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Debate after Red Cross opposes bill clarifying directed and autologous blood donations

Senate Health and Welfare Subcommittee · February 18, 2026
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Summary

SB 19-47 would require blood banks to comply with physician orders for autologous and directed donations; the American Red Cross testified in opposition citing safety and resource concerns, while pathologists and local physicians supported the bill as clarifying patient choice.

Senator Bolling introduced SB 19-47, saying the bill "ensures Tennesseans have the right to use their own blood or designated blood for medical procedures when ordered by a physician," and that the change provides statutory clarity for autologous and directed donations.

The American Red Cross, through Dr. Bayalasky, testified in opposition, arguing additional legislation was unnecessary and could undermine safety and trust in the general blood supply: "This law would remove the necessary oversight of such donations by blood center physicians...and could increase risks and compromise donor and patient safety." In rebuttal, Dr. David Sibley, a pathologist, said existing technical safeguards (irradiation, testing) and medical-director oversight can manage risks and that the bill would primarily increase awareness and access for patients planning procedures. The committee voted to advance the bill (reported as 7 ayes, 2 noes).