republic-os/legislation/us/states/tn/111/hb-527.md

---
type: "Bill"
title: "Health Care - As enacted, extends and revises the Ground Ambulance Service Provider Assessment Act. - Amends TCA Title 5; Title 7; Title 55; Title 56; Title 68 and Title 71."
description: "Health Care - As enacted, extends and revises the Ground Ambulance Service Provider Assessment Act. - Amends TCA Title 5; Title 7; Title 55; Title 56; Title 68 and Title 71."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "HB 527"
citation: "Tennessee HB 527 (111)"
classification: ["bill"]
subjects: ["Health Care"]
status: "enacted"
primary_sponsors: ["Reedy", "Yager"]
version_count: 3
action_count: 40
vote_count: 9
first_action: "2019-02-04"
last_action: "2019-05-01"
source: "openstates"
source_identifier: "ocd-bill/536227ed-e7d0-428e-a915-785127a2b314"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0527&GA=111"
source_hash: "ba5ce6d5939844e56a6ae611db79a5821136e6dfac2cd043ad356329cb9b7289"
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 HB 527 (111) — Health Care - As enacted, extends and revises the Ground Ambulance Service Provider Assessment Act. - Amends TCA Title 5; Title 7; Title 55; Title 56; Title 68 and Title 71.

## Version chain

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

1. **Amendment HA0096** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0096.pdf)
2. **Amendment SA0118** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0118.pdf)
3. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/HB0527.pdf)

## Votes

- HOUSE FINANCE, WAYS, AND MEANS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/2/2019 (3) — **0–0** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/10/2019 Passed (1) — **94–0** (pass) · lower
- SENATE COMMERCE AND LABOR COMMITTEE: Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0 3/12/2019 Passed (3) — **9–0** (pass) · upper
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/10/2019 4/4/2019 (2) — **0–0** (fail) · lower
- FLOOR VOTE: as Amended Third Consideration 4/4/2019 Passed (1) — **31–0** (pass) · upper
- HOUSE INSURANCE: Rec. for pass. if am., ref. to Finance, Ways, and Means Committee 3/19/2019 (5) — **0–0** (pass) · lower
- SENATE FINANCE, WAYS AND MEANS COMMITTEE: Recommended for passage, refer to Senate Calendar Committee 3/26/2019 Passed (2) — **10–0** (pass) · upper
- HOUSE TENNCARE SUBCOMMITTEE: Rec for pass if am by s/c ref. to Insurance Committee 3/13/2019 (6) — **0–0** (fail) · lower
- HOUSE FINANCE, WAYS, AND MEANS SUBCOMMITTEE: Rec. for pass by s/c ref. to Finance, Ways, and Means Committee 3/27/2019 (4) — **0–0** (pass) · lower

## Sponsors

- Reedy — primary (person)
- Yager — primary (person)

## Timeline

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

- **2019-02-04** Filed for introduction `reading-1, introduction`
- **2019-02-06** Intro., P1C. `introduction`
- **2019-02-07** P2C, caption bill, held on desk - pending amdt.
- **2019-02-07** Introduced, Passed on First Consideration `introduction`
- **2019-02-07** Filed for introduction `reading-1, introduction`
- **2019-02-11** Passed on Second Consideration, refer to Senate Commerce and Labor Committee
- **2019-03-05** Placed on Senate Commerce and Labor Committee calendar for 3/12/2019
- **2019-03-06** Placed on s/c cal TennCare Subcommittee for 3/13/2019
- **2019-03-06** Assigned to s/c TennCare Subcommittee `referral-committee`
- **2019-03-06** Ref. to Insurance Committee `referral-committee`
- **2019-03-12** Recommended for passage with amendment/s, refer to Senate Finance, Ways, and Means Committee Ayes 9, Nays 0 PNV 0
- **2019-03-13** Placed on cal. Insurance Committee for 3/19/2019
- **2019-03-13** Rec for pass if am by s/c ref. to Insurance Committee `referral-committee`
- **2019-03-19** Rec. for pass. if am., ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-03-19** Placed on Senate Finance, Ways, and Means Committee calendar for 3/26/2019
- **2019-03-20** Placed on s/c cal Finance, Ways, and Means Subcommittee for 3/27/2019
- **2019-03-20** Assigned to s/c Finance, Ways, and Means Subcommittee `referral-committee`
- **2019-03-26** Recommended for passage, refer to Senate Calendar Committee
- **2019-03-27** Placed on cal. Finance, Ways, and Means Committee for 4/2/2019
- **2019-03-27** Rec. for pass by s/c ref. to Finance, Ways, and Means Committee `committee-passage-favorable`
- **2019-04-02** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2019-04-02** Placed on Senate Regular Calendar for 4/4/2019
- **2019-04-03** Placed on cal. Calendar & Rules Committee for 4/4/2019
- **2019-04-04** H. Placed on Regular Calendar for 4/10/2019
- **2019-04-04** Engrossed; ready for transmission to House
- **2019-04-04** Passed Senate as amended, Ayes 31, Nays 0 `passage`
- **2019-04-04** Senate adopted Amendment (Amendment 1 - SA0118)
- **2019-04-08** Rcvd. from S., held on H. desk.
- **2019-04-10** Comp. SB subst.
- **2019-04-10** Enrolled and ready for signatures
- **2019-04-10** Passed H., Ayes 94, Nays 0, PNV 1 `passage`
- **2019-04-10** Am. withdrawn. (Amendment 1 - HA0096) `amendment-withdrawal`
- **2019-04-10** Subst. for comp. HB.
- **2019-04-11** Signed by Senate Speaker
- **2019-04-15** Signed by H. Speaker
- **2019-04-16** Transmitted to Governor for action.
- **2019-04-23** Signed by Governor. `executive-signature`
- **2019-05-01** Comp. became Pub. Ch. 188
- **2019-05-01** Pub. Ch. 188
- **2019-05-01** Effective date(s) 07/01/2019

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/536227ed-e7d0-428e-a915-785127a2b314`. Confidence: reported (aggregated from official Tennessee legislature records).