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Back to SB 1146
Tennessee General Assembly· SB 1146Signed by Governor.

Drugs, Prescription - As enacted, requires a county medical examiner to test for, and obtain certain information concerning, the presence of any drugs in a decedent in certain situations; requires the health science cent, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Tennessee General Assembly, fetched 2026-09-25. Page and line markers are part of the official record; nothing is edited or removed. This is the chaptered version. The official bill page.
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                             PUBLIC CHAPTER NO. 272

                                                    SENATE BILL NO. 1146

                   By Crowe, Hatcher, Bowling, Rose, Stevens, Bailey, Jackson, Taylor

                                           Substituted for: House Bill No. 1349

                              By Littleton, Powers, Hardaway, Fritts, Reedy, Bricken

AN ACT to amend Tennessee Code Annotated, Title 38; Title 53; Title 63 and Title 68, relative to
          psychotropic drugs.

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

         SECTION 1. Tennessee Code Annotated, Section 38-7-109, is amended by adding the
following as a new subsection:

                    (c)(1)

                                       (A) If a county medical examiner's office or regional forensic center is
                             conducting an autopsy on a decedent who is suspected to have committed a
                             mass shooting that resulted in the deaths of four (4) or more individuals, then
                             the county medical examiner or regional forensic center shall consult such
                             decedent's treating mental health professional or primary care physician, if
                             known and reasonably able to be identified through the decedent's next of kin,
                             to obtain information regarding the decedent's psychotropic drug use.

                                       (B) The county medical examiner shall test the decedent for the
                             presence of any drugs, including therapeutic levels of psychotropic drugs.

                             (2)(A) The county medical examiner's office or regional forensic center shall
                             disclose the drug use of the decedent to the health science center and to the
                             department of health.

                                       (B) The county medical examiner's office or regional forensic center
                             shall not disclose any identifying information including the decedent's name or
                             social security number when disclosing the drug use of the decedent to the
                             health science center and to the department of health.

                                       (C) The county medical examiner shall send only a blood sample of
                             the decedent to the health science center.

                             (3) The health science center shall study the drug interactions between the
                    psychotropic drugs and any other drugs that were present in the decedent's system
                    as provided by the county medical examiner as described in subdivision (c)(2)(A).

                             (4) The health science center shall submit quarterly reports of all data
                    obtained pursuant to this section to the chief clerk of each house of the general
                    assembly.

                              (5) As used in this subsection (c):

                                       (1) "Health science center" means the University of Tennessee's
                              health science center college of pharmacy; and

                                       (2) "Psychotropic drug" means a medication prescribed for the
                             treatment of mental or behavioral health conditions or a drug prescribed for
                              any condition that exercises a direct effect upon the central nervous system
SB 1146
                             and that is capable of influencing and modifying mood, perceptions, and
                             behavior, including:
                                                 (A) Agents for control of mania and depression;
                                                 (8) Antidepressants, including selective serotonin reuptake
                                       inhibitors;
                                                 (C) Antipsychotics;
                                                 (D) Anxiolytics;
                                                 (E) Hypnotics;
                                                 (F) Mood stabilizers;
                                                 (G) Hormonal medication with the primary goal of altering a
                                       person's physical appearance and sexual characteristics existing at
                                       the person's birth;
                                                 (H) Psychomotor stimulants;
                                                 (I) Stimulants; and
                                                 (J) Benzodiazepines.
                             (6) The county medical examiner, regional forensic center, department of

                    health, and the health science center must follow all relevant state and federal privacy
                    laws related to the implementation of this section.
          SECTION 2. This act takes effect July 1, 2025, the public welfare requiring it.

                                                                 2
         SENATE BILL NO. 1146

PASSED:  Apri I 10, 2025

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                          '             RANDY l\cNALLy

                             SPEAKER OF THE SENATE

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                          CAMERONSEXTON,SPEAKER
                          HOUSE OF REPRESENTATIVES

ca,4~ & 1 APPROVED this
         day of                         2025

         ~~
                    BILL LEE, GOVERNOR
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