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Sponsor advances CORE Act to consolidate smaller health licensing boards

Government Operations Committee · March 25, 2026
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Summary

Leader Johnson said Senate Bill 2227 (the "CORE Act") would centralize certain health licensure and rulemaking functions in a commissioner-issued licenses agency to reduce delays and spread licensing costs; the committee adopted amendments and moved the bill to the calendar.

Leader Johnson, the sponsor, told the committee Senate Bill 2227 is an administration measure to "consolidate cons consolidation of regulatory efficiency act," centralizing certain health licensure and rulemaking functions within a new agency of commissioner-issued licenses in the Tennessee Department of Health.

Grayson Carter, assistant commissioner of legislative affairs for the Department of Health, said smaller boards can struggle to reach quorums and that moving several low-volume license types into a single commissioner-led agency would spread costs across a larger licensee population and reduce delays. "Running these health licensure boards can be a bit cumbersome at times because they're dependent on those board members being present for business to happen," Carter said. The sponsor and the committee adopted two amendments before taking a favorable recommendation and moving the bill to the calendar.

The bill, as described by the sponsor, removes several licensing boards (listed in committee remarks) and allows qualified consultant panels to assist with reviews and routine licensing or disciplinary matters so those matters can proceed without waiting for a full board meeting. Committee members asked for department input on implementation and cost savings; Carter said fees and renewal cycles would take time to equilibrate under the new structure. The committee approved the motion and recorded the roll vote.