republic-os/legislation/us/states/tn/112/hb-454.md

---
type: "Bill"
title: "Health, Dept. of - As enacted, provides that out-of-state medical records evidencing the immunization of a dependent child of a military parent against each of the diseases designated by the commissioner of health as required for attendance at any school or child care facility in this state are sufficient without requiring the child's parent to present the child for medical evaluation in this state to obtain a certificate of immunization. - Amends TCA Title 49, Chapter 6."
description: "Health, Dept. of - As enacted, provides that out-of-state medical records evidencing the immunization of a dependent child of a military parent against each of the diseases designated by the commissioner of health as required for attendance at any school or child care facility in this state are sufficient without requiring the child's parent to present the child for medical evaluation in this state to obtain a certificate of immunization. - Amends TCA Title 49, Chapter 6."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "112"
identifier: "HB 454"
citation: "Tennessee HB 454 (112)"
classification: ["bill"]
subjects: ["Dept. of", "Health"]
status: "enacted"
primary_sponsors: ["Hodges", "Powers"]
version_count: 3
action_count: 37
vote_count: 7
first_action: "2021-02-01"
last_action: "2021-05-03"
source: "openstates"
source_identifier: "ocd-bill/6eab8ad0-11ac-45a5-937a-2afe72b40744"
source_url: "http://wapp.capitol.tn.gov/apps/BillInfo/default.aspx?BillNumber=HB0454&GA=112"
source_hash: "4e5c5aadc51f6c70a3e747fceb9c14e008627bae5a88badb63352ea3693ad7b5"
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 454 (112) — Health, Dept. of - As enacted, provides that out-of-state medical records evidencing the immunization of a dependent child of a military parent against each of the diseases designated by the commissioner of health as required for attendance at any school or child care facility in this state are sufficient without requiring the child's parent to present the child for medical evaluation in this state to obtain a certificate of immunization. - Amends TCA Title 49, Chapter 6.

## Version chain

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

1. **Amendment HA0050** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/HA0050.pdf)
2. **Amendment SA0145** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Amend/SA0145.pdf)
3. **Current Version** (committee substitute) — [source](https://www.capitol.tn.gov/Bills/112/Bill/HB0454.pdf)

## Votes

- FLOOR VOTE: REGULAR CALENDAR PASSAGE ON THIRD CONSIDERATION 4/5/2021 Passed (1) — **89–0** (pass) · lower
- K-12 SUBCOMMITTEE: Rec. for pass by s/c ref. to Education Administration 3/2/2021 (5) — **0–0** (pass) · lower
- HOUSE EDUCATION ADMINISTRATION COMMITTEE: Rec. for pass. if am., ref. to Health Committee 3/10/2021 (4) — **0–0** (pass) · lower
- SENATE EDUCATION COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0 3/24/2021 Passed (2) — **9–0** (pass) · upper
- HOUSE CALENDAR & RULES COMMITTEE: H. Placed on Regular Calendar for 4/5/2021 4/1/2021 (2) — **0–0** (fail) · lower
- FLOOR VOTE: as Amended Third Consideration 4/1/2021 Passed (1) — **32–0** (pass) · upper
- HOUSE HEALTH COMMITTEE: Rec. for pass; ref to Calendar & Rules Committee 3/24/2021 (3) — **0–0** (pass) · lower

## Sponsors

- Hodges — primary (person)
- Powers — primary (person)

## Timeline

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

- **2021-02-01** Filed for introduction `introduction, reading-1`
- **2021-02-03** Filed for introduction `introduction, reading-1`
- **2021-02-08** Intro., P1C. `introduction`
- **2021-02-08** Introduced, Passed on First Consideration `introduction`
- **2021-02-10** Assigned to s/c K-12 Subcommittee `referral-committee`
- **2021-02-10** P2C, ref. to Education Administration -- Health Committee `referral-committee`
- **2021-02-10** Passed on Second Consideration, refer to Senate Education Committee
- **2021-02-23** Sponsor(s) Added.
- **2021-02-24** Placed on s/c cal K-12 Subcommittee for 3/2/2021
- **2021-03-02** Rec. for pass by s/c ref. to Education Administration `committee-passage-favorable`
- **2021-03-03** Placed on cal. Education Administration for 3/10/2021
- **2021-03-03** Sponsor(s) Added.
- **2021-03-10** Rec. for pass. if am., ref. to Health Committee `committee-passage-favorable`
- **2021-03-17** Placed on cal. Health Committee for 3/24/2021
- **2021-03-18** Placed on Senate Education Committee calendar for 3/24/2021
- **2021-03-24** Rec. for pass; ref to Calendar & Rules Committee `committee-passage-favorable`
- **2021-03-24** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 9, Nays 0 PNV 0
- **2021-03-30** Placed on Senate Regular Calendar for 4/1/2021
- **2021-03-31** Placed on cal. Calendar & Rules Committee for 4/1/2021
- **2021-04-01** Sponsor(s) Added.
- **2021-04-01** H. Placed on Regular Calendar for 4/5/2021
- **2021-04-01** Engrossed; ready for transmission to House
- **2021-04-01** Passed Senate as amended, Ayes 32, Nays 0 `passage`
- **2021-04-01** Senate adopted Amendment (Amendment 1 - SA0145)
- **2021-04-05** Comp. SB subst.
- **2021-04-05** Sponsor(s) Added.
- **2021-04-05** Passed H., Ayes 89, Nays 0, PNV 1 `passage`
- **2021-04-05** Am. withdrawn. (Amendment 1 - HA0050) `amendment-withdrawal`
- **2021-04-05** Subst. for comp. HB.
- **2021-04-07** Enrolled and ready for signatures
- **2021-04-07** Signed by Senate Speaker
- **2021-04-09** Signed by H. Speaker
- **2021-04-12** Transmitted to Governor for action.
- **2021-04-20** Signed by Governor. `executive-signature`
- **2021-05-03** Comp. became Pub. Ch. 169
- **2021-05-03** Effective date(s) 07/01/2021
- **2021-05-03** Pub. Ch. 169

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6eab8ad0-11ac-45a5-937a-2afe72b40744`. Confidence: reported (aggregated from official Tennessee legislature records).