---
type: "Bill"
title: "Hospitals and Health Care Facilities - As enacted, requires each fertility clinic operating in this state to obtain a certificate from the department of health to perform assisted reproductive technology services. - Amends TCA Title 4; Title 29; Title 36; Title 63 and Title 68."
description: "Hospitals and Health Care Facilities - As enacted, requires each fertility clinic operating in this state to obtain a certificate from the department of health to perform assisted reproductive technology services. - Amends TCA Title 4; Title 29; Title 36; Title 63 and Title 68."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 2461"
citation: "Tennessee SB 2461 (114)"
classification: ["bill"]
subjects: ["Hospitals and Health Care Facilities"]
status: "enacted"
primary_sponsors: ["Bailey"]
version_count: 5
action_count: 33
vote_count: 6
first_action: "2026-02-02"
last_action: "2026-05-27"
source: "openstates"
source_identifier: "ocd-bill/06c86bd6-5549-4451-897d-a5d4cb1242da"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB2461&ga=114"
source_hash: "32acff7281a920bbc0abce87939991dbb4323cfd567efa5b5a12dae8fb042a26"
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 2461 (114) — Hospitals and Health Care Facilities - As enacted, requires each fertility clinic operating in this state to obtain a certificate from the department of health to perform assisted reproductive technology services. - Amends TCA Title 4; Title 29; Title 36; Title 63 and Title 68.

## Version chain

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

1. **Amendment HA0802** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0802.pdf)
2. **Amendment HA1110** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA1110.pdf)
3. **Amendment SA0784** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0784.pdf)
4. **Amendment SA0785** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0785.pdf)
5. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB2461.pdf)

## Votes

- FLOOR VOTE: Motion to Concur House Amendment # 1 4/23/2026 Passed (2) — **28–0** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 4/6/2026 Passed (3) — **32–0** (pass) · upper
- 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 (4) — **8–1** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/16/2026 Passed (1) — **75–5** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR MOTION TO ADOPT AMENDMENT # 2 BY CLEMMONS PASSAGE ON THIRD CONSIDERATION 4/16/2026 Passed — **82–7** (pass) · lower
- FLOOR VOTE: Motion to Concur House Amendment # 2 4/23/2026 Passed (1) — **28–0** (pass) · upper

## Sponsors

- Bailey — 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`
- **2026-03-11** Placed on Senate Health and Welfare Committee calendar for 3/17/2026
- **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
- **2026-03-31** Placed on Senate Regular Calendar for 4/2/2026
- **2026-04-02** Placed on Senate Regular Calendar for 4/6/2026
- **2026-04-02** Senate Reset on calendar for 4/6/2026
- **2026-04-06** Engrossed; ready for transmission to House `receipt`
- **2026-04-06** Sponsor(s) Added. `sponsorship`
- **2026-04-06** Passed Senate as amended, Ayes 32, Nays 0 `passage`
- **2026-04-06** Amendment withdrawn. (Amendment 1 - SA0784)
- **2026-04-06** Senate adopted Amendment (Amendment 2 - SA0785)
- **2026-04-08** Rcvd. from S., held on H. desk.
- **2026-04-16** Passed H., as am., Ayes 75, Nays 5, PNV 15 `passage`
- **2026-04-16** H. adopted am. (Amendment 2 - HA1110) `amendment-passage`
- **2026-04-16** H. adopted am. (Amendment 1 - HA0802) `amendment-passage`
- **2026-04-16** Subst. for comp. HB. `substitution`
- **2026-04-17** Placed on Senate Message Calendar for 4/20/2026
- **2026-04-20** Senate Reset on Final Message Calendar
- **2026-04-23** Concurred, Ayes 28, Nays 0 (Amendment 2 - HA1110) `passage`
- **2026-04-23** Concurred, Ayes 28, Nays 0 (Amendment 1 - HA0802) `passage`
- **2026-04-23** Placed on Senate Message Calendar 2 for 4/23/2026
- **2026-05-05** Enrolled and ready for signatures `enrolled`
- **2026-05-06** Signed by Senate Speaker `passage`
- **2026-05-07** Signed by H. Speaker `passage`
- **2026-05-11** Transmitted to Governor for action. `executive-receipt`
- **2026-05-22** Signed by Governor. `executive-signature`
- **2026-05-27** Effective date(s) 05/22/2026, 01/01/2027
- **2026-05-27** Pub. Ch. 1139

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/06c86bd6-5549-4451-897d-a5d4cb1242da`. Confidence: reported (aggregated from official Tennessee legislature records).