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republic-os/legislation/us/states/tn/111/hb-657.md
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---
type: "Bill"
title: "Dentists and Dentistry - As enacted, permits dental hygienists to exercise prescriptive authority that is limited to fluoride agents, topical oral anesthetic agents, and nonsystemic oral antimicrobials under certain conditions; requires the board of dentistry to set educational and training requirements by rule; requires board to also determine allowable percentages of certain active ingredients in medications that may be prescribed by dental hygienists. - Amends TCA Title 53 and Title 63."
description: "Dentists and Dentistry - As enacted, permits dental hygienists to exercise prescriptive authority that is limited to fluoride agents, topical oral anesthetic agents, and nonsystemic oral antimicrobials under certain conditions; requires the board of dentistry to set educational and training requirements by rule; requires board to also determine allowable percentages of certain active ingredients in medications that may be prescribed by dental hygienists. - Amends TCA Title 53 and Title 63."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "111"
identifier: "HB 657"
citation: "Tennessee HB 657 (111)"
classification: ["bill"]
subjects: ["Dentists and Dentistry"]
status: "enacted"
primary_sponsors: ["Hill M", "Massey"]
version_count: 3
action_count: 46
vote_count: 8
first_action: "2019-02-04"
last_action: "2019-05-15"
source: "openstates"
source_identifier: "ocd-bill/d96d23e6-08af-4e5f-aded-e3415d73c301"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0657&GA=111"
source_hash: "e8a7631b1bf5c5ddf3f7f98c48c8977726381b9748a54313d11687e855a352ee"
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 657 (111) — Dentists and Dentistry - As enacted, permits dental hygienists to exercise prescriptive authority that is limited to fluoride agents, topical oral anesthetic agents, and nonsystemic oral antimicrobials under certain conditions; requires the board of dentistry to set educational and training requirements by rule; requires board to also determine allowable percentages of certain active ingredients in medications that may be prescribed by dental hygienists. - Amends TCA Title 53 and Title 63.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Amendment HA0182** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/HA0182.pdf)
2. **Amendment SA0307** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Amend/SA0307.pdf)
3. **Current Version** (committee substitute) — [source](http://www.capitol.tn.gov/Bills/111/Bill/HB0657.pdf)
## Votes
- FLOOR VOTE: CONCUR IN SENATE AMENDMENT # 1 4/23/2019 Passed (1) — **920** (pass) · lower
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 4/17/2019 Passed (2) — **960** (pass) · lower
- HOUSE FACILITIES, LICENSURE, & REGULATIONS SUBCOMMITTEE: Rec for pass if am by s/c ref. to Health Committee 3/12/2019 (6) — **00** (fail) · lower
- HOUSE GOVERNMENT OPERATIONS COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 4/8/2019 (4) — **00** (pass) · lower
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0 4/10/2019 Passed (2) — **80** (pass) · upper
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/17/2019 4/11/2019 (3) — **00** (fail) · lower
- FLOOR VOTE: as Amended Third Consideration 4/22/2019 Passed (1) — **300** (pass) · upper
- HOUSE HEALTH COMMITTEE: Rec. for pass. if am., ref. to Government Operations Committee 3/26/2019 (5) — **00** (pass) · lower
## Sponsors
- Hill M — primary (person)
- Massey — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-02-04** Filed for introduction `reading-1, introduction`
- **2019-02-05** Filed for introduction `reading-1, introduction`
- **2019-02-06** Intro., P1C. `introduction`
- **2019-02-06** Introduced, Passed on First Consideration `introduction`
- **2019-02-07** P2C, ref. to Health Committee-- Government Operations for Review `referral-committee`
- **2019-02-07** Passed on Second Consideration, refer to Senate Health and Welfare Committee
- **2019-02-11** Assigned to s/c Facilities, Licensure, & Regulations Subcommittee `referral-committee`
- **2019-03-06** Placed on s/c cal Facilities, Licensure, & Regulations Subcommittee for 3/12/2019
- **2019-03-12** Rec for pass if am by s/c ref. to Health Committee `referral-committee`
- **2019-03-13** Placed on cal. Health Committee for 3/19/2019
- **2019-03-19** Action def. in Health Committee to 3/26/2019
- **2019-03-20** Placed on cal. Health Committee for 3/26/2019
- **2019-03-20** Placed on Senate Health and Welfare Committee calendar for 3/27/2019
- **2019-03-26** Rec. for pass. if am., ref. to Government Operations Committee `committee-passage-favorable`
- **2019-03-27** Placed on Senate Health and Welfare Committee calendar for 4/3/2019
- **2019-03-27** Action deferred in Senate Health and Welfare Committee to 4/3/2019
- **2019-04-03** Placed on cal. Government Operations Committee for 4/8/2019
- **2019-04-03** Action deferred in Senate Health and Welfare Committee to 4/10/2019
- **2019-04-04** Placed on Senate Health and Welfare Committee calendar for 4/10/2019
- **2019-04-08** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2019-04-10** Placed on cal. Calendar & Rules Committee for 4/11/2019
- **2019-04-10** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 8, Nays 0 PNV 0
- **2019-04-11** H. Placed on Regular Calendar for 4/17/2019
- **2019-04-15** Placed on Senate Regular Calendar for 4/17/2019
- **2019-04-17** Engrossed; ready for transmission to Sen.
- **2019-04-17** Passed H., as am., Ayes 96, Nays 0, PNV 1 `passage`
- **2019-04-17** H. adopted am. (Amendment 1 - HA0182) `amendment-passage`
- **2019-04-17** Placed on Senate Regular Calendar for 4/18/2019
- **2019-04-17** Senate Reset on calendar for 4/18/2019
- **2019-04-18** Received from House, Passed on First Consideration `introduction`
- **2019-04-18** Placed on Senate Regular Calendar for 4/22/2019
- **2019-04-18** Senate Reset on calendar for 4/22/19
- **2019-04-22** Passed Senate as amended, Ayes 30, Nays 0 `passage`
- **2019-04-22** Senate adopted Amendment (Amendment 1 - SA0307)
- **2019-04-22** Senate substituted House Bill for companion Senate Bill.
- **2019-04-22** Companion House Bill substituted
- **2019-04-23** Enrolled; ready for sig. of H. Speaker.
- **2019-04-23** H. concurred in S. am. no. 1 Ayes 92, Nays 0 PNV 0 HB0657
- **2019-04-23** H. Placed on Message Calendar 2 for 4/23/19
- **2019-04-24** Signed by H. Speaker
- **2019-04-25** Signed by Senate Speaker
- **2019-04-29** Transmitted to Governor for his action. `executive-receipt`
- **2019-05-08** Signed by Governor. `executive-signature`
- **2019-05-15** Pub. Ch. 319
- **2019-05-15** Effective date(s) 05/08/2019; 07/01/2020
- **2019-05-15** Comp. became Pub. Ch. 319
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d96d23e6-08af-4e5f-aded-e3415d73c301`. Confidence: reported (aggregated from official Tennessee legislature records).