---
type: "Bill"
title: "Health Care - As enacted, enacts the \"Chronic Disease Prevention Act.\" - Amends TCA Title 33; Title 39; Title 67; Title 68 and Title 71."
description: "Health Care - As enacted, enacts the \"Chronic Disease Prevention Act.\" - Amends TCA Title 33; Title 39; Title 67; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "SB 281"
citation: "Tennessee SB 281 (111)"
classification: ["bill"]
subjects: ["Health Care"]
status: "enacted"
primary_sponsors: ["Kurita", "Ramsey"]
version_count: 3
action_count: 47
vote_count: 10
first_action: "2019-01-29"
last_action: "2019-05-15"
source: "openstates"
source_identifier: "ocd-bill/7304af8a-49f2-46c7-93a1-ed346fa0937b"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0281&GA=111"
source_hash: "fe1f2b0665aa606f8d7810ef648f1ca9a2450c68ed3fd72f99b5a0875116ab61"
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 281 (111) — Health Care - As enacted, enacts the "Chronic Disease Prevention Act." - Amends TCA Title 33; Title 39; Title 67; Title 68 and Title 71.

## Version chain

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

1. **Amendment HA0309** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0309.pdf)
2. **Amendment SA0191** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0191.pdf)
3. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/SB0281.pdf)

## Votes

- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 4/3/2019 Passed — **7–0** (pass) · upper
- SENATE GOVERNMENT OPERATIONS COMMITTEE: Recommended for passage with amendment/s, refer to Senate Health and Welfare Committee Ayes 7, Nays 0 PNV 1 3/27/2019 Passed — **7–0** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 4/8/2019 Passed (1) — **31–0** (pass) · upper
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 4/9/2019 — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 5/1/2019 Passed (1) — **97–0** (pass) · lower
- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/30/2019 (3) — **0–0** (pass) · lower
- HOUSE PUBLIC HEALTH SUBCOMMITTEE: Rec for pass if am by s/c ref. to Health Committee 4/3/2019 — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 4/30/2019 (4) — **0–0** (pass) · lower
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/30/2019 4/30/2019 (2) — **0–0** (fail) · lower
- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Finance, Ways, and Means Committee 4/16/2019 (5) — **0–0** (pass) · lower

## Sponsors

- Kurita — primary (person)
- Ramsey — primary (person)

## Timeline

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

- **2019-01-29** Filed for introduction `reading-1, introduction`
- **2019-01-30** Introduced, Passed on First Consideration `introduction`
- **2019-01-31** Passed on Second Consideration, refer to Senate Government Operations Committee
- **2019-02-05** Filed for introduction `reading-1, introduction`
- **2019-02-06** Intro., P1C. `introduction`
- **2019-02-07** P2C, ref. to Health Committee-- Government Operations for Review `referral-committee`
- **2019-02-11** Assigned to s/c Public Health Subcommittee `referral-committee`
- **2019-02-13** Placed on Senate Government Operations Committee calendar for 2/20/2019
- **2019-02-20** Action deferred in Senate Government Operations Committee to 3/27/2019
- **2019-03-20** Placed on Senate Government Operations Committee calendar for 3/27/2019
- **2019-03-27** Recommended for passage with amendment/s, refer to Senate Health and Welfare Committee Ayes 7, Nays 0 PNV 1
- **2019-03-27** Placed on s/c cal Public Health Subcommittee for 4/3/2019
- **2019-03-28** Placed on Senate Health and Welfare Committee calendar for 4/3/2019
- **2019-03-28** Rule #83(8) Suspended, to be heard in S. H&W Comm. 4-3-19
- **2019-04-03** Recommended for passage, refer to Senate Calendar Committee
- **2019-04-03** Placed on cal. Health Committee for 4/9/2019
- **2019-04-03** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
- **2019-04-04** Placed on Senate Regular Calendar for 4/8/2019
- **2019-04-08** Passed Senate as amended, Ayes 31, Nays 0 `passage`
- **2019-04-08** Senate adopted Amendment (Amendment 1 - SA0191)
- **2019-04-09** Engrossed; ready for transmission to House
- **2019-04-09** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
- **2019-04-10** Rcvd. from S., held on H. desk.
- **2019-04-10** Placed on cal. Government Operations Committee for 4/16/2019
- **2019-04-16** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/17/2019
- **2019-04-16** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2019-04-16** Rec. for pass; ref to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-04-17** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/25/2019
- **2019-04-17** Placed behind the budget
- **2019-04-24** Placed on s/c cal Finance, Ways, and Means Subcommittee for 4/30/2019
- **2019-04-30** H. Placed on Regular Calendar #2 for 4/30/2019
- **2019-04-30** Placed on cal. Calendar & Rules Committee for 4/30/2019
- **2019-04-30** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2019-04-30** Placed on cal. Finance, Ways, and Means Committee for 4/30/2019
- **2019-04-30** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-05-01** Passed H., Ayes 97, Nays 0, PNV 0 `passage`
- **2019-05-01** Am. withdrawn. (Amendment 1 - HA0309) `amendment-withdrawal`
- **2019-05-01** Subst. for comp. HB.
- **2019-05-01** Comp. SB subst.
- **2019-05-02** Signed by Senate Speaker
- **2019-05-02** Enrolled and ready for signatures
- **2019-05-03** Transmitted to Governor for action.
- **2019-05-03** Signed by H. Speaker
- **2019-05-10** Signed by Governor. `executive-signature`
- **2019-05-15** Pub. Ch. 372
- **2019-05-15** Effective date(s) 05/10/2019
- **2019-05-15** Comp. became Pub. Ch. 372

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7304af8a-49f2-46c7-93a1-ed346fa0937b`. Confidence: reported (aggregated from official Tennessee legislature records).