---
type: "Bill"
title: "Disability and Aging, Dept. Of - As enacted, directs the commissioner and the director of TennCare to develop guidelines for service providers for hiring qualified family members as a family caregiver; specifies that the department and the bureau of TennCare shall not prohibit qualified individuals from employment as a family caregiver at a service provider agency based on certain listed criteria. - Amends TCA Title 52 and Title 71."
description: "Disability and Aging, Dept. Of - As enacted, directs the commissioner and the director of TennCare to develop guidelines for service providers for hiring qualified family members as a family caregiver; specifies that the department and the bureau of TennCare shall not prohibit qualified individuals from employment as a family caregiver at a service provider agency based on certain listed criteria. - Amends TCA Title 52 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 1178"
citation: "Tennessee SB 1178 (114)"
classification: ["bill"]
subjects: ["Dept. Of", "Disability and Aging"]
status: "enacted"
primary_sponsors: ["Akbari"]
version_count: 3
action_count: 24
vote_count: 3
first_action: "2025-02-06"
last_action: "2025-04-30"
source: "openstates"
source_identifier: "ocd-bill/9ee99c63-fe99-4fcd-bee7-d4298b1c6d8c"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB1178&ga=114"
source_hash: "2b6179c262644893e8c3ccb66bf8cda5451f6ab773fcb1f76c15d243e278bed6"
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 1178 (114) — Disability and Aging, Dept. Of - As enacted, directs the commissioner and the director of TennCare to develop guidelines for service providers for hiring qualified family members as a family caregiver; specifies that the department and the bureau of TennCare shall not prohibit qualified individuals from employment as a family caregiver at a service provider agency based on certain listed criteria. - Amends TCA Title 52 and Title 71.

## Version chain

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

1. **Amendment HA0082** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0082.pdf)
2. **Amendment SA0105** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0105.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB1178.pdf)

## Votes

- 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: as Amended Third Consideration 3/24/2025 Passed (1) — **31–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/31/2025 Passed (1) — **94–0** (pass) · lower

## Sponsors

- Akbari — primary (person)

## Timeline

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

- **2025-02-06** 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`
- **2025-02-26** Placed on Senate Health and Welfare Committee calendar for 3/5/2025
- **2025-03-05** Placed on Senate Health and Welfare Committee calendar for 3/12/2025
- **2025-03-05** Action deferred in Senate Health and Welfare Committee to 3/12/2025
- **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
- **2025-03-21** Placed on Senate Regular Calendar for 3/24/2025
- **2025-03-24** Sponsor(s) Added. `sponsorship`
- **2025-03-24** Engrossed; ready for transmission to House `receipt`
- **2025-03-24** Passed Senate as amended, Ayes 31, Nays 0 `passage`
- **2025-03-24** Senate adopted Amendment (Amendment 1 - SA0105)
- **2025-03-27** Rcvd. from S., held on H. desk.
- **2025-03-31** Passed H., Ayes 94, Nays 0, PNV 0 `passage`
- **2025-03-31** Am. withdrawn. (Amendment 1 - HA0082) `amendment-withdrawal`
- **2025-03-31** Subst. for comp. HB. `substitution`
- **2025-04-01** Enrolled and ready for signatures `enrolled`
- **2025-04-02** Signed by H. Speaker `passage`
- **2025-04-02** Signed by Senate Speaker `passage`
- **2025-04-03** Transmitted to Governor for action. `executive-receipt`
- **2025-04-11** Signed by Governor. `executive-signature`
- **2025-04-30** Effective date(s) 04/11/2025, 07/01/2025
- **2025-04-30** Pub. Ch. 182

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9ee99c63-fe99-4fcd-bee7-d4298b1c6d8c`. Confidence: reported (aggregated from official Tennessee legislature records).