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republic-os/legislation/us/states/tn/114/sb-1681.md
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---
type: "Bill"
title: "Hospitals and Health Care Facilities - As enacted, prohibits a hospital emergency department, including a satellite emergency department, from denying to a woman who presents at such facility and purports or, if incapacitated, appears to be pregnant and experiencing active labor, other symptoms associated with active labor, or an emergency medical condition, an appropriate medical screening examination within the capability of the emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition or active labor exists; makes other related changes. - Amends TCA Title 63 and Title 68."
description: "Hospitals and Health Care Facilities - As enacted, prohibits a hospital emergency department, including a satellite emergency department, from denying to a woman who presents at such facility and purports or, if incapacitated, appears to be pregnant and experiencing active labor, other symptoms associated with active labor, or an emergency medical condition, an appropriate medical screening examination within the capability of the emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition or active labor exists; makes other related changes. - Amends TCA Title 63 and Title 68."
jurisdiction: "us/states/tn"
legislature: "Tennessee General Assembly"
session: "114"
identifier: "SB 1681"
citation: "Tennessee SB 1681 (114)"
classification: ["bill"]
subjects: ["Hospitals and Health Care Facilities"]
status: "enacted"
primary_sponsors: ["Lamar"]
version_count: 3
action_count: 36
vote_count: 5
first_action: "2026-01-14"
last_action: "2026-05-27"
source: "openstates"
source_identifier: "ocd-bill/eded33bc-41a0-4381-94a0-15a83e7eec24"
source_url: "https://wapp.capitol.tn.gov/apps/BillInfo/Default?BillNumber=SB1681&ga=114"
source_hash: "6fa2b4446dc81123209d257acf9682a52433a218bb5dc4bcf03c3cb002c10774"
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 SB 1681 (114) — Hospitals and Health Care Facilities - As enacted, prohibits a hospital emergency department, including a satellite emergency department, from denying to a woman who presents at such facility and purports or, if incapacitated, appears to be pregnant and experiencing active labor, other symptoms associated with active labor, or an emergency medical condition, an appropriate medical screening examination within the capability of the emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition or active labor exists; makes other related changes. - Amends TCA Title 63 and Title 68.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Amendment HA0811** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/HA0811.pdf)
2. **Amendment SA0493** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Amend/SA0493.pdf)
3. **Current Version** (committee substitute) — [source](https://capitol.tn.gov/Bills/114/Bill/SB1681.pdf)
## Votes
- FLOOR VOTE: MESSAGE CALENDAR MOTION TO ADOPT CONFERENCE COMMITTEE REPORT 4/22/2026 Passed (1) — **827** (pass) · lower
- FLOOR VOTE: Motion to Adopt Conference Committee Report 4/20/2026 Passed — **330** (pass) · upper
- SENATE HEALTH AND WELFARE COMMITTEE: Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 6, Nays 3 PNV 0 2/18/2026 Passed — **63** (pass) · upper
- FLOOR VOTE: as Amended Third Consideration 2/26/2026 Passed (1) — **266** (pass) · upper
- FLOOR VOTE: REGULAR CALENDAR AS AMENDED PASSAGE ON THIRD CONSIDERATION 3/30/2026 Passed (2) — **806** (pass) · lower
## Sponsors
- Lamar — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2026-01-14** Filed for introduction `filing`
- **2026-01-15** Introduced, Passed on First Consideration `introduction`
- **2026-01-21** Passed on Second Consideration, refer to Senate Health and Welfare Committee `referral-committee`
- **2026-02-04** Placed on Senate Health and Welfare Committee calendar for 2/11/2026
- **2026-02-11** Placed on Senate Health and Welfare Committee calendar for 2/18/2026
- **2026-02-11** Action deferred in Senate Health and Welfare Committee to 2/18/2026
- **2026-02-18** Recommended for passage with amendment/s, refer to Senate Calendar Committee Ayes 6, Nays 3 PNV 0
- **2026-02-24** Placed on Senate Regular Calendar for 2/26/2026
- **2026-02-26** Engrossed; ready for transmission to House `receipt`
- **2026-02-26** Sponsor(s) Added. `sponsorship`
- **2026-02-26** Passed Senate as amended, Ayes 26, Nays 6 `passage`
- **2026-02-26** Senate adopted Amendment (Amendment 1 - SA0493)
- **2026-03-02** Rcvd. from S., held on H. desk.
- **2026-03-30** Passed H., as am., Ayes 80, Nays 6, PNV 2 `passage`
- **2026-03-30** H. adopted am. (Amendment 1 - HA0811) `amendment-passage`
- **2026-03-30** Subst. for comp. HB. `substitution`
- **2026-03-31** Placed on Senate Message Calendar for 4/2/2026
- **2026-04-02** Senate refused to concur in amendment `amendment-failure`
- **2026-04-06** H. Placed on Message Calendar for 4/7/2026
- **2026-04-07** H. refused to recede from H. am. no. 1
- **2026-04-10** Placed on Senate Message Calendar for 4/13/2026
- **2026-04-13** Conference Committee appointed. (Lamar, Massey, Crowe)
- **2026-04-13** Senate refused to recede from its non-concurrence.
- **2026-04-14** H. Placed on Message Calendar for 4/15/2026
- **2026-04-15** Conf. comm. appointed. (Reps. Helton-Haynes, Gant, Freeman, Love)
- **2026-04-17** Placed on Senate Message Calendar for 4/20/2026
- **2026-04-20** H. Placed on Message Calendar for 4/21/2026
- **2026-04-20** Conference Committee report adopted,
- **2026-04-22** Conf. comm. report adopted, Ayes 82, Nays 7 PNV 1
- **2026-04-30** Signed by Senate Speaker `passage`
- **2026-04-30** Enrolled and ready for signatures `enrolled`
- **2026-05-07** Signed by H. Speaker `passage`
- **2026-05-11** Transmitted to Governor for action. `executive-receipt`
- **2026-05-22** Signed by Governor. `executive-signature`
- **2026-05-27** Effective date(s) 07/01/2026
- **2026-05-27** Pub. Ch. 1080
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/eded33bc-41a0-4381-94a0-15a83e7eec24`. Confidence: reported (aggregated from official Tennessee legislature records).