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Panel advances bill clarifying medical-assistant work, adds physician-assistant delegation

Health Subcommittee (Tennessee House) · February 18, 2026
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Summary

The Health Subcommittee advanced HB 20‑44 after an amendment to fix minor drafting errors. Sponsor said the bill aligns medical-assistant duties and medication rules with current outpatient clinical practice and adds physician assistants as authorized delegators.

The Health Subcommittee advanced House Bill 20‑44 on a unanimous voice vote after the sponsor offered a narrowly focused amendment to fix drafting issues.

"The amendment just makes some small spelling corrections," the sponsor (Presenter, speaker 9) told the committee. He described HB 20‑44 as a cleanup measure that "brings last year's medical assistance legislation fully in line with real clinical practice" by adding physician assistants as authorized providers who may delegate specified tasks to certified medical assistants and by updating inclusion and exclusion lists for tasks such as vaccines and topical medications.

Sponsor testimony emphasized safety and alignment with outpatient practice: the bill clarifies that clinics are responsible for training and verifying competency, updates language around single‑dose and multi‑dose medications when a provider orders a specific dose, and disallows medical assistants from administering anesthesia gases or cosmetic agents like Botox. The committee recorded 7 ayes and 0 nays, and the bill moves on to the full Health Committee.

If enacted, proponents said, HB 20‑44 would remove regulatory ambiguity without adding new burdens to clinics. The sponsor concluded by asking members for their support, noting the changes are intended to improve both clarity and patient safety.