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Senate passes bill allowing civil suits over alleged coercion in certain medical procedures after amendment

Tennessee Senate · March 23, 2026
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Summary

On final consideration the Tennessee Senate passed Senate Bill 20 31, creating a private right of action for people who say they were coerced into certain medical procedures related to gender reassignment, with a committee amendment clarifying definitions and procedural timing. The bill passed 24-5 after floor debate on scope and due process.

Senate Bill 20 31, sponsored by Senator Lowe, passed the Tennessee Senate on third and final consideration after the chamber adopted a judiciary committee amendment that narrows the bill's scope and clarifies when a civil action may be brought.

The bill, as explained by Sponsor Senator Lowe, "creates a private right of action for anyone who suffered an injury as a result of care related to gender reassignment" and allows such suits "within the context of a 30 year statutory of limitations." The amendment adopted on the floor refines the definition of coercion and excludes therapies "to treat a minor congenital defect, precocious puberty disease, and physical injury" from the bill's definition of medical procedures, and clarifies that civil actions may be brought only after the bill's effective date.

The measure prompted extended questioning from several members about its scope and potential consequences. Senator Campbell asked whether the sponsor knew of other health situations that carry such a long limitations period; Senator Lowe replied that the thirty-year period "exists when we created it in senate bill 1 with the private right of action related to that bill." Senator Oliver pressed whether the bill effectively creates a civil cause of action tied to a criminal-code definition and whether it targets health care professionals; Senator Lowe pointed members to the amendment's citation of the coercion definition ("39 11 1 0 6") and said that whether coercion occurred would be for a civil court to decide.

Opponents warned of potential discrimination and vagueness. Senator Oliver said the bill "creates some discrimination based on someone's gender identity in this law" and cautioned that a broadly worded civil coercion standard could expose ordinary medical advice to litigation. Senator Yarbrough described concerns about designating a narrow group for special treatment "without evidence." Senator Lowe responded that the bill does not create a new definition of coercion but provides an avenue for individuals who say they were aggrieved to seek redress.

After floor debate and the amendment's adoption, Senator Lowe asked for a favorable vote. The clerk recorded the final tally as 24 ayes and 5 nays; the motion to reconsider was tabled and the bill was declared passed.

What happens next: The motion to reconsider was tabled; any effective date or further implementation steps will follow the bill's enrollment and signature process as provided by law.

Authorities and procedural notes cited on the floor included a reference to the coercion provision noted in the amendment ("39 11 1 0 6"). The text of the amendment also clarified that the civil action can be brought only after the bill's effective date.

Ending: The Senate adopted the bill on final consideration and moved to the next calendar items.