---
type: "Bill"
title: "Nurses, Nursing - As enacted, revises various provisions regarding medication aides, including allowing for a student in good standing enrolled in an approved school of nursing to be eligible to receive a medication aide certificate. - Amends TCA Title 63, Chapter 7."
description: "Nurses, Nursing - As enacted, revises various provisions regarding medication aides, including allowing for a student in good standing enrolled in an approved school of nursing to be eligible to receive a medication aide certificate. - Amends TCA Title 63, Chapter 7."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 2427"
citation: "Tennessee SB 2427 (114)"
classification: ["bill"]
subjects: ["Nurses", "Nursing"]
status: "enacted"
primary_sponsors: ["Crowe"]
version_count: 3
action_count: 24
vote_count: 3
first_action: "2026-02-02"
last_action: "2026-04-29"
source: "openstates"
source_identifier: "ocd-bill/924a3de5-6469-4c97-b645-49df0ac84020"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB2427&ga=114"
source_hash: "201a0b6268c0535787077e4688ee646a7b88f2caeaf3977f4993f8ba4c5d81cc"
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 2427 (114) — Nurses, Nursing - As enacted, revises various provisions regarding medication aides, including allowing for a student in good standing enrolled in an approved school of nursing to be eligible to receive a medication aide certificate. - Amends TCA Title 63, Chapter 7.

## Version chain

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

1. **Amendment HA0748** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0748.pdf)
2. **Amendment SA0726** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0726.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB2427.pdf)

## Votes

- FLOOR VOTE: as Amended Third Consideration 4/2/2026 Passed (1) — **31–0** (pass) · upper
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/17/2026 Passed (2) — **9–0** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/8/2026 Passed (1) — **95–0** (pass) · lower

## Sponsors

- Crowe — 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 Health and Welfare Committee `referral-committee`
- **2026-02-25** Placed on Senate Health and Welfare Committee calendar for 3/4/2026
- **2026-03-04** Placed on Senate Health and Welfare Committee calendar for 3/11/2026
- **2026-03-04** Action deferred in Senate Health and Welfare Committee to 3/11/2026
- **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** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2026-03-31** Placed on Senate Regular Calendar for 4/2/2026
- **2026-04-02** Engrossed; ready for transmission to House `receipt`
- **2026-04-02** Passed Senate as amended, Ayes 31, Nays 0 `passage`
- **2026-04-02** Senate adopted Amendment (Amendment 1 - SA0726)
- **2026-04-06** Rcvd. from S., held on H. desk.
- **2026-04-08** Enrolled and ready for signatures `enrolled`
- **2026-04-08** Passed H., Ayes 95, Nays 0, PNV 0 `passage`
- **2026-04-08** Am. withdrawn. (Amendment 1 - HA0748) `amendment-withdrawal`
- **2026-04-08** Subst. for comp. HB. `substitution`
- **2026-04-09** Signed by Senate Speaker `passage`
- **2026-04-14** Signed by H. Speaker `passage`
- **2026-04-15** Transmitted to Governor for action. `executive-receipt`
- **2026-04-23** Signed by Governor. `executive-signature`
- **2026-04-29** Effective date(s) 04/23/2026, 07/01/2026
- **2026-04-29** Pub. Ch. 813

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/924a3de5-6469-4c97-b645-49df0ac84020`. Confidence: reported (aggregated from official Tennessee legislature records).