- **2026-03-16** Passed H., as am., Ayes 94, Nays 0, PNV 0 `passage`
- **2026-03-16** H. adopted am. (Amendment 1 - HA0595) `amendment-passage`
- **2026-03-17** Enrolled; ready for sig. of H. Speaker. `enrolled`
- **2026-03-24** Signed by Senate Speaker `passage`
- **2026-03-24** Signed by H. Speaker `passage`
- **2026-04-01** Transmitted to Governor for his action. `executive-receipt`
- **2026-04-13** Signed by Governor. `executive-signature`
- **2026-04-23** Effective date(s) 04/13/2026
- **2026-04-23** Pub. Ch. 755

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0c8e4c40-d71d-4451-88dd-24c08a21bb0b`. Confidence: reported (aggregated from official Tennessee legislature records).