5a13be122b
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
122 lines
6.8 KiB
Markdown
122 lines
6.8 KiB
Markdown
---
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type: "Bill"
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title: "Economic and Community Development, Dept. of - As enacted, enacts the \"Tennessee Rural Hospital Transformation Act of 2018.\" - Amends TCA Title 4; Title 68 and Title 71."
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description: "Economic and Community Development, Dept. of - As enacted, enacts the \"Tennessee Rural Hospital Transformation Act of 2018.\" - Amends TCA Title 4; Title 68 and Title 71."
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jurisdiction: "us/states/tn"
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legislature: "Tennessee General Assembly"
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session: "110"
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identifier: "SB 2646"
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citation: "Tennessee SB 2646 (110)"
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classification: ["bill"]
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subjects: ["Economic and Community Development", "Dept. of"]
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status: "enacted"
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primary_sponsors: ["Keisling", "Watson"]
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version_count: 1
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action_count: 65
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vote_count: 2
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first_action: "2018-01-31"
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last_action: "2018-05-23"
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source: "openstates"
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source_identifier: "ocd-bill/af645a3f-115e-4987-8afa-fb7650de99a7"
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source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=SB2646&GA=110"
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source_hash: "e4974e45f3ae14aa6c1599b3079e363494d897f81870dd703d8f457432ed3c63"
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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 2646 (110) — Economic and Community Development, Dept. of - As enacted, enacts the "Tennessee Rural Hospital Transformation Act of 2018." - Amends TCA Title 4; Title 68 and Title 71.
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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](http://www.capitol.tn.gov/Bills/110/Bill/SB2646.pdf)
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## Votes
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- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 0 PNV 0 3/14/2018 Passed (2) — **8–0** (pass) · upper
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- SENATE FINANCE, WAYS, AND MEANS COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 4/23/2018 Passed (1) — **9–0** (pass) · upper
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## Sponsors
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- Keisling — primary (person)
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- Watson — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2018-01-31** Filed for intro. `introduction, reading-1`
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- **2018-02-01** Introduced, Passed on First Consideration `introduction`
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- **2018-02-01** Filed for introduction `introduction, reading-1`
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- **2018-02-01** Intro. `introduction`
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- **2018-02-05** Passed on Second Consideration, refer to Senate Health and Welfare Committee
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- **2018-02-05** P1C.
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- **2018-02-07** Assigned to s/c Health Subcommittee `referral-committee`
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- **2018-02-07** P2C, ref. to Health Committee `referral-committee`
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- **2018-02-20** Sponsor(s) Added.
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- **2018-02-21** Placed on Senate Health and Welfare Committee calendar for 2/28/2018
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- **2018-02-21** Placed on s/c cal Health Subcommittee for 2/28/2018
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- **2018-02-28** Placed on Senate Health and Welfare Committee calendar for 3/7/2018
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- **2018-02-28** Action deferred in Senate Health and Welfare Committee to 3/7/2018
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- **2018-02-28** Placed on s/c cal Health Subcommittee for 3/7/2018
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- **2018-02-28** Action Def. in s/c Health Subcommittee to 3/7/2018
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- **2018-03-07** Placed on Senate Health and Welfare Committee calendar for 3/14/2018
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- **2018-03-07** Action deferred in Senate Health and Welfare Committee to 3/14/2018
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- **2018-03-07** Placed on s/c cal Health Subcommittee for 3/14/2018
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- **2018-03-07** Action Def. in s/c Health Subcommittee to 3/14/2018
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- **2018-03-14** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 8, Nays 0 PNV 0
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- **2018-03-14** Placed on cal. Health Committee for 3/20/2018
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- **2018-03-14** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
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- **2018-03-16** Sponsor(s) Added.
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- **2018-03-19** Sponsor(s) Added.
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- **2018-03-20** Rec. for pass. if am., ref. to Finance, Ways & Means Committee `committee-passage-favorable`
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- **2018-03-21** Sponsor(s) Added.
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- **2018-03-21** Placed on s/c cal Finance, Ways & Means Subcommittee for 3/28/2018
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- **2018-03-21** Assigned to s/c Finance, Ways & Means Subcommittee `referral-committee`
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- **2018-03-28** Placed behind the budget
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- **2018-04-04** Placed on s/c cal Finance, Ways & Means Subcommittee for 4/13/2018
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- **2018-04-11** Placed on s/c cal Finance, Ways & Means Subcommittee for 4/18/18
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- **2018-04-13** Placed on Senate Finance, Ways, and Means Committee calendar for 4/17/2018
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- **2018-04-17** Action deferred in Senate Finance, Ways, and Means Committee to 4/18/2018
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- **2018-04-18** Action deferred in Senate Finance, Ways, and Means Committee to 4/23/2018
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- **2018-04-18** Placed on Senate Finance, Ways, and Means Committee calendar for 4/18/2018
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- **2018-04-18** H. Placed on Regular Calendar for 4/23/2018
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- **2018-04-18** Placed on cal. Calendar & Rules Committee for 4/18/2018
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- **2018-04-18** Rec. for pass. if am., ref. to Calendar & Rules Committee `committee-passage-favorable`
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- **2018-04-18** Placed on cal. Finance, Ways & Means Committee for 4/18/2018
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- **2018-04-18** Sponsor(s) Added.
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- **2018-04-18** Rec for pass if am by s/c ref. to Finance, Ways & Means Committee `referral-committee`
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- **2018-04-19** Placed on Senate Finance, Ways, and Means Committee calendar for 4/23/2018
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- **2018-04-23** Sponsor(s) Added.
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- **2018-04-23** Placed on Senate Regular Calendar calendar for 4/24/2018
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- **2018-04-23** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
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- **2018-04-24** Companion House Bill substituted
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- **2018-04-24** Passed Senate, Ayes 32, Nays 0 `passage`
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- **2018-04-24** Amendment withdrawn. (Amendment 2 - SA1175)
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- **2018-04-24** Amendment withdrawn. (Amendment 1 - SA0815)
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- **2018-04-24** Senate substituted House Bill for companion Senate Bill.
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- **2018-04-24** Received from House, Passed on First Consideration `introduction`
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- **2018-04-24** Engrossed; ready for transmission to Sen.
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- **2018-04-24** Passed H., as am., Ayes 95, Nays 1, PNV 0 `passage`
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- **2018-04-24** Sponsor(s) Added.
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- **2018-04-24** H. adopted am. (Amendment 2 - HA1260) `amendment-passage`
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- **2018-04-24** H. adopted am. (Amendment 1 - HA0932) `amendment-passage`
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- **2018-04-25** Sponsor(s) Added.
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- **2018-04-27** Enrolled; ready for sig. of H. Speaker.
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- **2018-05-02** Signed by H. Speaker
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- **2018-05-09** Signed by Senate Speaker
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- **2018-05-10** Transmitted to Governor for his action. `executive-receipt`
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- **2018-05-21** Signed by Governor. `executive-signature`
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- **2018-05-23** Comp. became Pub. Ch. 1055
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- **2018-05-23** Pub. Ch. 1055
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- **2018-05-23** Effective date(s) 07/01/2018
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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/af645a3f-115e-4987-8afa-fb7650de99a7`. Confidence: reported (aggregated from official Tennessee legislature records).
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