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Tennessee Senate adopts a package of bills on third reading, including election-date change, health and administrative measures

Tennessee Senate · March 30, 2026
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Summary

The state Senate took final action on a broad slate of bills in a single session day, passing measures from an amendment to the state constitution on election timing to changes affecting paramedics, state payment timelines, TennCare and benefit verification for local governments. Several bills prompted substantive debate before passage.

The Tennessee Senate convened for its regular legislative calendar and passed a broad set of measures on second and third reading, including a constitutional amendment proposal on election timing and several statutes affecting health care, public safety and state administration.

Among the items adopted was a proposed amendment to Article 7, Section 5 of the state constitution to change the timing of elections for judicial and other civil officers to the first Tuesday after the first Monday in November beginning in 2034. The measure (Senate Joint Resolution 551 on 2nd reading during today's calendar) was read and set over for further consideration.

The chamber also approved bills affecting emergency response and public safety. Senate Bill 343, amended by the Health and Welfare Committee, requires paramedics who would make an actual determination and pronouncement of death to complete a specific course of instruction and clarifies that the Emergency Medical Services Board may not issue a license to out-of-state applicants who lack that training; the amendment was adopted and the bill passed on final consideration.

On state fiscal administration, an amendment to Senate Bill 18 23 shortened the default payment timetable for state agencies from 45 to 30 days when a contract does not specify payment terms and requires an annual report beginning in September 2027 on late payments and related interest. That committee amendment was adopted and the bill passed on third reading.

The Senate also adopted consent calendars covering numerous memorializing and general bills and took final action on many House bills transmitted for concurrence or substitution.

Votes at a glance (selected items and recorded outcomes): - Senate Joint Resolution recognizing Sergeant Edmonds (SJR 927): adopted after suspension of the rules; clerk recorded 33 ayes, no nays. - Senate Bill 3 43 (paramedic pronouncement training): committee amendment adopted; passed final consideration (recorded as unanimous in the roll call returned by the clerk). - House Bill 1 66 (conforming action on House bill referred by Senator Taylor): passed on third reading (recorded ayes 32, no nays). - House Bill 19 84 (allowing nurse practitioners and physician assistants to prescribe an injectable buprenorphine mono product in specified circumstances): passed (recorded tally 28 ayes, 3 nays). - Senate Bill 18 23 (state payment timelines; late-payment reporting): amendment adopted; passed (recorded 31 ayes, no nays). - Senate Bill 19 15 (expansion of Eligibility Verification for Entitlements Act to local governments): passed after extended debate (recorded 26 ayes, 6 nays). Sponsor Senator Jackson said, “this just adds that local government entities to, to report as well,” while opponents raised concerns about scope and enforcement, including Senator Yarbrough's warning that “this creates criminal liability for, you know, the person who's working for your local government.” - House Bill 24 98 (TennCare and transition-care coverage): sponsor Senator Lowe described the bill as removing specified transition-care coverage while allowing continuation for persons already in treatment under a physician's good-faith judgment; the Senate passed the bill on third consideration.

Why it matters: Several of the bills adopted change operational rules for state agencies and local governments (payment timelines and reporting duties), affect health-care delivery and provider authority, and modify the mechanics and timing of elections for certain offices. One debate that drew extended floor discussion tied policy to implementation risks for local governments and frontline staff.

What's next: Bills that passed the Senate will proceed to final enrollment or return to the originating chamber as required; several measures were referred to standing committees for further action and the Senate adjourned to reconvene Thursday at 8:30 a.m.