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Tennessee General Assembly· SB 343Signed by Governor.

Death - As enacted, authorizes, as of January 1, 2027, a licensed paramedic to make an actual determination and pronouncement of death; makes related changes. - Amends TCA Title 4; Title 29; Title 33; Title 56; Title 63;, the official text

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                              PUBLIC CHAPTER NO. 965

                                                     SENATE BILL NO. 343

                                                   By Bailey, Bowling, Seal

                                            Substituted for: House Bill No. 398

                                                      By Williams, Keisling

AN ACT to amend Tennessee Code Annotated, Title 4; Title 29; Title 33; Title 56; Title 63; Title 68
          and Title 71, relative to health.

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

          SECTION 1. Tennessee Code Annotated, Title 68, Chapter 3, Part 5, is amended by adding
the following as a new section:

                    (a) A paramedic, licensed pursuant to § 68-140-306, may make an actual
          determination and pronouncement of death if the paramedic has successfully completed
          training in the determination and pronouncement of death and the paramedic has attempted
          to resuscitate the person in accordance with standards established by the emergency
          medical services board.

                    (b) This section does not permit a paramedic to make the actual determination and
          pronouncement of death of a patient who is in a hospital when the apparent death occurs.

                    (c) This section does not preclude a physician licensed pursuant to title 63, chapter 6
          or 9, from directing a paramedic to cease resuscitative efforts.

          SECTION 2. Tennessee Code Annotated, Title 68, Chapter 140, Part 3, is amended by
adding the following as a new section:

                    (a) A paramedic who intends to determine and pronounce death shall, before doing
          so, complete a course of instruction in determining and pronouncing death.

                    (b) A paramedic who determines and pronounces death shall retain proof of
          successful completion of the course required by subsection (a) and make the proof readily
          available to the board or the board's designee upon request.

                    (c) A paramedic who fails to comply with the standards for determining and
          pronouncing death set forth in this part or rules of the board may be subject to discipline by
          the board.

          SECTION 3. For the purpose of promulgating rules, this act takes effect upon becoming a
law, the public welfare requiring it. For all other purposes, this act takes effect January 1, 2027, the
public welfare requiring it.
         SENATE BILL NO. 343

PASSED:  April 20, 2026

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                              I RANDY
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                            SPEAKER OF THE SENATE

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                         HOUSE OF REPRESENTATIVES

APPROVED this {~~ day o f ~   2026

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         BILL LEE, GOVERNOR
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