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type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags
type title description jurisdiction legislature session identifier citation classification subjects status primary_sponsors version_count action_count vote_count first_action last_action source source_identifier source_url source_hash vintage source_snapshot retrieved_at confidence tags
Bill Health Care - As enacted, authorizes a home health service to provide care in accordance with orders recorded by an advanced practice registered nurse or physician assistant in addition to those recorded by a physician; authorizes electronic transmission of orders from an advanced practice registered nurse or physician assistant. - Amends TCA Title 4; Title 63 and Title 68. Health Care - As enacted, authorizes a home health service to provide care in accordance with orders recorded by an advanced practice registered nurse or physician assistant in addition to those recorded by a physician; authorizes electronic transmission of orders from an advanced practice registered nurse or physician assistant. - Amends TCA Title 4; Title 63 and Title 68. us/states/tn Tennessee General Assembly 112 SB 478 Tennessee SB 478 (112)
bill
Health Care
enacted
Haile
Vaughan
1 34 7 2021-02-08 2021-04-21 openstates ocd-bill/c711ff4a-0ad4-4cb9-9df1-39f08a72c7a9 http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0478&GA=112 f789d7be6a96e9e13c0ac6db1e20943a61e30c18aba66afead85f8b995ad4f60 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-tn

Tennessee SB 478 (112) — Health Care - As enacted, authorizes a home health service to provide care in accordance with orders recorded by an advanced practice registered nurse or physician assistant in addition to those recorded by a physician; authorizes electronic transmission of orders from an advanced practice registered nurse or physician assistant. - Amends TCA Title 4; Title 63 and Title 68.

Version chain

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

  1. Current Version (committee substitute) — source

Votes

  • HOUSE HEALTH COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/10/2021 — 00 (pass) · lower
  • FLOOR VOTE: Motion to Adopt 3/1/2021 Passed (1) — 320 (pass) · upper
  • FLOOR VOTE: CONSENT CALENDAR PASSAGE ON THIRD CONSIDERATION 3/22/2021 Passed (2) — 960 (pass) · lower
  • HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Consent Calendar for 3/22/2021 3/18/2021 (3) — 00 (fail) · lower
  • SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 2/24/2021 Passed (2) — 90 (pass) · upper
  • HOUSE HEALTH SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 3/2/2021 — 00 (pass) · lower
  • FLOOR VOTE: PASSAGE ON THIRD CONSIDERATION 3/22/2021 Passed (1) — 960 (pass) · lower

Sponsors

  • Haile — primary (person)
  • Vaughan — primary (person)

Timeline

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

  • 2021-02-08 Filed for introduction introduction, reading-1
  • 2021-02-09 Filed for introduction introduction, reading-1
  • 2021-02-10 Introduced, Passed on First Consideration introduction
  • 2021-02-10 Intro., P1C. introduction
  • 2021-02-11 Passed on Second Consideration, refer to Senate Health and Welfare Committee
  • 2021-02-11 P2C, ref. to Health Committee referral-committee
  • 2021-02-20 Assigned to s/c Health Subcommittee referral-committee
  • 2021-02-21 Placed on Senate Health and Welfare Committee calendar for 2/24/2021
  • 2021-02-24 Recommended for passage, refer to Senate Calendar Committee
  • 2021-02-24 Placed on s/c cal Health Subcommittee for 3/2/2021
  • 2021-02-25 Placed on Senate Consent Calendar 2 for 3/1/2021
  • 2021-03-01 Engrossed; ready for transmission to House
  • 2021-03-01 Passed Senate, Ayes 32, Nays 0 passage
  • 2021-03-01 Sponsor(s) Added.
  • 2021-03-02 Sponsor(s) Added.
  • 2021-03-02 Rec. for pass by s/c ref. to Health Committee committee-passage-favorable
  • 2021-03-02 Sponsor(s) Added.
  • 2021-03-03 Placed on cal. Health Committee for 3/10/2021
  • 2021-03-05 Sponsor(s) Added.
  • 2021-03-10 Rec. for pass; ref to Calendar & Rules Committee committee-passage-favorable
  • 2021-03-17 Placed on cal. Calendar & Rules Committee for 3/18/2021
  • 2021-03-18 H. Placed on Consent Calendar for 3/22/2021
  • 2021-03-22 Passed H., Ayes 96, Nays 0, PNV 1 passage
  • 2021-03-22 Subst. for comp. HB.
  • 2021-03-22 Rcvd. from S., held on H. desk.
  • 2021-03-22 Comp. SB subst.
  • 2021-03-23 Signed by Senate Speaker
  • 2021-03-23 Enrolled and ready for signatures
  • 2021-04-05 Signed by H. Speaker
  • 2021-04-06 Transmitted to Governor for action.
  • 2021-04-13 Signed by Governor. executive-signature
  • 2021-04-21 Effective date(s) 04/13/2021
  • 2021-04-21 Pub. Ch. 124
  • 2021-04-21 Comp. became Pub. Ch. 124

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/c711ff4a-0ad4-4cb9-9df1-39f08a72c7a9. Confidence: reported (aggregated from official Tennessee legislature records).