Fabio
96 lines
5.3 KiB
Markdown
96 lines
5.3 KiB
Markdown
---
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type: "Bill"
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title: "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."
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description: "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."
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jurisdiction: "us/states/tn"
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legislature: "Tennessee General Assembly"
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session: "112"
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identifier: "SB 478"
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citation: "Tennessee SB 478 (112)"
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classification: ["bill"]
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subjects: ["Health Care"]
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status: "enacted"
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primary_sponsors: ["Haile", "Vaughan"]
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version_count: 1
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action_count: 34
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vote_count: 7
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first_action: "2021-02-08"
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last_action: "2021-04-21"
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source: "openstates"
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source_identifier: "ocd-bill/c711ff4a-0ad4-4cb9-9df1-39f08a72c7a9"
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source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB0478&GA=112"
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source_hash: "f789d7be6a96e9e13c0ac6db1e20943a61e30c18aba66afead85f8b995ad4f60"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-tn"]
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---
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# 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.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/SB0478.pdf)
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## Votes
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- HOUSE HEALTH COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/10/2021 — **0–0** (pass) · lower
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- FLOOR VOTE: Motion to Adopt 3/1/2021 Passed (1) — **32–0** (pass) · upper
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- FLOOR VOTE: CONSENT CALENDAR PASSAGE ON THIRD CONSIDERATION 3/22/2021 Passed (2) — **96–0** (pass) · lower
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- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Consent Calendar for 3/22/2021 3/18/2021 (3) — **0–0** (fail) · lower
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- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 2/24/2021 Passed (2) — **9–0** (pass) · upper
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- HOUSE HEALTH SUBCOMMITTEE: Rec. for pass by s/c ref. to Health Committee 3/2/2021 — **0–0** (pass) · lower
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- FLOOR VOTE: PASSAGE ON THIRD CONSIDERATION 3/22/2021 Passed (1) — **96–0** (pass) · lower
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## Sponsors
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- Haile — primary (person)
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- Vaughan — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2021-02-08** Filed for introduction `introduction, reading-1`
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- **2021-02-09** Filed for introduction `introduction, reading-1`
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- **2021-02-10** Introduced, Passed on First Consideration `introduction`
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- **2021-02-10** Intro., P1C. `introduction`
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- **2021-02-11** Passed on Second Consideration, refer to Senate Health and Welfare Committee
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- **2021-02-11** P2C, ref. to Health Committee `referral-committee`
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- **2021-02-20** Assigned to s/c Health Subcommittee `referral-committee`
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- **2021-02-21** Placed on Senate Health and Welfare Committee calendar for 2/24/2021
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- **2021-02-24** Recommended for passage, refer to Senate Calendar Committee
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- **2021-02-24** Placed on s/c cal Health Subcommittee for 3/2/2021
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- **2021-02-25** Placed on Senate Consent Calendar 2 for 3/1/2021
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- **2021-03-01** Engrossed; ready for transmission to House
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- **2021-03-01** Passed Senate, Ayes 32, Nays 0 `passage`
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- **2021-03-01** Sponsor(s) Added.
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- **2021-03-02** Sponsor(s) Added.
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- **2021-03-02** Rec. for pass by s/c ref. to Health Committee `committee-passage-favorable`
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- **2021-03-02** Sponsor(s) Added.
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- **2021-03-03** Placed on cal. Health Committee for 3/10/2021
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- **2021-03-05** Sponsor(s) Added.
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- **2021-03-10** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
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- **2021-03-17** Placed on cal. Calendar & Rules Committee for 3/18/2021
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- **2021-03-18** H. Placed on Consent Calendar for 3/22/2021
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- **2021-03-22** Passed H., Ayes 96, Nays 0, PNV 1 `passage`
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- **2021-03-22** Subst. for comp. HB.
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- **2021-03-22** Rcvd. from S., held on H. desk.
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- **2021-03-22** Comp. SB subst.
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- **2021-03-23** Signed by Senate Speaker
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- **2021-03-23** Enrolled and ready for signatures
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- **2021-04-05** Signed by H. Speaker
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- **2021-04-06** Transmitted to Governor for action.
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- **2021-04-13** Signed by Governor. `executive-signature`
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- **2021-04-21** Effective date(s) 04/13/2021
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- **2021-04-21** Pub. Ch. 124
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- **2021-04-21** Comp. became Pub. Ch. 124
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c711ff4a-0ad4-4cb9-9df1-39f08a72c7a9`. Confidence: reported (aggregated from official Tennessee legislature records).
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