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Tennessee General Assembly· HB 658Sponsor(s) Added.

Athletic Trainers - As enacted, expands the scope of practice for athletic trainers by authorizing them to treat conditions that limit or prevent a person's participation in certain physical activities rather than just t, the official text

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                              PUBLIC CHAPTER NO. 884

                                                     SENATE BILL NO. 502

                                  By Haile, Bailey, Bowling, Reeves, Hatcher, Seal

                                            Substituted for: House Bill No. 658

    By Tim Hicks, White, Helton-Haynes, Boyd, Farmer, Hale, Sherrell, Crawford, Russell, Powell,
                                                  Cepicky, Hawk, Alexander

AN ACT to amend Tennessee Code Annotated, Title 63, Chapter 24 relative to athletic trainers.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:

          SECTION 1. Tennessee Code Annotated, Section 63-24-101, is amended by deleting the
section and substituting:

                    As used in this chapter:

                              (1) "Athletic injury" means any injury sustained by a person as a result of such
                    person's participation in exercises, sports, games, or recreation requiring physical
                    strength, agility, flexibility, range of motion, speed, or stamina, or comparable athletic
                    injury that prevents such person from participating in such activities;

                              (2) "Athletic trainer" means a healthcare provider with the qualifications
                    prescribed in this chapter who, upon the advice, consent, and oral or written
                    prescriptions or referrals of a physician licensed under this title, carries out the
                    practice of prevention, recognition, evaluation, management, disposition, treatment,
                    or rehabilitation of athletic injuries, and, in carrying out such functions, is authorized to
                    use physical modalities, such as heat, light, sound, cold, electricity, or mechanical or
                    therapeutic devices, and healthcare procedures related to prevention, recognition,
                    evaluation, management, disposition, rehabilitation, and treatment;

                              (3) "Board" means the board of athletic trainers;

                              (4) "Board of certification" or "BOC":

                                        (A) Means the Board of Certification for the Athletic Trainer, Inc.; and

                                        (8) Includes any predecessor entity of the Board of Certification for the
                              Athletic Trainer, Inc.; and

                              (5) "Healthcare procedure":

                                        (A) Means a course of action intended to achieve a result in the
                              delivery of health care; and

                                        (8) Includes:

                                                  (i) Rectal core thermometer administration in an emergent
                                        situation;

                                                  (ii) Blood glucose monitoring;

                                                  (iii) Wound closure that is limited to the closure of a superficial
                                        laceration using a dermal adhesive pursuant to a written or oral
                                        standing order from a physician;
SB 502

                            (iv) Subcutaneous or intramuscular injection administration that
                   is limited to the following medications, which may only be obtained,
                   transported, provided, or administered when providing athletic training
                   services and pursuant to the approval of and guidelines established by
                   a supervising physician:

                            (a) Epinephrine 1: 1000, in liquid medication form or in
                   an auto-injector device, for treatment of anaphylaxis;

                                          (b) Naloxone, for treatment of drug overdose;

                                          (c) Glucagon, for treatment of diabetic emergency; and

                            (cl) Flu vaccine, for administration to a person nine (9)
                   years of age or older;

                            (v) Intravenous injection administration when done with proper
                   training and education, which must include a minimum of four (4)
                   continuing education hours or coursework from a degree program
                   showing education and understanding of intravenous administration,
                   that is limited to the following medications, which may only be
                   obtained, transported, provided, or administered when providing
                   athletic training services and pursuant to the approval of and
                   guidelines established by a supervising physician:

                            (a) For use in a diabetic emergency, dextrose fifty
                   percent (50%) and dextrose twenty-five percent (25%); and

                            (b) For use in fluid administration, saline solution and
                   lactated Ringer's solution.

         SECTION 2. Tennessee Code Annotated, Section 63-24-103, is amended by deleting the
section and substituting:

                 (a) A person shall not represent themselves or claim to be an athletic trainer or
        perform any of the activities of an athletic trainer without first obtaining a license under this
        chapter.

                 (b) This chapter does not prevent a person from serving as an athletic training
        student or a similar position if such service is not primarily for compensation and is carried
        out under the supervision of a licensed athletic trainer and physician licensed under this title.
        Such supervision must be provided under the guidelines of the board of certification and
        approved by the board.

         SECTION 3. Tennessee Code Annotated, Section 63-24-104(a)(2), is amended by deleting
the subdivision and substituting:

                 (2) Satisfactorily completed all of the board of certification qualifications and be
        certified as an athletic trainer in good standing by the BOC and approved by the board.

         SECTION 4. Tennessee Code Annotated, Section 63-24-104(b), is amended by deleting the
language:

        An out of state applicant from a state not having a licensure or certification act will be

        eligible to take the jurisprudence examination if certified by the NATA Board of Certification,

        Inc., and approved by the board.     •

and substituting:

                 An out-of-state applicant from a state not having a current licensure or certification act
        or an expired license or certificate in good standing at time of expiration will be eligible to
        take the jurisprudence examination if certified by the board of certification and approved by
        the board.

         SECTION 5. Tennessee Code Annotated, Section 63-24-105(a)(2), is amended by deleting
the subdivision and substituting:

        (2) The applicant is entitled to an athletic trainer's license if the applicant:

                   (A) Possesses the qualifications enumerated in § 63-24-104;

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SB502
                              (8) Completes and passes the certification requirements and examination of

                    the board of certification or its equivalent as determined by the board;
                              (C) Completes the jurisprudence examination administered and selected by

                    the board, to the board's satisfaction;
                              (D) Pays the licensure fee as prescribed in § 63-24-106; and
                              (E) Has not committed an act that constitutes grounds for denial of a license

                    under§ 63-24-107.
          SECTION 6. Tennessee Code Annotated, Title 63, Chapter 24, Part 1, is amended by adding
the following as a new section:

                    This chapter does not, and shall not be construed to, authorize an athletic trainer to
          engage in the practice of medicine, osteopathic medicine, podiatry, chiropractic, physical
          therapy, or nursing.
          SECTION 7. This act takes effect July 1, 2026, the public welfare requiring it.

                                                                 3
         SENATE BILL NO. 502

PASSED:  April 16, 2026

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                         \                     RANDY McNALl~

                            SPEAKER OF THE SENATE

                         CAMERON--sEXTON,SPEAKER

                         HOUSE OF REPRESENTATIVES

APPROVED this c;-u2,._ day o f - - - ,         2026

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                           BILL LEE, GOVERNOR
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