---
type: "Bill"
title: "Health Care - As enacted, revises law relative to the operation of acute care hospitals. - Amends TCA Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024."
description: "Health Care - As enacted, revises law relative to the operation of acute care hospitals. - Amends TCA Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 1369"
citation: "Tennessee SB 1369 (114)"
classification: ["bill"]
subjects: ["Health Care"]
status: "enacted"
primary_sponsors: ["Watson"]
version_count: 13
action_count: 46
vote_count: 7
first_action: "2025-02-06"
last_action: "2026-05-18"
source: "openstates"
source_identifier: "ocd-bill/b0404989-f52f-4663-b107-1e3646dcafbc"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB1369&ga=114"
source_hash: "d484da27f17dea678721dbaa3b4b622d33bcc9f2217fbf8ff8eed8b51dc1797d"
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 1369 (114) — Health Care - As enacted, revises law relative to the operation of acute care hospitals. - Amends TCA Title 4; Title 33; Title 68; Title 71 and Chapter 985 of the Public Acts of 2024.

## Version chain

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

1. **Amendment HA0594** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0594.pdf)
2. **Amendment HA0801** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0801.pdf)
3. **Amendment HA0893** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0893.pdf)
4. **Amendment HA1049** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA1049.pdf)
5. **Amendment HA1050** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA1050.pdf)
6. **Amendment HA1071** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA1071.pdf)
7. **Amendment HA1073** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA1073.pdf)
8. **Amendment HA1113** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA1113.pdf)
9. **Amendment HA1126** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA1126.pdf)
10. **Amendment SA0774** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0774.pdf)
11. **Amendment SA0775** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0775.pdf)
12. **Amendment SA0776** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0776.pdf)
13. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB1369.pdf)

## Votes

- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0 3/18/2026 Passed (2) — **8–1** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 8 BY WILLIAMS PASSAGE ON THIRD CONSIDERATION 4/13/2026 Passed — **91–2** (pass) · lower
- FLOOR VOTE: Motion to Concur House Amendment # 8 4/16/2026 Passed — **28–1** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 3/26/2026 Passed (1) — **27–3** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 9 BY GARRETT PASSAGE ON THIRD CONSIDERATION 4/13/2026 Passed — **88–1** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/13/2026 Passed (1) — **84–11** (pass) · lower
- FLOOR VOTE: Motion to Concur House Amendment # 9 4/16/2026 Passed — **26–1** (pass) · upper

## Sponsors

- Watson — primary (person)

## Timeline

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

- **2025-02-06** Filed for introduction `filing`
- **2025-02-10** Sponsor(s) Added. `sponsorship`
- **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`
- **2025-03-19** Placed on Senate Health and Welfare Committee calendar for 3/26/2025
- **2025-03-26** Assigned to General Subcommittee of Senate Health and Welfare Committee `referral-committee`
- **2026-03-04** Placed on Senate Health and Welfare Committee calendar for 3/11/2026
- **2026-03-05** Sponsor(s) Added. `sponsorship`
- **2026-03-11** Placed on Senate Health and Welfare Committee calendar for 3/17/2026
- **2026-03-11** Action deferred in Senate Health and Welfare Committee to 3/18/2026
- **2026-03-17** Placed on Senate Health and Welfare Committee calendar for 3/18/2026
- **2026-03-17** Action deferred in Senate Health and Welfare Committee to 3/18/2026
- **2026-03-18** Sponsor(s) Added. `sponsorship`
- **2026-03-18** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 1 PNV 0
- **2026-03-24** Placed on Senate Regular Calendar for 3/26/2026
- **2026-03-25** Sponsor(s) Added. `sponsorship`
- **2026-03-26** Engrossed; ready for transmission to House `receipt`
- **2026-03-26** Sponsor(s) Added. `sponsorship`
- **2026-03-26** Passed Senate as amended, Ayes 27, Nays 3, PNV 3 `passage`
- **2026-03-26** Senate adopted Amendment (Amendment 3 - SA0776)
- **2026-03-26** Senate adopted Amendment (Amendment 2 - SA0775)
- **2026-03-26** Senate adopted Amendment (Amendment 1 - SA0774)
- **2026-03-30** Rcvd. from S., held on H. desk.
- **2026-04-13** Passed H., as am., Ayes 84, Nays 11, PNV 1 `passage`
- **2026-04-13** Am. withdrawn. (Amendment 7 - HA1073) `amendment-withdrawal`
- **2026-04-13** Am. withdrawn. (Amendment 6 - HA1071) `amendment-withdrawal`
- **2026-04-13** Am. withdrawn. (Amendment 4 - HA1049) `amendment-withdrawal`
- **2026-04-13** Am. withdrawn. (Amendment 3 - HA0893) `amendment-withdrawal`
- **2026-04-13** H. adopted am. (Amendment 8 - HA1113) `amendment-passage`
- **2026-04-13** H. adopted am. (Amendment 9 - HA1126) `amendment-passage`
- **2026-04-13** Am. withdrawn. (Amendment 5 - HA1050) `amendment-withdrawal`
- **2026-04-13** Am. withdrawn. (Amendment 2 - HA0801) `amendment-withdrawal`
- **2026-04-13** Am. withdrawn. (Amendment 1 - HA0594) `amendment-withdrawal`
- **2026-04-13** Subst. for comp. HB. `substitution`
- **2026-04-14** Placed on Senate Message Calendar for 4/16/2026
- **2026-04-15** Placed on Senate Message Calendar for 4/16/2026
- **2026-04-16** Concurred, Ayes 28, Nays 1 (Amendment 8 - HA1113) `passage`
- **2026-04-16** Concurred, Ayes 26, Nays 1 (Amendment 9 - HA1126) `passage`
- **2026-04-17** Sponsor(s) Added. `sponsorship`
- **2026-04-20** Enrolled and ready for signatures `enrolled`
- **2026-04-21** Signed by H. Speaker `passage`
- **2026-04-21** Signed by Senate Speaker `passage`
- **2026-04-23** Transmitted to Governor for action. `executive-receipt`
- **2026-05-05** Signed by Governor. `executive-signature`
- **2026-05-18** Effective date(s) 07/01/2030, 07/01/2028, 05/05/2026
- **2026-05-18** Pub. Ch. 887

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b0404989-f52f-4663-b107-1e3646dcafbc`. Confidence: reported (aggregated from official Tennessee legislature records).