---
type: "Bill"
title: "Nurses, Nursing - As enacted, requires the commissioner of health to use existing resources to conduct a study of neighboring states to examine the varying levels of practice independence that may or may not be granted to certified nurse midwives in such states; requires the commissioner to compile the findings of the study and any recommendations in a report and transmit the report to the general assembly no later than December 31, 2026. - Amends TCA Title 4, Chapter 29; Title 56, Chapter 32, Part 1; Title 56, Chapter 7, Part 24; Title 63; Title 68 and Title 71, Chapter 5."
description: "Nurses, Nursing - As enacted, requires the commissioner of health to use existing resources to conduct a study of neighboring states to examine the varying levels of practice independence that may or may not be granted to certified nurse midwives in such states; requires the commissioner to compile the findings of the study and any recommendations in a report and transmit the report to the general assembly no later than December 31, 2026. - Amends TCA Title 4, Chapter 29; Title 56, Chapter 32, Part 1; Title 56, Chapter 7, Part 24; Title 63; Title 68 and Title 71, Chapter 5."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 2286"
citation: "Tennessee SB 2286 (114)"
classification: ["bill"]
subjects: ["Nurses", "Nursing"]
status: "enacted"
primary_sponsors: ["Lamar"]
version_count: 2
action_count: 20
vote_count: 3
first_action: "2026-02-02"
last_action: "2026-05-04"
source: "openstates"
source_identifier: "ocd-bill/54fd0696-29eb-496b-831b-0ae934e4de28"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB2286&ga=114"
source_hash: "b492430bc0427f9bbcc9f53cee11da4fb7e18ec9fe2484a8504fb12029b61943"
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 2286 (114) — Nurses, Nursing - As enacted, requires the commissioner of health to use existing resources to conduct a study of neighboring states to examine the varying levels of practice independence that may or may not be granted to certified nurse midwives in such states; requires the commissioner to compile the findings of the study and any recommendations in a report and transmit the report to the general assembly no later than December 31, 2026. - Amends TCA Title 4, Chapter 29; Title 56, Chapter 32, Part 1; Title 56, Chapter 7, Part 24; Title 63; Title 68 and Title 71, Chapter 5.

## Version chain

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

1. **Amendment SA0589** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0589.pdf)
2. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB2286.pdf)

## Votes

- FLOOR VOTE: as Amended Third Consideration 3/19/2026 Passed (1) — **32–1** (pass) · upper
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/3/2026 Passed (2) — **9–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 3/26/2026 Passed (1) — **88–0** (pass) · lower

## Sponsors

- Lamar — primary (person)

## Timeline

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

- **2026-02-02** Introduced, Passed on First Consideration `introduction`
- **2026-02-02** Filed for introduction `filing`
- **2026-02-05** Passed on Second Consideration, refer to Senate Commerce and Labor Committee `referral-committee`
- **2026-02-24** Placed on Senate Commerce and Labor Committee calendar for 3/3/2026
- **2026-03-03** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2026-03-17** Placed on Senate Regular Calendar for 3/19/2026
- **2026-03-19** Sponsor(s) Added. `sponsorship`
- **2026-03-19** Engrossed; ready for transmission to House `receipt`
- **2026-03-19** Passed Senate as amended, Ayes 32, Nays 1 `passage`
- **2026-03-19** Senate adopted Amendment (Amendment 1 - SA0589)
- **2026-03-23** Rcvd. from S., held on H. desk.
- **2026-03-26** Enrolled and ready for signatures `enrolled`
- **2026-03-26** Passed H., Ayes 88, Nays 0, PNV 0 `passage`
- **2026-03-26** Subst. for comp. HB. `substitution`
- **2026-03-30** Signed by Senate Speaker `passage`
- **2026-04-01** Signed by H. Speaker `passage`
- **2026-04-02** Transmitted to Governor for action. `executive-receipt`
- **2026-04-13** Signed by Governor. `executive-signature`
- **2026-05-04** Effective date(s) 04/13/2026
- **2026-05-04** Pub. Ch. 728

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/54fd0696-29eb-496b-831b-0ae934e4de28`. Confidence: reported (aggregated from official Tennessee legislature records).